407:
989:
395:
440:
52:
40:
1009:
367:. The dysfunction can be caused by inhibition of pain by the spine. The dysfunction frequently persists even after the pain has disappeared. Such persistence may help explain the high recurrence rates of low back pain. Persistent lumbar multifidus dysfunction is diagnosed by
335:
These fasciculi vary in length: the most superficial, the longest, pass from one vertebra to the third or fourth above; those next in order run from one vertebra to the second or third above; while the deepest connect two adjacent vertebrae.
406:
647:
123:
Provides proprioceptive feedback and input due to high muscle spindle density; Bilateral backward extension, unilateral ipsilateral side-bending and contralateral rotation.
620:
174:
640:
245:
Located just superficially to the spine itself, the multifidus muscle spans three joint segments and works to stabilize these joints at each level.
633:
587:
150:
238:. While very thin, the multifidus muscle plays an important role in stabilizing the joints within the spine. The multifidus is one of the
615:
894:
889:
352:
348:
111:
252:
work more effectively, and reduces the degeneration of the joint structures caused by friction from normal physical activity.
283:
279:
83:
1014:
609:
169:
864:
859:
854:
394:
876:
979:
881:
372:
181:
118:
94:
67:
267:
934:
694:
519:"Long-term lumbar multifidus muscle atrophy changes documented with magnetic resonance imaging: a case series"
805:
783:
689:
988:
704:
413:
157:
145:
798:
793:
755:
449:
962:
823:
740:
380:
344:
311:
849:
297:
901:
871:
760:
732:
499:
328:
Each fasciculus, passing obliquely upward and medially, is inserted into the whole length of the
239:
929:
750:
583:
575:
556:
538:
491:
454:
427:
223:
939:
924:
919:
788:
770:
681:
546:
530:
483:
957:
911:
582:. Jones & Bartlett Publishers – American Academy of Orthopedic Surgeons. p. 583.
340:
329:
219:
99:
379:. One way to help recruit and strengthen the lumbar multifidus muscles is by tensing the
17:
993:
551:
518:
235:
76:
1003:
445:
364:
275:
1010:
Knowledge articles incorporating text from the 20th edition of Gray's
Anatomy (1918)
503:
471:
712:
605:
625:
717:
517:
Woodham, Mark; Woodham, Andrew; Skeate, Joseph G.; Freeman, Michael (May 2014).
271:
87:
79:
487:
672:
664:
376:
542:
162:
778:
227:
560:
534:
495:
722:
368:
363:
Dysfunction in the lumbar multifidus muscles is strongly associated with
305:
249:
470:
Freeman, Michael D.; Woodham, Mark A.; Woodham, Andrew W. (2010-01-01).
472:"The role of the lumbar multifidus in chronic low back pain: a review"
187:
39:
949:
837:
815:
660:
656:
291:
261:
231:
72:
133:
106:
51:
319:
56:
Sacrum, dorsal surface. (Multifidus attachment outlined in red.)
629:
580:
Athletic
Training and Sports Medicine: An Integrated Approach
371:
replacement of the multifidus with fat, as visualized by
324:
from the articular processes of the lower four vertebrae.
383:
for a few seconds "as if stopping urination midstream".
977:
44:
Deep muscles of the back. (Multifidus shaded in red.)
948:
910:
836:
814:
769:
731:
703:
680:
671:
412:The multifidus muscles (labeled left) as seen in a
168:
156:
144:
132:
127:
117:
105:
93:
66:
61:
32:
576:"Additional Spine and Torso Therapeutic Exercises"
266:from the back of the sacrum, as low as the fourth
222:, which fill up the groove on either side of the
641:
218:consists of a number of fleshy and tendinous
8:
400:The posterior divisions of the sacral nerves
842:
677:
648:
634:
626:
359:Atrophy and association with low back pain
50:
38:
550:
339:The multifidus lies deep relative to the
984:
462:
390:
248:The stiffness and stability makes each
444:This article incorporates text in the
185:
29:
7:
207:
25:
523:Journal of Radiology Case Reports
353:abdominal external oblique muscle
349:abdominal internal oblique muscle
278:, from the medial surface of the
987:
438:
405:
393:
332:of one of the vertebræ above.
