Multifidus Muscle

A Comparison of the Abdominal and Lumbar Multifidus Muscle Size in Patients With Lumbar Spondylolisthesis and Healthy Patients at Rest and During Contraction Using Ultrasonography.

Shadani A, Mohseni Bandpei MA, Rahmani N, Bassampour SA. J Manipulative Physiol Ther. 2018 Dec 26. pii: S0161-4754(17)30272-5. doi: 10.1016/j.jmpt.2018.07.001.

Accuracy of magnetic resonance imaging signal intensity ratio measurements in the evaluation of multifidus muscle injury and atrophy relative to that of histological examinations.

Are lumbar multifidus fatigue and transversus abdominis activation similar in patients with lumbar disc herniation and healthy controls? A case control study.

Ramos LA, França FJ, Callegari B, Burke TN, Magalhães MO, Marques AP. Eur Spine J. 2016 May

Can proinflammatory cytokine gene expression explain multifidus muscle fiber changes after an intervertebral disc lesion?

Correlation between lumbar dysfunction and fat infiltration in lumbar multifidus muscles in patients with low back pain.

Hildebrandt M, Fankhauser G, Meichtry A, Luomajoki H. BMC Musculoskelet Disord. 2017 Jan 10;18(1):12. doi: 10.1186/s12891-016-1376-1.

Corticomotor control of lumbar multifidus muscles is impaired in chronic low back pain: concurrent evidence from ultrasound imaging and double-pulse transcranial magnetic stimulation.

Massé-Alarie H, Beaulieu LD, Preuss R, Schneider C. Exp Brain Res. 2016 Apr

Differences in Cervical Multifidus Muscle Thickness During Isometric Contraction of Shoulder Muscles: A Comparison Between Patients With Chronic Neck Pain and Healthy Controls

Do changes in transversus abdominis and lumbar multifidus during conservative treatment explain changes in clinical outcomes related to nonspecific low back pain? A systematic review.

Do various baseline characteristics of transversus abdominis and lumbar multifidus predict clinical outcomes in nonspecific low back pain? A systematic review.

Does stabilization of the degenerative lumbar spine itself produce multifidus atrophy?

Kim YE, Choi HW. Med Eng Phys. 2017 Jul 31. pii: S1350-4533(17)30204-7. doi: 10.1016/j.medengphy.2017.07.008.

Electromyographic Analysis of Training to Selectively Strengthen the Lumbar Multifidus Muscle: Effects of Different Lifting Directions and Weight Loading of the Extremities During Quadruped Upper and Lower Extremity Lifts

Fatty Infiltrate of the Lumbar Multifidus Muscles Predicts Return to Play in Young Athletes With Extension-Based Low Back Pain.

Winslow J, Getzin A, Greenberger H, Silbert W. Clin J Sport Med. 2019 Jan;29(1):37-42. doi: 10.1097/JSM.0000000000000483.

Increased Fibrogenic Gene Expression in Multifidus Muscles of Patients with Chronic Versus Acute Lumbar Spine Pathology.

Shahidi B, Fisch KM, Gibbons MC, Ward SR. Spine (Phila Pa 1976). 2019 Sep 10. doi: 10.1097/BRS.0000000000003243.

Individuals with chronic low back pain demonstrate delayed onset of the back muscle activity during prone hip extension

ISSLS Prize in Basic science 2019: Physical activity attenuates fibrotic alterations to the multifidus muscle associated with intervertebral disc degeneration.

James G, Klyne DM, Millecamps M, Stone LS, Hodges PW. Eur Spine J. 2019 May;28(5):893-904. doi: 10.1007/s00586-019-05902-9.

ISSLS Prize in Basic science 2019: Physical activity attenuates fibrotic alterations to the multifidus muscle associated with intervertebral disc degeneration.

James G, Klyne DM, Millecamps M, Stone LS, Hodges PW. Eur Spine J. 2019 Feb 8. doi: 10.1007/s00586-019-05902-9.

Lumbar Multifidus and Erector Spinae Muscle Synergies in Patients with Nonspecific Low Back Pain During Prone Hip Extension: A Cross-sectional Study.

Wattananon P, Silfies SP, Tretriluxana J, Jalayondeja W. PM R. 2018 Nov 19. doi: 10.1002/pmrj.12002.

MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain.

Multifidus Muscle Changes After Back Injury Are Characterized by Structural Remodeling of Muscle, Adipose and Connective Tissue, but Not Muscle Atrophy: Molecular and Morphological Evidence.

Paraspinal muscle cross-sectional area predicts low back disability but not pain intensity.

Ranger TA, Cicuttini FM, Jensen TS, Heritier S, Urquhart DM. Spine J. 2018 Dec 7. pii: S1529-9430(18)31280-4. doi: 10.1016/j.spinee.2018.12.004.

People with recurrent low back pain respond differently to trunk loading despite remission from symptoms.

Relationship between straight leg-raising test measurements and area of fat infiltration in multifidus muscles in patients with lumbar disc hernation.

Zhong Y, Liu J, Zhou W, Yu D. J Back Musculoskelet Rehabil. 2019 Apr 11. doi: 10.3233/BMR-181304.

Relationships between Paraspinal Muscle Activity and Lumbar Inter-Vertebral Range of Motion.

du Rose A, Breen A. Healthcare (Basel). 2016 Jan 5;4(1). pii: E4. doi: 10.3390/healthcare4010004.

Severe lumbar intervertebral disc degeneration is associated with Modic changes and fatty infiltration in the paraspinal muscles at all lumbar levels, except L1-L2: A cross-sectional analysis of 50 symptomatic females and age-matched 50 symptomatic males.

Ece Özcan-Ekşi E, Şakir Ekşi M, Akif Akçal M. World Neurosurg. 2018 Nov 8. pii: S1878-8750(18)32536-1. doi: 10.1016/j.wneu.2018.10.229.

The effects of an 8-week stabilization exercise program on lumbar multifidus muscle thickness and activation as measured with ultrasound imaging in patients with low back pain: An exploratory study

Christian Larivière, Dany H. Gagnon, Sharon M. Henry, Richard Preuss, Jean-Pierre Dumas. PM&R. October 30, 2017. DOI:

The evaluation of lumbar multifidus muscle function via palpation: reliability and validity of a new clinical test

The paraspinal muscle-tendon system: Its paradoxical anatomy.

Creze M, Soubeyrand M, Gagey O. PLoS One. 2019 Apr 8;14(4):e0214812. doi: 10.1371/journal.pone.0214812.

The relationship of lumbar multifidus muscle morphology to previous, current, and future low back pain: a 9-year population-based prospective cohort study.


Stevens S, Agten A, Timmermans A, Vandenabeele F. Spine J. 2020 Apr 20. pii: S1529-9430(20)30142-X. doi: 10.1016/j.spinee.2020.04.007.

Why do some patients keep hurting their back? Evidence of ongoing back muscle dysfunction during remission from recurrent back pain.

Member login