Comparison of Muscle Cross-sectional Area and Lumbar Muscle Strength According to Degenerative Spinal Diseases
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[OBJECTIVES] The purpose of this study was to investigate the difference in the cross-sectional area (CSA) of multifidus and Iliopsoas muscles and the lumbar extension muscle strength according to degenerative spinal diseases (LHI; lumbar herniation of intervertebral disc group, SS; spinal stenosis group, S; spondylolisthesis group). [METHODS] The CSA of multifidus and Iliopsoas muscles size were measured by PACS(Picture Achiving and Communication System) using MRI at the L4/5 level and lumbar extension muscle strength (72˚, 60˚, 48˚, 36˚, 24˚, 12˚, 0˚) was measured using lumbar extension machine(MedX) in 97 patients of degenerative spinal diseases(male: 57, female: 40). The collected data were analyzed by one-way ANOVA using the SPSS program. [RESULTS] The results of this study showed that the CSA of total and right multifidus muscle in the LHI was significantly higher than that of the S (p <.05; p <.05) in the male group. The difference between the left and right CSA of multifidus in the LHI group was significantly higher than that of the SS (p <.05) in the male group (p <.05) and total group (p <.05). The CSA of iliopsoas muscle in the S was significantly higher than that of the LHI in the male and total group (p <.05; p <.05). In case of lumbar extension muscle strength, the S showed significantly higher muscle strength at 36 and 48 degrees than that of the SS in the male group. In the total group, LHI showed significantly higher muscle strength at 60 degrees of lumbar extension muscle strength than that of the S. [CONCLUSION] Multifidus muscle appears to be a key factor in prevention and treatment intervention in low back pain patients. In particular, in the case of S group, exercise therapy for strengthening the multifidus muscle is need for the rehabilitation.
Abstract
[OBJECTIVES] The purpose of this study was to investigate the difference in the cross-sectional area (CSA) of multifidus and Iliopsoas muscles and the lumbar extension muscle strength according to degenerative spinal diseases (LHI; lumbar herniation of intervertebral disc group, SS; spinal stenosis group, S; spondylolisthesis group). [METHODS] The CSA of multifidus and Iliopsoas muscles size were measured by PACS(Picture Achiving and Communication System) using MRI at the L4/5 level and lumbar extension muscle strength (72˚, 60˚, 48˚, 36˚, 24˚, 12˚, 0˚) was measured using lumbar extension machine(MedX) in 97 patients of degenerative spinal diseases(male: 57, female: 40). The collected data were analyzed by one-way ANOVA using the SPSS program. [RESULTS] The results of this study showed that the CSA of total and right multifidus muscle in the LHI was significantly higher than that of the S (p <.05; p <.05) in the male group. The difference between the left and right CSA of multifidus in the LHI group was significantly higher than that of the SS (p <.05) in the male group (p <.05) and total group (p <.05). The CSA of iliopsoas muscle in the S was significantly higher than that of the LHI in the male and total group (p <.05; p <.05). In case of lumbar extension muscle strength, the S showed significantly higher muscle strength at 36 and 48 degrees than that of the SS in the male group. In the total group, LHI showed significantly higher muscle strength at 60 degrees of lumbar extension muscle strength than that of the S. [CONCLUSION] Multifidus muscle appears to be a key factor in prevention and treatment intervention in low back pain patients. In particular, in the case of S group, exercise therapy for strengthening the multifidus muscle is need for the rehabilitation.
참고문헌 (45)
- Peter MK, "The epidemiology of low back pain in primary care", Chiropractic & Osteopathy, 13, pp.13~ (2005)
- Molumphy M, "Incidence of work related low back pain in physical therapist", Physical Therapy, 65(40), pp.482~486 (1985)
- Kirkaldy WH, "Managing low back pain" (1999), Churchill
- Storheim K, "The effect of comprehensive group training on cross-sectional area, density, and strength of paraspinal muscles in patients sick-listed for subacute low back pain", J Spinal Disord Tech, 16(3), pp.271~279 (2003)
- Sinaki M, "Effect of physical activity on bone mass", Curr Opin Rheumatol, 8, pp.376~383 (1996)
- Emily Y, "Acute low back pain", Elsevier, 8, pp.171~174 (2001)
- Kang CY, "Therapeutic exercise in low back pain patients. Exercise Professionals Training book", Korean Association of Exercise Professionals, pp.155~163 (1999)
- Adams MA, "What is intervertebral disc degeneration, and what causes it?", Spine(PhilaPa1976), 31(18), pp.2151~2161 (2006)
- 김대훈, "20대와 40대의 급성 및 만성요통환자의 척추주위 근육에 관한 횡단면의 비교", 한국콘텐츠학회 논문지, 11(6), pp.270~278 (2011), 한국콘텐츠학회
- Hides JA, "Evidence of lumbar multifidus muscle wasting ipsilateralto symptoms in patients with acute", subacute low back pain, 1994, pp.19, 165~172
- Hides JA, "Multifidus muscle recovery is not automatic after resolution of acute, firstepisode low back pain", Spine, 21(23), pp.2763~2769 (1996)
- Barker KL, "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), pp.E515~E519 (2004)