284:posterior sacroiliac ligaments
280:posterior superior iliac spine
1:
610:Duke University Health System
452:of the 20th edition of
1031:
574:Chad Starkey, ed. (2012).
488:10.1016/j.pmrj.2009.11.006
373:magnetic resonance imaging
182:Anatomical terms of muscle
139:musculus multifidus spinae
845:
180:
49:
37:
18:Multifidus spinae muscles
621:Dissection at ithaca.edu
255:These fasciculi arise:
612:'s Orthopedics program
535:10.3941/jrcr.v8i5.1401
1015:Muscles of the torso
963:clavipectoral fascia
877:transversus thoracis
824:thoracolumbar fascia
381:pelvic floor muscles
345:transverse abdominis
312:transverse processes
886:serratus posterior
850:Intercostal muscles
298:mamillary processes
902:thoracic diaphragm
882:levatores costarum
761:intertransversarii
733:Transversospinales
240:transversospinales
112:Posterior branches
27:Muscle in the back
975:
974:
971:
970:
935:serratus anterior
832:
831:
589:978-0-7637-9609-9
428:Rotatores muscles
387:Additional images
274:of origin of the
224:spinous processes
204:multifidus spinae
196:
195:
191:
33:Multifidus muscle
16:(Redirected from
1022:
992:
991:
983:
925:pectoralis minor
920:pectoralis major
843:
806:levator scapulae
784:latissimus dorsi
771:Vertebral column
678:
650:
643:
636:
627:
594:
593:
571:
565:
564:
554:
514:
508:
507:
467:
442:
441:
409:
397:
209:
188:edit on Wikidata
54:
42:
30:
21:
1030:
1029:
1025:
1024:
1023:
1021:
1020:
1019:
1000:
999:
998:
986:
978:
976:
967:
958:pectoral fascia
944:
912:Thoracic cavity
906:
828:
810:
765:
727:
699:
667:
654:
602:
597:
590:
573:
572:
568:
516:
515:
511:
469:
468:
464:
439:
436:
424:
417:
410:
401:
398:
389:
361:
341:spinal erectors
330:spinous process
282:, and from the
192:
100:Spinous process
57:
45:
28:
23:
22:
15:
12:
11:
5:
1028:
1026:
1018:
1017:
1012:
1002:
1001:
997:
996:
973:
972:
969:
968:
966:
965:
960:
954:
952:
946:
945:
943:
942:
937:
932:
927:
922:
916:
914:
908:
907:
905:
904:
899:
898:
897:
892:
884:
879:
874:
869:
868:
867:
862:
857:
846:
840:
834:
833:
830:
829:
827:
826:
820:
818:
812:
811:
809:
808:
803:
802:
801:
796:
786:
781:
775:
773:
767:
766:
764:
763:
758:
753:
748:
743:
737:
735:
729:
728:
726:
725:
720:
715:
709:
707:
705:erector spinae
701:
700:
698:
697:
692:
686:
684:
675:
669:
668:
655:
653:
652:
645:
638:
630:
624:
623:
618:
613:
601:
600:External links
598:
596:
595:
588:
566:
509:
461:
455:Gray's Anatomy
435:
432:
431:
430:
423:
420:
419:
418:
414:posterior view
411:
404:
402:
399:
392:
388:
385:
360:
357:
326:
325:
315:
301:
287:
268:sacral foramen
194:
193:
184:
178:
177:
172:
166:
165:
160:
154:
153:
148:
142:
141:
136:
130:
129:
125:
124:
121:
115:
114:
109:
103:
102:
97:
91:
90:
77:erector spinae
70:
64:
63:
59:
58:
55:
47:
46:
43:
35:
34:
26:
24:
14:
13:
10:
9:
6:
4:
3:
2:
1027:
1016:
1013:
1011:
1008:
1007:
1005:
995:
990:
985:
981:
964:
961:
959:
956:
955:
953:
951:
947:
941:
938:
936:
933:
931:
928:
926:
923:
921:
918:
917:
915:
913:
909:
903:
900:
896:
893:
891:
888:
887:
885:
883:
880:
878:
875:
873:
