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Related Experiment Video

Updated: Jan 15, 2026

Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation
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Diaphragm Thickness and Excursion in Nonspecific Low Back Pain: A Critically Appraised Topic.

Brittany Braun1, Eleni Petrou1, Jennifer Ostrowski1

  • 1Moravian University, Bethlehem, PA, USA.

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|October 7, 2025
PubMed
Summary

Individuals with nonspecific low back pain (NS-LBP) show reduced diaphragm thickness compared to healthy individuals. This finding suggests diaphragm dysfunction may contribute to NS-LBP, though diaphragm excursion differences require more research.

Keywords:
chronic back painexcursionultrasound

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Area of Science:

  • Musculoskeletal health
  • Diagnostic imaging
  • Respiratory mechanics

Background:

  • Nonspecific low back pain (NS-LBP) is a prevalent condition with unclear etiology.
  • Diaphragm dysfunction, including altered thickness and excursion, is increasingly implicated in NS-LBP.
  • Ultrasound offers a noninvasive method to assess diaphragm characteristics.

Purpose of the Study:

  • To compare diaphragm thickness and excursion in patients with NS-LBP versus healthy controls using ultrasound.

Main Methods:

  • Systematic review of 4 high-quality case-control studies.
  • Ultrasound assessment of diaphragm thickness and excursion.

Main Results:

  • All 4 studies found significantly reduced diaphragm thickness in NS-LBP patients compared to controls.
  • Diaphragm excursion differences were inconsistent across studies.
  • Reduced diaphragm thickness correlated with impaired spinal stabilization.

Conclusions:

  • Consistent evidence supports reduced diaphragm thickness in NS-LBP patients.
  • Diaphragm dysfunction may play a role in NS-LBP pathophysiology.
  • Further research is needed to clarify the role of diaphragm excursion.