MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain

The objective of this study was to determine if asymmetry of trunk muscles and deficits of motor control exist among elite cricketers with and without low back pain (LBP).  The QL and LES + M muscles were larger ipsilateral to the dominant arm. In the subgroup of fast bowlers with LBP, the asymmetry in the QL muscle was the greatest. The IO muscle was larger on the side contralateral to the dominant arm. No difference between sides was found for the psoas and TrA muscles. Cricketers with LBP showed a reduced ability to draw in the abdominal wall and contract the TrA muscle independently of the other abdominal muscles.

This study provides new insights into trunk muscle size and function in elite cricketers, and evidence of impaired motor control in elite cricketers with LBP. Rehabilitation using a motor control approach has been shown to be effective for subjects with LBP, and this may also benefit elite cricketers.

British Journal of Sports Medicine, 2008, 42, 509-513

Link to Abstract