Target intelligence / Profile preview

Multifidus muscle (None established)

Target
None established
Molecular classification
Other (muscle group / anatomical structure; not a molecular target or family)
01

Overview

The multifidus muscle is a deep spinal muscle comprising part of the transversospinal group, present from the cervical to the lumbar spine. Its fascicles span several vertebral levels, originating from vertebral processes and attaching to spinous processes above. It stabilizes the spine during movement by controlling extension, flexion, and rotation, and is critical for segmental spinal stability. Dysfunction, atrophy, or impaired activation are closely linked to chronic low back pain and spine instability, often visualized as muscle wasting on imaging. Rehabilitation is challenging due to difficulty isolating and training the multifidus effectively. "Neuromuscular activation" of multifidus refers to the pattern and integrity of muscle activation via its innervation and neural pathways, a concept relevant for spine health but not a defined therapeutic molecule or receptor target.

Other names
Multifidusmultifidimultifidus spinaelumbar multifidus
02

Mechanism of action

Not applicable—no drugs act directly through this "target."

03

Biological functions

Extension of the spine (bilateral contraction)Ipsilateral lateral flexion and contralateral rotation of spine (unilateral contraction)Segmental and global spinal stabilization
04

Disease associations

Chronic low back pain (through dysfunction and atrophy)Spine instability (due to neuromuscular impairment)
05

Safety considerations

Atrophy or impaired activation of the multifidus muscle can lead to chronic pain and spinal instabilityDifficulty of rehabilitation and isolation of the muscle post-injury
06

Biomarkers

MRI or ultrasound imaging to assess multifidus muscle atrophy for diagnosis of chronic back pain or radiculopathy

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