Relationship between Low Back Pain and Lumbar Paraspinal Muscles Fat Change in MRI (Relationship between Low Back Pain and Lumbar Paraspinal Muscles Fat Change in MRI )

김하늘; 김주원; 진은석; 하인혁; 고동현; 홍순성; 권혁준; kyounghun Kim (김경훈)

Relationship between Low Back Pain and Lumbar Paraspinal Muscles Fat Change in MRI

Journal of Korean Medicine Rehabilitation
Abbr : JKMR
2009, 19(1), pp.135-143
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Medicine and Pharmacy > Korean Medicine

김하늘 ¹, 김주원 ¹, 진은석 ¹, 하인혁 ¹, 고동현 ¹, 홍순성 ¹, 권혁준 ¹, kyounghun Kim ²

¹자생한방병원
²연세대학교

Accredited

ABSTRACT

Objectives : Low back pain(LBP) is a common disabling disease in clinical practice and loss of working hours due to this condition is huge. The aim of this study was to determine if there was an association between fat deposit of paraspinal muscles as observed on MRI scans in patients presenting with unilateral LBP. Methods : 24 patients who visiting our hospital with a clinical presentation of unilateral LBP were recruited to the study. Patients were between 20 and 30 years and had a history of unilateral LBP within 12 months. After MRI scaning, the images were saved in DICOM file format for Picture Archiving and Communication System(PACS). The percentage of fat infiltrated area was measured using a pseudocoloring technique. Data were analyzed comparing the fat deposits of the muscles on the symptomatic and asymptomatic sides. Paired t-test was used to find the difference between the measurements of fat tissue in individual patients. Results : The amount of fat in the symptomatic side was 7.6±4.51%, asymptomatic side was 6.7±4.29%. There were increases, statistically significant, in the fat changes of the paraspinal muscles at the L4-5 disc level(P <0.05). Also, men were likely than women to have more fat deposit in symptomatic side(men 8.5±5.1%, women 6.5±3.6%). Conclusions : The amount of fat in the symptomatic side shows significantly increased than asymptomatic side in the paraspinal muscles at the L4-5 disc level. It suggested that fat infiltration in the muscles associated with LBP. Further studies will be needed to confirm the relationship between the muscle fatty changes and LBP in the large sample size. In addition, the correlation of pain severity with fat infiltration needs to be addressed.

KEYWORDS

Low back pain, MRI, Paraspinal muscle, Fat infiltration, Digital image analysis

Citation status

* References for papers published after 2023 are currently being built.

[journal] Kader DF / 2000 / Correlation between the MRI changes in the lumbar multifidus muscles and leg pain / Clin Radial 55 : 145~149

[journal] Richardson CA / 1995 / Muscle control-pain control : what exercises would you prescribe / Manual Ther 1 : 2~10

[journal] O'Sullivan PB / 1997 / Evaluation of specific stabilising exercises in the treatment of chronic low back pain with radiological diagnosis of spondylosis or spondylolisthesis / Spine 22 : 2959~2967

[journal] Janevic J / 1991 / Large compressive pre-loads decrease lumbar segment flexibility / J Orthop Res 9 : 228~236

[journal] Hodges PW / 2000 / The role of the motor system in spinal pain: implications for rehabilitation of the athlete following lower back pain / J Sci Med Sport 3 : 243~253

[journal] Hides JA / 2001 / Long term effect of specific stabilising exercises for first episode low back pain / Spine 26 : 243~248

[book] Richardson C / 1999 / Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain / Churchill Livingstone : 74~76

[journal] Barker KL / 2004 / Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain / Spine 29(22) : 515~519

[journal] Comerford MJ / 2001 / Functional stability re-training: principles and strategies for managing mechanical dysfunction / Manual Therapy 6 : 3~14

[journal] Hides JA / 2001 / Long-term effects of specific stabilizing exercises for first-episode low back pain / Spine 26 : 243~248

[journal] Mitsiopoulos N / 1998 / Cadaver validation of skeletal muscle measurement by magnetic resonance imaging and computerized tomography / J Appl Physiol 85 : 115~122

[journal] Phoenix J / 1996 / Objective quantification of muscle and fat in human dystrophic muscle by magnetic resonance image analysis / Muscle Nerve 19 : 302~310

[journal] Danneels LA / 2000 / CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects / Eur Spine J 9 : 266~272

[journal] Jae-Chul Lee / 2008 / Quantitative analysis of back muscle degeneration in the patients with the degenerative lumbar flat back using a digital image analysis / Spine 33(3) : 318~325

[journal] Hides JA / 1996 / Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain / Spine 21 : 2763~2769

[journal] Bryan S / 1999 / Evaluation of a hospital picture archiving and communication system / J Health Serv Res Policy 4 : 204~209

[journal] Danneels LA / 2000 / CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects / Eur Spine J 9 : 266~272

[journal] Parkkola R / 1993 / Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects / Spine 18 : 830~836

[journal] Hides JA / 1995 / Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities / Spine 20 : 54~58

[journal] Danneels LA / 2000 / CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects / Eur Spine J 11 : 13~19

[journal] Sahrmann SA / 2002 / Movement impairment syndromes of the lumbar spine. In Diagnosis and Treatment of Movement Impairment Syndromes / Physical Therapy 51 : 119~

[journal] Comerford MJ / 2001 / Functional stability re-training: principles and strategies for managing mechanical dysfunction / Manual Therapy 6 : 3~14

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