Contribution of the multifidus muscle for control of upright posture in subjects with spina bifida occulta

J Sport Rehabil. 2008 Aug;17(3):283-99. doi: 10.1123/jsr.17.3.283.

Abstract

Context: The multifidus muscle plays a role in controlling lumbosacral position and postural sway. One of its attachment sites is the exact site of spina bifida occulta (SBO).

Objective: To investigate the role of the muscle for postural control in SBO.

Design: Cross-sectional cohort.

Participants: Eighty subjects with SBO (38 in minor; 42 in major) and controls.

Interventions: N/A.

Main outcome measures: Subjects stood upright on a platform at 0 degrees and on an inclined surface (10 degrees and 20 degrees) with feet in plantarflexion/dorsiflexion, together with eyes open and closed. The platform system measured posture to obtain sway area and sway mean for statistics.

Results: Upon sway area/mean, the group differences of major/minor SBO vs. control were all significant. Sway means of minor SBO were lower than those of major SBO at corresponding inclined degrees.

Conclusions: Subjects with SBO demonstrated increased sway as compared to controls.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Cohort Studies
  • Cross-Sectional Studies
  • Disability Evaluation
  • Female
  • Health Status Indicators
  • Humans
  • Lumbosacral Region / physiopathology*
  • Male
  • Muscle, Skeletal / physiology*
  • Proprioception*
  • Spina Bifida Occulta / physiopathology*
  • Young Adult