Functional differentiation of the human lumbar perivertebral musculature revisited by means of muscle fibre type composition.

Human back muscles have been classified as local stabilizers, global stabilizers and global mobilizers. This concept is supported by the distribution of slow and fast muscle fibres in quadrupedal mammals, but has not been evaluated for humans because detailed information on the fibre type composition of their perivertebral musculature is rare. Moreover, such information is derived from spot samples, which are assumed to be representative for the respective muscle. In accordance with the proposed classification, numerous studies in animals indicate great differences in the fibre distribution within and among the muscles due to fibre type regionalization. The aims of this study were to (1) qualitatively explore the applicability of the proposed functional classification for human back muscles by studying their fibre type composition and (2) evaluate the representativeness of spot sampling techniques. For this, the fibre type distribution of the whole lumbar perivertebral musculature of two male cadavers was investigated three-dimensionally using immunohistochemistry. Despite great local variations (e.g., among fascicles), all muscles were composed of about 50% slow and 50% fast fibres. Thus, contradicting the concepts of lumbar muscle function, no functional differentiation of the muscles was observed in our study of the muscle contractile properties. The great similarity in fibre composition among the muscles equips each muscle equally well for a broad range of tasks and therefore has the potential to allow for great functional versatility of the human back musculature. Spot samples do not prove to be representative for the whole muscle. The great intraspecific variability observed previously in single-spot samples is potentially misleading.