Quantitative analysis of lumbar multifidus atrophy with low back pain patients using Magnetic Resonance Image (자기공명영상(MRI)을 통한 요통환자의 다열근 위축에 대한 정량적 분석 )

양대중

Quantitative analysis of lumbar multifidus atrophy with low back pain patients using Magnetic Resonance Image

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2010, 5(4), pp.615-621
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

양대중 ¹

¹동신대학교 대학원 물리치료학과

Candidate

ABSTRACT

Purpose：The purpose of this study was to compare chronic LBP patients and asymptomatic subjects on measures of multifidus size (cross-sectional area;CSA, thickness) and symmetry (proportional difference of relatively larger side to smaller side). Methods：Data were obtained from 12 asymptomatic subjects without a prior history of LBP (8 females, 4 males), and a retrospective audit was undertaken of records from 12 chronic low back pain patients (8 females, 4 males). CSA and Thickness of the lumbar multifidus muscles was measured from axial T1-weighted magnetic resonance images(MRI). Results：The results of the analysis showed that chronic LBP patients had significantly smaller multifidus CSA and thickness than asymptomatic subjects at L4-5 vertebral levels(p<.05). The asymmetry between sides was seen at L4- L5 vertebral level in patients with chronic low back pain presentations(p<.05). Conclusions：MRI provided a quantitative measure of change between asymptomatic subjects and chronic low back pain patients of multifidus muscle. MRI identified significant differences in cross-sectional area and thickness and helps to evaluate clinically and plan the treatment modalities of LBP.

KEYWORDS

Multifidus, MRI, Low Back Pain

Citation status

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

[book] 대한 임상 통증학회 / 2008 / 근골격계 통증의학Ⅱ / 한미의학 : 699~

[journal] 배지혜 / 2001 / 요통 환자의 다열근 위축에 대한 관찰 / Annals of Rehabilitation Medicine / 대한재활의학회 25(4) : 684~691

[journal] 이원재 / 2005 / The Effect of the Lumbar Back Strength Stabilization for Chronic Lumbargo patients by the Sling-Exercise and Medx-Training during 6weeks / 한국체육학회지 / 한국체육학회 44(5) : 485~492

[journal] 최희수 / 2005 / The Comparison of Trunk Muscle Activities During Sling and Mat Exercise / 한국전문물리치료학회지 / 한국전문물리치료학회 12(1) : 1~10

[journal] Andersson GBJ / 1999 / Epidemiological features of chronic back pain / Lancet 354(9178) : 581~585

[journal] Barker KL / 2004 / Changes in the cross-sectional area of multifidus and psoas in patients with unilateral back pain—.the relationship to pain and disability / Spine 29(22) : E515~E519

[book] Bogduk N / 1991 / Clinical Anatomy of the Lumbar Spine and sacrum. 2nd edition / Churchill Livingstone : 86~89

[journal] Kang CH / 2007 / MRI of paraspinal muscle in lumbar degenerative kyphosis patients and control patients with chronic low back pain / Clinical Radiology 62(5) : 479~486

[journal] Cooper RG / 1992 / Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain / JOR 31(6) : 389~394

[journal] Deyo RA / 1987 / Functional disability due to low back pain.a population‐based study indicating the importance of socioeconomic factors Arthritis Rheum 30(11) : 1247~1253

[book] Donald A Neumann / 2002 / Kinesiology of the musculo- skeletal system / 정담미디어 : 491~

[journal] Grabiner MD / 1992 / Decoupling of bilateral paraspinal excitation in subjects with low back pain / Spine 17(10) : 1219~1223

[journal] Hides JA / 1994 / Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain / Spine 19(2) : 165~172

[journal] Hides JA / 1996 / Multifidus recovery is not automatic following resolution of acute, first-episode of low back pain / Spine 21(23) : 2763~2769

[journal] Kader DF / 2000 / Correlation between the MRI changes in the lumbar multifidus muscle and leg pain / Clinical Radiology 55(2) : 145~149

[journal] Kamaz M / 2007 / CT measurement of trunk muscle areas in patients with chronic low back pain / Diagn Interv Radiol 13(3) : 144~148

[journal] Lamminen AE / 1990 / Magnetic resonance imaging of primary skeletal muscle disease; patterns of distribution and severity of involvement / Br JR adiol 33(756) : 946~950

[journal] Mc Gill SM / 1997 / The biomechanics of low back injury: implications on current practice in industry at the clinic / J Biomech 30(5) : 465~475

[journal] Nakamura T / 1986 / Muscle fiber atrophy in the quadriceps in knee joint disorders. Histochemical studies on 112 case / Arch Orthop Trauma Surg 105(3) : 163~169

[journal] Parkkola R / 1993 / Magnetic resonance imaging of the discs and trunk muscles in pationts with chronic low back pain and healthy control subjects / spine / 836 7 : 18~830

[journal] Savage RA / 1997 / The relationship between the magnetic resonance imaging apperance of the lumbar spine and low back pain, age and occupation in males / Eur Spine J 6(2) : 106~114

[journal] Stokes M / 2005 / Magnetic resonance imaging of primary skeletal muscle disease; patterns of distribution and severity of involvement / Manual Therapy 10 : 116~126

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45