Gender Differences in Balance, Lumbar Multifidus Muscle, Pain, and Kinesiophobia in Patients with Lumbar Spinal Stenosis

Aydın Sinan Apaydın; Musa Güneş; Nevin Köremezli Keskin

Makale detayları

Gender Differences in Balance, Lumbar Multifidus Muscle, Pain, and Kinesiophobia in Patients with Lumbar Spinal Stenosis

Yazarlar:

Aydın Sinan Apaydın | Musa Güneş | Nevin Köremezli Keskin

Yayıncı:

Duzce University

Ana Başlıklar:

Brain and Nerve Surgery (Neurosurgery)

Dergi:

Duzce Medical Journal Vol.26 Issue 1, pp.28-33

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312880

pISSN:

1307-671X

Anahtar kelimeler:

Özet:

 Aim: The aim of this study was to examine balance, lumbar multifidus muscle thickness and cross-sectional area CSA, pain, disability and kinesiophobia levels, and to compare these parameters in terms of gender in patients with lumbar spinal stenosis LSS. Material and Methods: This cross-sectional study included 59 patients, 33 55.9 female and 26 44.1 male, diagnosed with LSS by magnetic resonance imaging MRI. Low back and leg pains, dynamic and static balances, disability and kinesiophobia levels of patients with LSS were evaluated. Lumbar multifidus muscle thickness and total CSA were obtained from MRI images. Obtained data were compared according to gender. Results: Females had significantly more low back pain than males p0.043, in patients with LSS. Additionally, females with LSS had worse dynamic and static balances p0.005, and p0.001, respectively and higher levels of disability p0.001, and kinesiophobia p0.001. Females with LSS had less lumbar multifidus muscle thickness and CSA than males on both the right and left sides. Also, right multifidus muscle thickness correlated with both dynamic r-0.289; p0.027 and static r0.349; p0.007 balances. Significant correlations were detected between low back and leg pain with dynamic and static balances, disability, and kinesiophobia in patients with LSS. Conclusion: Females with LSS have higher levels of pain, disability, and kinesiophobia than males. Also, LSS affects females balance functions more and causes further degeneration of the multifidus muscle. Therefore, gender differences should be examined during the clinical follow-up process in LSS.

 Aim: The aim of this study was to examine balance, lumbar multifidus muscle thickness and cross-sectional area CSA, pain, disability and kinesiophobia levels, and to compare these parameters in terms of gender in patients with lumbar spinal stenosis LSS. Material and Methods: This cross-sectional study included 59 patients, 33 55.9 female and 26 44.1 male, diagnosed with LSS by magnetic resonance imaging MRI. Low back and leg pains, dynamic and static balances, disability and kinesiophobia levels of patients with LSS were evaluated. Lumbar multifidus muscle thickness and total CSA were obtained from MRI images. Obtained data were compared according to gender. Results: Females had significantly more low back pain than males p0.043, in patients with LSS. Additionally, females with LSS had worse dynamic and static balances p0.005, and p0.001, respectively and higher levels of disability p0.001, and kinesiophobia p0.001. Females with LSS had less lumbar multifidus muscle thickness and CSA than males on both the right and left sides. Also, right multifidus muscle thickness correlated with both dynamic r-0.289; p0.027 and static r0.349; p0.007 balances. Significant correlations were detected between low back and leg pain with dynamic and static balances, disability, and kinesiophobia in patients with LSS. Conclusion: Females with LSS have higher levels of pain, disability, and kinesiophobia than males. Also, LSS affects females balance functions more and causes further degeneration of the multifidus muscle. Therefore, gender differences should be examined during the clinical follow-up process in LSS.

 Aim: The aim of this study was to examine balance, lumbar multifidus muscle thickness and cross-sectional area CSA, pain, disability and kinesiophobia levels, and to compare these parameters in terms of gender in patients with lumbar spinal stenosis LSS. Material and Methods: This cross-sectional study included 59 patients, 33 55.9 female and 26 44.1 male, diagnosed with LSS by magnetic resonance imaging MRI. Low back and leg pains, dynamic and static balances, disability and kinesiophobia levels of patients with LSS were evaluated. Lumbar multifidus muscle thickness and total CSA were obtained from MRI images. Obtained data were compared according to gender. Results: Females had significantly more low back pain than males p0.043, in patients with LSS. Additionally, females with LSS had worse dynamic and static balances p0.005, and p0.001, respectively and higher levels of disability p0.001, and kinesiophobia p0.001. Females with LSS had less lumbar multifidus muscle thickness and CSA than males on both the right and left sides. Also, right multifidus muscle thickness correlated with both dynamic r-0.289; p0.027 and static r0.349; p0.007 balances. Significant correlations were detected between low back and leg pain with dynamic and static balances, disability, and kinesiophobia in patients with LSS. Conclusion: Females with LSS have higher levels of pain, disability, and kinesiophobia than males. Also, LSS affects females balance functions more and causes further degeneration of the multifidus muscle. Therefore, gender differences should be examined during the clinical follow-up process in LSS.

