The use of technology in measuring low back function and morphology in low back pain patients

    Research output: ThesisThesis fully internal (DIV)

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    Low back pain (LBP) is a very common symptom experienced by people worldwide. In most cases, however, it is hard to choose the most efficient intervention for the physiotherapist in primary care. Physiological and psychosocial components can play a role in LBP symptoms. In this thesis, the main question was if technology can be used in monitoring/diagnostics for patients with LBP in primary care physiotherapy. The focus was on the physiological components, especially the lumbar multifidus (LM). First, we found that the presentation of the anatomy of LM was inconsistent in literature and anatomical atlases. Second, we presented the LM with a 3D-model of two cadavers and ultrasound images. Third, we tried to measure muscle activity of low back muscles by using surface electromyography. This is a technology that is applied by physiotherapists in primary care. This research showed that this technology made no distinction between muscle activity from several low back muscles. Finally, technologies are used to measure differences between healthy volunteers and patients with LBP. This last research showed that muscle thickness measured by ultrasound, and trunk range of motion measured by a 3D sensor can be used by physiotherapists to monitor patients with LBP. Overall, this thesis contributed to new insights in low back muscles anatomy and technology that can be applied in monitoring biological components in patients with LBP in primary care physiotherapy.
    Original languageEnglish
    QualificationDoctor of Philosophy
    Awarding Institution
    • University of Groningen
    • Wolff, André, Supervisor
    • Hermens, Hermie J., Supervisor, External person
    • Oosterveld, F. G. J., Co-supervisor, External person
    • Soer, Remko, Co-supervisor
    Award date23-Nov-2022
    Print ISBNs978-94-6458-373-1
    Publication statusPublished - 2022

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