Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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The Findings of Relation between Cross-sectional Area of Lumbar Paraspinal Muscle and Prognosis in Patients of Acute and Chronic Low Back Pain Patients

급성 및 만성 요통환자의 요부주위근 횡단면적과 요통 예후의 상관관계 연구

  • Nam, Ji Hwan (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine) ;
  • Lee, Chong Hwan (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine) ;
  • Lee, Seul Ji (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine) ;
  • Kim, Kie Won (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine) ;
  • Lee, Min Jung (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine) ;
  • Jun, Jae Yun (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine) ;
  • Lim, Su Jin (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine) ;
  • Hong, Nam Jung (Department of Neuropsychiatry, Jaseng Hospital of Oriental Medicine) ;
  • Song, Ju Hyun (Department of Acupuncture & Moxibustion Medicine, Jaseng Hospital of Oriental Medicine)
  • 남지환 (자생한방병원 침구의학과) ;
  • 이종환 (자생한방병원 침구의학과) ;
  • 이슬지 (자생한방병원 침구의학과) ;
  • 김기원 (자생한방병원 침구의학과) ;
  • 이민정 (자생한방병원 침구의학과) ;
  • 전재윤 (자생한방병원 침구의학과) ;
  • 임수진 (자생한방병원 침구의학과) ;
  • 홍남중 (자생한방병원 신경정신과) ;
  • 송주현 (자생한방병원 침구의학과)
  • Received : 2013.07.19
  • Accepted : 2013.07.30
  • Published : 2013.09.20
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Abstract

Objectives : The purpose of this study was to evaluate the relationship between cross-sectional areas of the paraspinal and psoas muscles with low back pain. Methods : We assessed the cross-sectional area of the psoas and paraspinal muscles at the superior part of L4 level and vertebral body of L4 of 132 patients who were hospitalized with a chief complaint of low back pain at Jaseng Hospital of Korean Medicine from January 2013 to April 2013. After calculating the mean psoas area, we divided the patients into 2 groups by whether the psoas cross section was larger or smaller than the mean, and compared the admission period, verbal numeric rating scale(NRS) of low back pain(LBP), and improvement of verbal NRS of LBP. We also subcategorized the patients into acute and chronic groups according to the duration period, and compared the cross-sectional area of the psoas and paraspinal muscles. Results : Although analyses of the verbal NRS of LBP, and improvement of verbal NRS of LBP between groups with larger and smaller psoas cross section areas showed no significant difference, the admission period was significantly shorter in the group with larger psoas cross section areas. There was no significant difference in analyses of cross section areas in the acute and chronic groups. Of the possible prognostic variables, improvement of verbal NRS of LBP showed no correlation, while the admission period displayed a significant correlation. The cross-sectional area of the psoas and paraspinal muscles divided by the area of the vertebral body of L4 had a significant negative correlation with age. Conclusions : The cross-sectional area of the psoas and paraspinal muscles were correlated with the admission period in LBP patients, and the cross-sectional area of the surrounding muscles divided by the area of the L4 vertebral body was negatively correlated with age.

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