870:
866:
863:
861:
858:
856:
853:
852:
851:
848:
847:
844:
841:
839:
835:
825:
822:
821:
819:
817:
813:
807:
804:
800:
797:
795:
792:
791:
790:
787:
785:
782:
780:
777:
776:
774:
772:
768:
762:
759:
757:
756:interspinales
754:
752:
749:
747:
744:
742:
739:
738:
736:
734:
730:
724:
721:
719:
716:
714:
711:
710:
708:
706:
702:
696:
693:
691:
688:
687:
685:
683:
679:
676:
674:
670:
666:
662:
658:
651:
646:
644:
639:
637:
632:
631:
628:
622:
619:
617:
614:
611:
607:
604:
603:
599:
591:
585:
581:
577:
570:
567:
562:
558:
553:
548:
544:
540:
536:
532:
528:
524:
520:
513:
510:
505:
501:
497:
493:
489:
485:
481:
477:
473:
466:
463:
460:
459:
456:
453:
451:
447:
446:public domain
433:
429:
426:
425:
421:
415:
408:
403:
396:
391:
386:
384:
382:
378:
374:
370:
366:
365:low back pain
358:
356:
354:
350:
346:
342:
337:
333:
331:
323:
321:
316:
313:
310:from all the
309:
307:
302:
299:
296:from all the
295:
293:
288:
285:
281:
277:
276:sacrospinalis
273:
269:
265:
263:
258:
257:
256:
253:
251:
246:
243:
241:
237:
233:
229:
225:
221:
217:
213:
205:
201:
189:
183:
179:
176:
173:
171:
167:
164:
161:
159:
155:
152:
149:
147:
143:
140:
137:
135:
131:
126:
122:
120:
116:
113:
110:
108:
104:
101:
98:
96:
92:
89:
85:
81:
78:
74:
71:
69:
65:
60:
53:
48:
41:
36:
31:
19:
745:
741:semispinalis
713:iliocostalis
606:Multifidus 1
579:
569:
529:(5): 27–34.
526:
522:
512:
482:(2): 142–6.
479:
475:
465:
457:
443:
437:
362:
338:
334:
327:
317:
303:
289:
259:
254:
247:
244:
215:
211:
203:
199:
197:
151:A04.3.02.202
138:
872:subcostalis
718:longissimus
416:of the neck
272:aponeurosis
270:, from the
230:, from the
128:Identifiers
88:iliac crest
80:aponeurosis
1004:Categories
930:subclavius
746:multifidus
434:References
377:ultrasound
200:multifidus
940:sternalis
865:innermost
779:trapezius
751:rotatores
616:PTCentral
543:1943-0922
228:vertebrae
220:fasciculi
212:multifidi
95:Insertion
895:superior
890:inferior
860:internal
855:external
789:rhomboid
723:spinalis
695:cervicis
682:splenius
561:25426227
504:22246810
496:20193941
476:PM&R
450:page 400
422:See also
369:atrophic
320:cervical
306:thoracic
250:vertebra
994:Anatomy
690:capitis
659:of the
657:Muscles
608:at the
552:4242062
322:region:
318:in the
308:region:
304:in the
294:region:
290:in the
264:region:
260:in the
234:to the
226:of the
119:Actions
62:Details
980:Portal
950:Fascia
838:Thorax
816:Fascia
661:thorax
586:
559:
549:
541:
502:
494:
458:(1918)
292:lumbar
262:sacral
232:sacrum
216:muscle
86:, and
73:Sacrum
68:Origin
799:minor
794:major
500:S2CID
448:from
186:[
175:22827
134:Latin
107:Nerve
673:Back
665:back
663:and
584:ISBN
557:PMID
539:ISSN
492:PMID
351:and
236:axis
198:The
163:2276
146:TA98
84:PSIS
547:PMC
531:doi
484:doi
375:or
208:pl.
170:FMA
158:TA2
1006::
578:.
555:.
545:.
537:.
525:.
521:.
498:.
490:.
478:.
474:.
355:.
347:,
343:,
242:.
214:)
210::
206:;
82:,
75:,
982::
649:e
642:t
635:v
592:.
563:.
533::
527:8
506:.
486::
480:2
314:.
300:.
286:.
202:(
190:]
20:)
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
