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Ultrasound imaging has been used to assess muscle function of deeper muscles and to compare individuals with and without low back pain. These measures may be influenced by numerous factors requiring normalization for these comparisons. The purpose of this study was to assess anthropometric normalization variables with muscle thickness of the transversus abdominis and lumbar multifidus across multiple ultrasound testing positions. Numerous anthropometric variables were correlated with muscle thickness. Mass, body mass index, and height times mass show the best promise for normalization, but were not consistent for the transversus abdominis and lumbar multifidus muscles. Normalization strategies should be considered when comparing between groups.
Sutherlin is the chief scientific officer at Digital Aurora, Inc., Manchester, VT. Mangum is with the University of Central Florida, Orlando, FL. Hertel, Saliba, and Hart are with the University of Virginia, Charlottesville, VA.