The Relationship Between Low Back Pain and Sagittal Spinal Alignment and Back Muscle Mass in Korean Fishery Workers
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Objective: To investigate the relationship between low back pain (LBP) and sagittal spino-pelvic parameters along with the relationship between LBP and back muscle mass in Korean male and female fishery workers.Methods: This retrospective study included a total of 146 subjects who underwent Fishermen’s health survey conducted between June 2018 and August 2020. LBP was evaluated through visual analogue scale (VAS) and Oswestry Disability Index (ODI). Sagittal spino-pelvic parameters were measured from whole spine standing X-rays. Back muscle cross-sectional areas were identified through lumbar spine magnetic resonance imaging and body composition was analyzed through bioelectrical impedance analysis.Results: The study included 75 males and 71 females, with an average age of 58.33 years for males and 56.45 years for females. Female subjects exhibited higher VAS and ODI scores, larger pelvic tilt (PT) and trunk fat mass and smaller trunk muscle mass compared to males. In female, ODI positively correlated with sagittal vertical axis (SVA) and PT. No significant correlations were found between ODI scores and body composition in either sex. The high ODI group showed greater SVA, PT, and pelvic incidence-lumbar lordosis and higher trunk fat/muscle ratio. Psoas muscle mass, total and skeletal muscle mass and trunk muscle mass of that group were smaller than those of low ODI group.Conclusion: Spino-pelvic parameters and back muscle mass were associated with ODI and there were differences between Korean male and female fishery workers.
Abstract
Objective: To investigate the relationship between low back pain (LBP) and sagittal spino-pelvic parameters along with the relationship between LBP and back muscle mass in Korean male and female fishery workers.Methods: This retrospective study included a total of 146 subjects who underwent Fishermen’s health survey conducted between June 2018 and August 2020. LBP was evaluated through visual analogue scale (VAS) and Oswestry Disability Index (ODI). Sagittal spino-pelvic parameters were measured from whole spine standing X-rays. Back muscle cross-sectional areas were identified through lumbar spine magnetic resonance imaging and body composition was analyzed through bioelectrical impedance analysis.Results: The study included 75 males and 71 females, with an average age of 58.33 years for males and 56.45 years for females. Female subjects exhibited higher VAS and ODI scores, larger pelvic tilt (PT) and trunk fat mass and smaller trunk muscle mass compared to males. In female, ODI positively correlated with sagittal vertical axis (SVA) and PT. No significant correlations were found between ODI scores and body composition in either sex. The high ODI group showed greater SVA, PT, and pelvic incidence-lumbar lordosis and higher trunk fat/muscle ratio. Psoas muscle mass, total and skeletal muscle mass and trunk muscle mass of that group were smaller than those of low ODI group.Conclusion: Spino-pelvic parameters and back muscle mass were associated with ODI and there were differences between Korean male and female fishery workers.
참고문헌 (34)
- Hartvigsen J, "What low back pain is and why we need to pay attention", Lancet, 391, pp.2356~2367 (2018)
- Yang H, "Low back pain prevalence and related workplace psychosocial risk factors : a study using data from the 2010 National Health Interview Survey", J Manipulative Physiol Ther, 39, pp.459~472 (2016)
- Macfarlane GJ, "Employment and physical work activities as predictors of future low back pain", Spine(Phila Pa 1976), 22, pp.1143~1149 (1997)
- Keawduangdee P, "Prevalence and associated risk factors of low-back pain in textile fishing net manufacturing", Hum Factors Ergon Manuf Serv Ind, 22, pp.562~570 (2012)
- Chaléat-Valayer E, "Sagittal spino-pelvic alignment in chronic low back pain", Eur Spine J, 20(Suppl 5), pp.634~640 (2011)
- Iyer S, "Sagittal spinal alignment in adult spinal deformity : an overview of current concepts and a critical analysis review", JBJS Rev, 6, pp.e2~ (2018)
- Jong-Hwan Hong, "Is the Agricultural Work a Risk Factor for Koreans Elderly Spinal Sagittal Imbalance?", 대한신경외과학회지, 63(5), pp.623~630 (2020), 대한신경외과학회[DOI]
- Araújo F, "Individual and contextual characteristics as determinants of sagittal standing posture : a population-based study of adults", Spine J, 14, pp.2373~2383 (2014)
