An MRI Analysis of The Lumbar Lordosis Angle and Lumbar Muscle Thicknesses in Patients with Non-Specific Low Back Pain

Ali Cihan Dağlı; Serkan Öner; Zülal Öner; Beyza Yazgan Dağlı

Makale detayları

An MRI Analysis of The Lumbar Lordosis Angle and Lumbar Muscle Thicknesses in Patients with Non-Specific Low Back Pain

Yazarlar:

Ali Cihan Dağlı | Serkan Öner | Zülal Öner | Beyza Yazgan Dağlı

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.15 Issue 3, pp.294-301

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001301705

pISSN:

1309-3878

Anahtar kelimeler:

Özet:

 Objective: This study aimed to examine the relationship of lumbar lordosis angle and lumbar muscle thickness with non-specific low back pain LBP through magnetic resonance imaging MRI images. Methods: The study included 96 individuals 43 men53 women with non-specific LBP, aged between 18-65 years and had no disc pathology in MRI, who applied to affiliated Training and Research Hospital with the complaint of LBP between March-June 2019. Sociodemographic information was recorded using an LBP assessment form. The Oswestry LBP Disability Questionnaire was used for LBP disability. The thicknesses of muscle m. psoas major, m. multifidus, m. quadratus lumborum and m. erector spinae were measured corresponding to the L3-L4 vertebral level by using Radiant DICOM viewer program. The Cobb Angle method was used for lumbar lordosis angle determination. Measurements were made in three repetitions using the Radiant DICOM viewer program. Results: The results showed that an inverse relationship was found between the Oswestry Disability Index ODI and m. psoas major thickness p0.05. Given the comparison of right-left side muscle thicknesses, left side muscles were thicker p0.05. Comparing LMT between genders, muscle thicknesses were higher in males except for the right m. quadratus lumborum and left m. erector spinae transverse measurements p0.05. Conclusions: In regard to inverse relationship between m. psoas major thickness and ODI, m. psoas major should be taken into consideration to alleviate the disability caused by LBP. Additionally, the difference on both sides is likely one of the causes of muscle imbalance, and this might be one of the reasons for LBP, thereby causing disability in daily tasks due to LBP.

 Objective: This study aimed to examine the relationship of lumbar lordosis angle and lumbar muscle thickness with non-specific low back pain LBP through magnetic resonance imaging MRI images. Methods: The study included 96 individuals 43 men53 women with non-specific LBP, aged between 18-65 years and had no disc pathology in MRI, who applied to affiliated Training and Research Hospital with the complaint of LBP between March-June 2019. Sociodemographic information was recorded using an LBP assessment form. The Oswestry LBP Disability Questionnaire was used for LBP disability. The thicknesses of muscle m. psoas major, m. multifidus, m. quadratus lumborum and m. erector spinae were measured corresponding to the L3-L4 vertebral level by using Radiant DICOM viewer program. The Cobb Angle method was used for lumbar lordosis angle determination. Measurements were made in three repetitions using the Radiant DICOM viewer program. Results: The results showed that an inverse relationship was found between the Oswestry Disability Index ODI and m. psoas major thickness p0.05. Given the comparison of right-left side muscle thicknesses, left side muscles were thicker p0.05. Comparing LMT between genders, muscle thicknesses were higher in males except for the right m. quadratus lumborum and left m. erector spinae transverse measurements p0.05. Conclusions: In regard to inverse relationship between m. psoas major thickness and ODI, m. psoas major should be taken into consideration to alleviate the disability caused by LBP. Additionally, the difference on both sides is likely one of the causes of muscle imbalance, and this might be one of the reasons for LBP, thereby causing disability in daily tasks due to LBP.

 Objective: This study aimed to examine the relationship of lumbar lordosis angle and lumbar muscle thickness with non-specific low back pain LBP through magnetic resonance imaging MRI images. Methods: The study included 96 individuals 43 men53 women with non-specific LBP, aged between 18-65 years and had no disc pathology in MRI, who applied to affiliated Training and Research Hospital with the complaint of LBP between March-June 2019. Sociodemographic information was recorded using an LBP assessment form. The Oswestry LBP Disability Questionnaire was used for LBP disability. The thicknesses of muscle m. psoas major, m. multifidus, m. quadratus lumborum and m. erector spinae were measured corresponding to the L3-L4 vertebral level by using Radiant DICOM viewer program. The Cobb Angle method was used for lumbar lordosis angle determination. Measurements were made in three repetitions using the Radiant DICOM viewer program. Results: The results showed that an inverse relationship was found between the Oswestry Disability Index ODI and m. psoas major thickness p0.05. Given the comparison of right-left side muscle thicknesses, left side muscles were thicker p0.05. Comparing LMT between genders, muscle thicknesses were higher in males except for the right m. quadratus lumborum and left m. erector spinae transverse measurements p0.05. Conclusions: In regard to inverse relationship between m. psoas major thickness and ODI, m. psoas major should be taken into consideration to alleviate the disability caused by LBP. Additionally, the difference on both sides is likely one of the causes of muscle imbalance, and this might be one of the reasons for LBP, thereby causing disability in daily tasks due to LBP.

