대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제5권4호
  • /
  • Pages.615-621
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  • 2010
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지

자기공명영상(MRI)을 통한 요통환자의 다열근 위축에 대한 정량적 분석

Quantitative analysis of lumbar multifidus atrophy with low back pain patients using Magnetic Resonance Image

  • 양대중 (동신대학교 대학원 물리치료학과)
  • Yang, Dae-Jung (Department of Physical Therapy, Graduate School of Dong Shin University)
  • 투고 : 2010.10.01
  • 심사 : 2010.11.17
  • 발행 : 2010.11.30
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초록

Purpose : The purpose of this study was to compare chronic LBP patients and asymptomatic subjects on measures of multifidus size (cross-sectional area;CSA, thickness) and symmetry (proportional difference of relatively larger side to smaller side). Methods : Data were obtained from 12 asymptomatic subjects without a prior history of LBP (8 females, 4 males), and a retrospective audit was undertaken of records from 12 chronic low back pain patients (8 females, 4 males). CSA and Thickness of the lumbar multifidus muscles was measured from axial T1-weighted magnetic resonance images(MRI). Results : The results of the analysis showed that chronic LBP patients had significantly smaller multifidus CSA and thickness than asymptomatic subjects at L4-5 vertebral levels(p<.05). The asymmetry between sides was seen at L4- L5 vertebral level in patients with chronic low back pain presentations(p<.05). Conclusions : MRI provided a quantitative measure of change between asymptomatic subjects and chronic low back pain patients of multifidus muscle. MRI identified significant differences in cross-sectional area and thickness and helps to evaluate clinically and plan the treatment modalities of LBP.

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참고문헌

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