- Masaki M, "Association of low back pain with muscle stiffness and muscle mass of the lumbar back muscles, and sagittal spinal alignment in young and middle-aged medical workers", Clin Biomech(Bristol, Avon), 49, pp.128~133 (2017)
- Danneels LA, "CT imaging of trunk muscles in chronic low back pain patients and healthy control subjects", Eur Spine J, 9, pp.266~272 (2000)
- Sions JM, "Trunk muscle characteristics of the multifidi, erector spinae, psoas, and quadratus lumborum in older adults with and without chronic low back pain", J Orthop Sports Phys Ther, 47, pp.173~179 (2017)
- Hicks GE, "Cross-sectional associations between trunk muscle composition, back pain, and physical function in the health, aging and body composition study", J Gerontol A Biol Sci Med Sci, 60, pp.882~887 (2005)
- Hori Y, "Gender-specific analysis for the association between trunk muscle mass and spinal pathologies", Sci Rep, 11, pp.7816~ (2021)
- Deyo RA, "Outcome measures for low back pain research. A proposal for standardized use. Spine(Phila Pa 1976)1998;23 : 2003-13. Spine(Phila Pa 1976)1998;23 : 2003. 13", Spine, 24, pp.418~ (1999)
- Schwab FJ, "Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity : a prospective multicenter analysis", Spine(Phila Pa 1976), 38, pp.E803~12 (2013)
- Zhang X, "The influence of long-term shoulder loading on sagittal spino-pelvic morphology : a population-based retrospective study of Chinese farmers from radiology", J Orthop Surg Res, 15, pp.196~ (2020)
- Ki Hoon Park, "The Association Between Sagittal Plane Alignment and Disc Space Narrowing of Lumbar Spine in Farmers", Annals of Rehabilitation Medicine, 45(4), pp.294~303 (2021), 대한재활의학회[DOI]
- Demoulin C, "Spinal muscle evaluation in healthy individuals and low-back-pain patients : a literature review", Joint Bone Spine, 74, pp.9~13 (2007)
- Hak Il Lee, "Association between Cross-sectional Areas of Lumbar Muscles on Magnetic Resonance Imaging and Chronicity of Low Back Pain", Annals of Rehabilitation Medicine, 35(6), pp.852~859 (2011), 대한재활의학회
- Salimi H, "Trunk muscle mass measured by bioelectrical impedance analysis reflecting the cross-sectional area of the paravertebral muscles and back muscle strength : a cross-sectional analysis of a prospective cohort study of elderly population", J Clin Med, 10, pp.1187~ (2021)
- Fujimoto K, "Dual-energy X-ray absorptiometry and bioelectrical impedance analysis are beneficial tools for measuring the trunk muscle mass of patients with low back pain", Spine Surg Relat Res, 3, pp.335~341 (2019)
- 백소라, "Associations Between Trunk Muscle", Fat Composition, Narrowing Lumbar Disc Space, and Low Back Pain in Middle-Aged Farmers: A Cross-Sectional Study, 2022, pp.46(3), 122~132[DOI]
- Crawford RJ, "Change in fatty infiltration of lumbar multifidus, erector spinae, and psoas muscles in asymptomatic adults of Asian or Caucasian ethnicities", Eur Spine J, 26, pp.3059~3067 (2017)
- Wáng YX, "Increased low back pain prevalence in females than in males after menopause age : evidences based on synthetic literature review", Quant Imaging Med Surg, 6, pp.199~206 (2016)
- Yukawa Y, "Normative data for parameters of sagittal spinal alignment in healthy subjects : an analysis of gender specific differences and changes with aging in 626 asymptomatic individuals", Eur Spine J, 27, pp.426~432 (2018)
- Berg-Beckhoff G, "Prevalence and predictors of musculoskeletal pain among Danish fishermen-results from a cross-sectional survey", J Occup Med Toxicol, 11, pp.51~ (2016)
- Park J, "Gender differences in occupations and complaints of musculoskeletal symptoms : representative sample of South Korean workers", Am J Ind Med, 60, pp.342~349 (2017)
- Barreto Moreira Couto MC, "Prevalence and work-related factors associated with lower back musculoskeletal disorders in female shellfish gatherers in Saubara, Bahia-Brazil", Int J Environ Res Public Health, 16, pp.857~ (2019)
- 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)
- Goubert D, "Structural changes of lumbar muscles in non-specific low back pain : a systematic review", Pain Physician, 19, pp.E985~E1000 (2016)
- GBD 2017 Disease and Injury Incidence and Prevalence Collaborators, "Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017 : a systematic analysis for the Global Burden of Disease Study 2017", Lancet, 393, pp.e44~ (2018)
- Boden SD, "Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation", J Bone Joint Surg Am, 72, pp.1178~1184 (1990)
- Kalichman L, "Facet joint osteoarthritis and low back pain in the community-based population", Spine(Phila Pa 1976), 33, pp.2560~2565 (2008)
- He D, "Prevalence of lumbar spondylolisthesis in middle-aged people in Beijing community", Orthop Surg, 13, pp.202~206 (2021)