 Amaç: Bu çalışmanın amacı lomber spinal stenozu LSS olan hastalarda denge, lomber multifidus kas kalınlığı ve kesit alanı cross-sectional area, CSA, ağrı, sakatlık ve kinezyofobi düzeylerini incelemek ve bu parametreleri cinsiyet açısından karşılaştırmaktır. Gereç ve Yöntemler: Bu kesitsel çalışmaya manyetik rezonans görüntüleme MRG ile LSS tanısı konulan 33 55,9 kadın ve 26 44,1 erkek olmak üzere 59 hasta dahil edildi. LSSli hastaların bel ve bacak ağrıları, dinamik ve statik dengeleri, özürlülük ve kinezyofobi düzeyleri değerlendirildi. MRG görüntülerinden lomber multifidus kas kalınlığı ve toplam CSA elde edildi. Elde edilen veriler cinsiyete göre karşılaştırıldı. Bulgular: LSSli hastalarda, kadınlar erkeklere göre anlamlı olarak daha fazla bel ağrısına sahipti p0,043. Ayrıca, LSSli kadınlarda daha kötü dinamik ve statik denge sırasıyla p0,005 ve p0,001, daha yüksek düzeyde özürlülük p0,001 ve kinezyofobi p0,001 vardı. LSSli kadınlarda hem sağ hem de sol tarafta lomber multifidus kas kalınlığı ve CSA erkeklere göre daha azdı. Ayrıca sağ multifidus kas kalınlığı hem dinamik r-0,289; p0,027 hem de statik r0,349; p0.007 denge ile koreleydi. LSSli hastalarda bel ve bacak ağrısı ile dinamik ve statik dengeler, özürlülük ve kinezyofobi arasında anlamlı korelasyonlar saptandı. Sonuç: LSSli kadınlarda erkeklere göre daha yüksek düzeyde ağrı, özürlülük ve kinezyofobi vardır. Ayrıca LSS, kadınların denge fonksiyonlarını daha fazla etkiler ve multifidus kasının daha fazla dejenerasyonuna neden olur. Bu nedenle LSSde klinik takip sürecinde cinsiyet farklılıkları incelenmelidir.

Makale detayları

Gender Differences in Balance, Lumbar Multifidus Muscle, Pain, and Kinesiophobia in Patients with Lumbar Spinal Stenosis

Yazarlar:

Aydın Sinan Apaydın | Musa Güneş | Nevin Köremezli Keskin

Yayıncı:

Duzce University

Ana Başlıklar:

Brain and Nerve Surgery (Neurosurgery)

Dergi:

Duzce Medical Journal Vol.26 Issue 1, pp.28-33

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312880

pISSN:

1307-671X

Lumbar spinal stenosis

gender differences

multifidius

balance

pain

kinesiophobialomber spinal stenoz

cinsiyet farklılıkları

multifidus

denge

ağrı

kinezyofobi

Sayı

Makale detayları

Yazarlar: Aydın Sinan Apaydın | Musa Güneş | Nevin Köremezli Keskin

Yayıncı: Duzce University

Ana Başlıklar: Brain and Nerve Surgery (Neurosurgery)

Dergi: Duzce Medical Journal Vol.26 Issue 1, pp.28-33

Belge Tipi: Makale

Yayın Tarihi: 4/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001312880

pISSN: 1307-671X

Sayı

Yazarlar:

Aydın Sinan Apaydın | Musa Güneş | Nevin Köremezli Keskin

Yayıncı:

Duzce University

Ana Başlıklar:

Brain and Nerve Surgery (Neurosurgery)

Dergi:

Duzce Medical Journal Vol.26 Issue 1, pp.28-33

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312880

pISSN:

1307-671X