Purpose: To evaluate the relationship between lumbosacral discopathy status and paraspinal atrophic changes (Cross-sectional area (CSA) and fatty infiltration (FI)) among different age groups. Materials and Methods: W...Purpose: To evaluate the relationship between lumbosacral discopathy status and paraspinal atrophic changes (Cross-sectional area (CSA) and fatty infiltration (FI)) among different age groups. Materials and Methods: We retrospectively evaluated 200 patients with confirmed discopathy who were examined by lumbosacral Magnetic Resonance Imaging (MRI) at the two main governmental hospitals in Gaza Strip. Using ImageJ software and quantification threshold technique, we measured the CSA and FI of paraspinal muscles {multifidus (MF) & erector spinae (ES)}. The interpretation of MRI images was performed by two radiologists with a good inter-observer agreement between the radiological discopathy findings. Results: The highest percentage and severity of discopathy were noticed at the level of L4/5 (89.5%), followed by L5/S1 (14.5%). The FI is increased towards lower levels of L3/4 to L5/S1. No correlation was found between discopathy level, the severity of discopathy, and CSA of MF & ES muscles. In contrast, a correlation was observed between FI of MF & ES muscles, discopathy level, and severity. Also, the results illustrated no significant relation was observed between CSA of MF & ES muscles and age groups (P > 0.05), while a significant correlation was reported between FI and age groups (P Conclusion: The MRI quantification threshold pixel technique for paraspinal muscles reflected the atrophic changes like CSA and FI in discopathy patients.展开更多
Background:Low back pain can be caused by a variety of accidents,ailments,or diseases,the most common of which is a back muscle problem or tendon injury.The intensity of pain varies from mild to severe.Lower back pain...Background:Low back pain can be caused by a variety of accidents,ailments,or diseases,the most common of which is a back muscle problem or tendon injury.The intensity of pain varies from mild to severe.Lower back pain usually improves with rest,pain medications,and physical therapy(PT).Injections of cortisone and manual treatments such as osteopathic or chiropractic manipulation can help reduce pain and speed up the healing process.Some back injuries and disorders necessitate surgery.Methods:A multidisciplinary team evaluation was applied.The patient received medications for a prolonged period that lasted more than 4 to 6 weeks without improvement.Seven sessions of conservative and physical therapy manipulation were applied over a period of two weeks to correct the lower body mechanics and realign the body posture properly.Results:The neglected adolescent patients responded well to physical therapy sessions.The patient can walk with normal body posture and practice his activities of daily life without obstacles.The right up-slip hip was corrected successfully,and both posterior iliac spine joints were functional after the intervention.The patient expressed his satisfaction with physical therapy treatment.Conclusion:Corrections of body mechanics in patients with discopathy should be taken into consideration during treatment.展开更多
文摘Purpose: To evaluate the relationship between lumbosacral discopathy status and paraspinal atrophic changes (Cross-sectional area (CSA) and fatty infiltration (FI)) among different age groups. Materials and Methods: We retrospectively evaluated 200 patients with confirmed discopathy who were examined by lumbosacral Magnetic Resonance Imaging (MRI) at the two main governmental hospitals in Gaza Strip. Using ImageJ software and quantification threshold technique, we measured the CSA and FI of paraspinal muscles {multifidus (MF) & erector spinae (ES)}. The interpretation of MRI images was performed by two radiologists with a good inter-observer agreement between the radiological discopathy findings. Results: The highest percentage and severity of discopathy were noticed at the level of L4/5 (89.5%), followed by L5/S1 (14.5%). The FI is increased towards lower levels of L3/4 to L5/S1. No correlation was found between discopathy level, the severity of discopathy, and CSA of MF & ES muscles. In contrast, a correlation was observed between FI of MF & ES muscles, discopathy level, and severity. Also, the results illustrated no significant relation was observed between CSA of MF & ES muscles and age groups (P > 0.05), while a significant correlation was reported between FI and age groups (P Conclusion: The MRI quantification threshold pixel technique for paraspinal muscles reflected the atrophic changes like CSA and FI in discopathy patients.
文摘Background:Low back pain can be caused by a variety of accidents,ailments,or diseases,the most common of which is a back muscle problem or tendon injury.The intensity of pain varies from mild to severe.Lower back pain usually improves with rest,pain medications,and physical therapy(PT).Injections of cortisone and manual treatments such as osteopathic or chiropractic manipulation can help reduce pain and speed up the healing process.Some back injuries and disorders necessitate surgery.Methods:A multidisciplinary team evaluation was applied.The patient received medications for a prolonged period that lasted more than 4 to 6 weeks without improvement.Seven sessions of conservative and physical therapy manipulation were applied over a period of two weeks to correct the lower body mechanics and realign the body posture properly.Results:The neglected adolescent patients responded well to physical therapy sessions.The patient can walk with normal body posture and practice his activities of daily life without obstacles.The right up-slip hip was corrected successfully,and both posterior iliac spine joints were functional after the intervention.The patient expressed his satisfaction with physical therapy treatment.Conclusion:Corrections of body mechanics in patients with discopathy should be taken into consideration during treatment.