- Danneels LA, "CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects", Eur Spine J, 9(4), pp.266~272 (2000)
- Dangaria TR, "Changes in cross-sectional area of psoas major muscle in unilateral sciatica caused by disc herniation", Spine (Phila Pa 1976), 23, pp.928~931 (1998)
- Kamaz M, "CT measurement of trunk muscle areas in patients with chronic low back pain", Diagn Interv Radiol, 13, pp.144~148 (2007)
- Huang Q, "Comparison of the efficacy of different long-term interventions on chronic low back pain using the crosssectional area of the multifidus muscle and the thickness of the transversus abdominis muscle as evaluation indicators", J Phys Ther Sci, 26(12), pp.1851~1854 (2014)
- Tracy MF, "The geometry of the muscles of the lumbar spine determined by magnetic resonance imaging", Spine(Phila Pa 1976), 14(2), pp.186~193 (1989)
- Mayer TG, "Comparison of CT scan muscle measurements and Isokinetic trunk strength in postoperative patients", Spine(Phila Pa 1976), 14(1), pp.33~36 (1989)
- Fan S, "Multifidus muscle changes and clinical effects of one-level posterior lumbar interbody fusion : minimally invasive procedure versus conventional open approach", Eur Spine J, 19(2), pp.316~324 (2010)
- Moseley GL, "Deep and superficial fibers of the lumbar multifidus muscle are differentially active during voluntary arm movements", Spine, 27(2), pp.29~36 (2002)
- 박혜성, "요추 주변 근육 단면적과 척추전방전위증의 상관성에 대한 후향적 연구", 한방재활의학과학회지, 26(1), pp.95~102 (2016), 한방재활의학과학회
- Wang G, "Quantitative MRI and X-ray analysis of disc degeneration and paraspinal muscle changes in degenerative spondylolisthesis", J Back Musculoskelet Rehabil, 28(2), pp.277~285 (2014)
- Wallwork TL, "The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle", Man Ther, 14(5), pp.496~500 (2009)
- Hides J, "Multifidus size and symmetry among chronic LBP and healthy asymptomatic subjects", Man Ther, 13(1), pp.43~49 (2008)
- Wook Ha Kim, "Changes in the Cross-Sectional Area of Multifidus and Psoas in Unilateral Sciatica Caused by Lumbar Disc Herniation", 대한신경외과학회지, 50(3), pp.201~204 (2011), 대한신경외과학회
- Chen ZN, "Morphology of the lumbar multifidus muscle in lumbar disc herniation at different durations and at different ages", Exp Ther Med, 15(5), pp.4119~4126 (2018)
- Enyo Y, "Radiographic natural course of lumbar degenerative spondylolisthesis and its risk factors related to the progression and onset in a 15-year community-based cohort study : the Miyama study", J Orthop Sci, 20(6), pp.978~984 (2015)
- Parkkola R, "Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects", Spine (Phila Pa 1976), 18, pp.830~836 (1993)
- Hides JA, "Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities", Spine (Phila Pa 1976), 20(1), pp.54~58 (1995)
- Pressler JF, "Betweenday repeatability and symmetry of mulfifidus crosssectional area measured using ultrasound imaging", J Orthop Sports Phys Ther, 36(1), pp.10~18 (2006)
- Watson T, "The association of nutritional status and gender with cross-sectional area of the multifidus muscle in establishing normative data", J Man Manip Ther, 16(4), pp.F93~F98 (2008)
- Morris JM, "Role of the trunk instability of the spine", J Bone Joint Surg, 43(3), pp.327~351 (1961)
- Beimborn DS, "A review of the literature related to trunk muscle performance", Spine(Phila Pa 1976), 13(6), pp.655~660 (1988)
- Lee SH, "Isokinetic evaluation of the trunk flexors and extersors in chronic low back pain", Ann Rehabil Med, 18(2), pp.248~255 (1994)
- 박원하, "Characteristics of Back Muscle Strength in Patients with Scheduled for Lumbar Fusion Surgery due to Symptomatic Lumbar Degenerative Diseases", Asian Spine Journal, 8(5), pp.659~666 (2014), 대한척추외과학회
- Hodges PW, "Delayed postural contraction of transversus abdominis in low back pain associated with movement of the lower limb", J Spinal Disord, 11(1), pp.46~56 (1998)
- Biedermann H, "Power spectrum analyses of electromyographic activity. Discrimiantors in the differential assessment of patients with chronic low back pain", Spine (Phila Pa 1976), 16(10), pp.1179~1184 (1991)
- Danneels LA, "Differences in multifidus and iliocostalis lumborum activity between healthy subjects and patients with subacute and chronic low back pain", Eur Spine J, 11(1), pp.13~19 (2002)
- Hides J, "Multifidus recovery is not automatic following resolution of acute first episode of low back pain", Spine(Phila Pa 1976), 21(23), pp.2763~2769 (1996)
- Kim HS, "The effects of trunk stabilization exercise on the postural control in chronic low back pain", Doctor, pp.2008
- Brincat M, "Sex hormones and skin collagen content in postmenopausal women", Br Med J(Clin Res Ed), 287(6402), pp.1337~1338 (1983)
- Bolognia JL, "Skin changes in menopause", Maturitas, 11(4), pp.295~304 (1989)
- Tostes RC, "Effects of estrogen on the vascular system", Braz J Med Biol Res, 36(9), pp.1143~1158 (2003)
- Srikanth VK, "A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis", Osteoarthritis Cartilage, 13(9), pp.769~781 (2005)
- de Schepper EI, "The association between lumbar disc degeneration and low back pain : the influence of age, gender, and individual radiographic features", Spine(Phila Pa 1976), 35(5), pp.531~536 (2010)