 Amaç: Karbapenem dirençli Enterobacterales CRE enfeksiyonlarının tedavi seçenekleri sınırlıdır ve bu enfeksiyonlar yüksek mortalite oranları ile ilişkilidir. CRE ile kolonize olan asemptomatik taşıyıcılar, CREnin hastanelerde yayılmasına katkıda bulunur. Bu çalışmada merkezimizde saptanan CRE izolatlarının sıklığının, bu suşlardaki karbapenemaz oranlarının, karbapenemaz genlerinin, antibiyotik direnç profillerinin, rektal CRE kolonizasyon oranlarının belirlenmesi ve CRE enfeksiyonlarının çeşitli klinik özelliklerinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çeşitli örneklerden izole edilen Enterobacterales türleri ve kolonizasyon taraması için gönderilen rektal sürüntü örneklerinden izole edilen Enterobacterales türleri incelenmiştir. Rektal sürüntü örneklerinde CRE kolonizasyonu olan hastalar daha sonra CRE enfeksiyonu gelişimi açısından incelendi. CRE izolatları karbapenemaz üretimi ve karbapenemaz geni varlığı açısından incelenmiştir. Bulgular: 14521 Enterobacterales 10.161 E. coli ve 4195 K. pneumoniae, 165 Citrobacter izolatı incelendi. Bu suşların 8.9unda karbapenem direnci saptanmıştır. Kolonizasyon için değerlendirilen 15695 rektal sürüntü örneğinin 4,7sinde CRE saptanmıştır. CRE kolonizasyonu olan hastaların 23,4ünde ilerleyen dönemde rektal sürüntü dışında diğer örneklerde de CRE üremesi saptandı. CRE enfeksiyonlarının kolonizasyondan ortalama 21 gün sonra geliştiği gözlendi. Sonuç: CRE enfeksiyonları sadece hastanede yatan hastalarda değil toplum kökenli enfeksiyonlarda da bir etken olarak karşımıza çıkmaya başlamıştır. Çalışmamız ayrıca CRE kolonizasyonunun enfeksiyon gelişimi için önemli bir risk faktörü olabileceğini göstermiştir. Bu nedenle, kolonizasyonu saptamak için erken tarama tespiti, uygun izolasyon yöntemleriyle CRE enfeksiyonlarını önlemeye veya sınırlamaya yardımcı olabilir.

Makale detayları

An MRI Analysis of The Lumbar Lordosis Angle and Lumbar Muscle Thicknesses in Patients with Non-Specific Low Back Pain

Yazarlar:

Ali Cihan Dağlı | Serkan Öner | Zülal Öner | Beyza Yazgan Dağlı

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.15 Issue 3, pp.294-301

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001301705

pISSN:

1309-3878

Muscle thickness

Spinal Curvatures

Lordosis Angle

Magnetic Resonance Imaging

Cobb Angle

Low Back Pain,Bel Ağrısı

Kas Kalınlığı

Omurga Eğrilikleri

Lordoz Açısı

Manyetik Rezonans Görüntüleme

Cobb Açısı

Sayı

Makale detayları

Yazarlar: Ali Cihan Dağlı | Serkan Öner | Zülal Öner | Beyza Yazgan Dağlı

Yayıncı: Duzce University

Ana Başlıklar: Health Care Administration

Dergi: Konuralp Medical Journal Vol.15 Issue 3, pp.294-301

Belge Tipi: Makale

Yayın Tarihi: 10/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001301705

pISSN: 1309-3878

Sayı

Yazarlar:

Ali Cihan Dağlı | Serkan Öner | Zülal Öner | Beyza Yazgan Dağlı

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.15 Issue 3, pp.294-301

Belge Tipi:

Makale

Yayın Tarihi:

10/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001301705

pISSN:

1309-3878