Bosphorus Med J. 2022; 9(1): 46-53 | DOI: 10.14744/bmj.2022.43434

The Effect of Low Back Pain on Paraspinal Muscle Volumes in Adolescents

Fatma Esra Bahadýr Ülger¹, Özge Gülsüm Ýlleez^2
1Department of Radiology University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ýstanbul, Turkey
²Department of Physical Medicine and Rehabilitation, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Ýstanbul, Turkey

INTRODUCTION: The objective of the study was to investigate whether low back pain (LBP) with or without lumbar disc herniation (LDH) would affect paraspinal muscle volumes in adolescents.
METHODS: A total of 205 adolescent patients were distributed into two groups – LBP with LDH (Group A) and LBP without LDH (Group B). Multifidus (MF), erector spinae (ES), and psoas major (PM) volumes at the L4–5 and L5-S1 intervertebral disc levels were measured.
RESULTS: No statistically significant difference in bilateral MF, ES, and PM volumes was observed between the groups at the L4–5 and L5-S1 levels. The right side ES volumes at the L4–5 were lower than the left volumes in Group A (p=0.000/p<0.05). At the L5-S1, the right MF and ES volumes were lower than those on the left (MF p=0.008/p<0.05; ES p=0.000/p<0.05). In Group B, the right MF and ES volumes were lower than those on the left (MF p=0.001/p<0.05 and ES p=0.000/p<0.05) at the L4–5 level. At the L5-S1, the right MF, ES, and PM volumes were lower than those on the left (MF p=0.001/p<0.05; ES p=0.000/p<0.05; and PM p=0.024/p<0.05).
DISCUSSION AND CONCLUSION: Paraspinal muscle volume loss can be seen as a result of LBP in adolescents like in adults. Since LDH more commonly occurs as the central type in the pediatric age, perhaps it may not contribute to volume changes of paraspinal muscle.

Keywords: Adolescent, low back pain, lumbar disc hernia, paraspinal muscles.

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Adolesanlarda Bel Aðrýsýnýn Paraspinal Kas Volümleri Üzerine Etkisi

Fatma Esra Bahadýr Ülger¹, Özge Gülsüm Ýlleez^2
1Saðlýk Bilimleri Üniversitesi, Fatih Sultan Mehmet Eðitim ve Araþtýrma Hastanesi Radyoloji Anabilim Dalý, Ýstanbul, Türkiye
²Saðlýk Bilimleri Üniversitesi, Fatih Sultan Mehmet Eðitim ve Araþtýrma Hastanesi, Fiziksel Týp ve Rehabilitasyon Anabilim Dalý, Ýstanbul, Türkiye

GÝRÝÞ ve AMAÇ: Adolesanlarda lomber disk hernisiyle (LDH) birlikte olan ve olmayan bel aðrýsýnýn multifidus (MF), erektör spina (ES) ve psoas major (PM) kas volumleri üzerine etkisi olup olmadýðýný araþtýrmak.
YÖNTEM ve GEREÇLER: 205 bel aðrýlý adolesan hasta LDH olan (grup A) ve olmayan (grup B) olmak üzere iki gruba ayrýldý. MF, ES ve PM volümleri, L4-5 ve L5-S1 intervertebral disk seviyesinden aksiyel T2 aðýrlýklý görüntüler kullanýlarak ölçüldü.
BULGULAR: Ýki grup arasýnda L4-5 ve L5-S1 seviyelerinde bilateral MF, ES ve PM volumlerinde anlamlý fark yoktu. Grup A’da L4-5 seviyesinde sað taraf ES volumleri soldan (sað/sol p=0.000/p<0.05), L5-S1 seviyesinde sað MF ve ES volümleri soldakilerden anlamlý düzeyde düþüktü (MF p=0.008/p<0.05; ES p=0.000/p<0.05). Grup B’de L4-5 seviyesinde sað MF ve ES volumleri soldakilerden (MF right/left p=0.001/p<0.05; ES p=0.000/p<0.05), L5-S1 seviyesinde sað MF, ES ve PM volümleri soldakilerden anlamlý düzeyde düþüktü (MF p=0.001/p<0.05; ES p=0.000/p<0.05; PM p=0.024/p<0.05).
TARTIÞMA ve SONUÇ: Paraspinal kas volüm kaybý eriþkinlerde olduðu gibi adolesan yaþ grubunda da bel aðrýsýnýn bir sonucu olarak görülebilir. LDH’nin bu yaþ grubunda sýklýkla santral yerleþimli olmasý nedeniyle paraspinal kas volum kaybýna etkisi olmadýðý düþünülebilir.

Anahtar Kelimeler: Adolesan, bel aðrýsý, lomber disk hernisi, paraspinal kaslar.

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