Obesity could be associated with poor paraspinal muscle quality at upper lumbar levels and degenerated spine at lower lumbar levels: Is this a domino effect?

2021 ◽  
Vol 94 ◽  
pp. 120-127
Author(s):  
Emel Ece Özcan-Ekşi ◽  
Veli Umut Turgut ◽  
Doğu Küçüksüleymanoğlu ◽  
Murat Şakir Ekşi
Spine ◽  
2019 ◽  
Vol 44 (14) ◽  
pp. 1010-1017 ◽  
Author(s):  
Jeannie F. Bailey ◽  
Aaron J. Fields ◽  
Alex Ballatori ◽  
Danielle Cohen ◽  
Deeptee Jain ◽  
...  

Neurospine ◽  
2021 ◽  
Vol 18 (3) ◽  
pp. 495-503
Author(s):  
Junseok Bae ◽  
Ashwin Sathe ◽  
Shih-Min Lee ◽  
Alexander A. Theologis ◽  
Vedat Deviren ◽  
...  

Objective: The purpose of this study was to investigate the changes in spinopelvic parameters before and after the setting of muscle fatigue along with its correlation with pre-existing paraspinal and psoas muscle mass.Methods: Single-center retrospective review of prospectively collected data was conducted on 145-adults with symptomatic loss of lumbar lordosis (LL). Radiographs were taken before and after walking for 10 minutes. Magnetic resonance imaging was used to calculate paraspinal muscle (PSM) cross-sectional area (CSA), mean signal intensity, fatty infiltration (FI), and lean muscle mass at thoracolumbar junction (T12) and lower lumbar level (L4). Psoas CSA was calculated at L3. Patients were divided into 2 groups namely compensated sagittal deformity (CSD) (SVA ≤ 4 cm, PT > 20°) and decompensated sagittal deformity (DSD) (SVA > 4 cm, PT > 20°) based on prewalk measurements.Results: Initial mean SVA was 1.8 cm and 11 cm for CSD and DSD respectively (p < 0.01). After walking, significant deteriorations in SVA, PT–LL (p < 0.01) were observed in CSD without significant change in thoracic kyphosis (TK). All sagittal parameters in DSD deteriorated significantly. DSD group had significantly poorer PSM quality at T12 and L4 compared to CSD group. In CSD group, sagittal decompensation correlated with muscle quality, i.e. , decreases in LL (ΔLL) correlated with CSA of PSM/vertebral body (VB) at L4 (r = -0.412, p = 0.046) while increases in TK (ΔTK) correlated with CSA of PSM/VB at T12 (r = 0.477, p = 0.018). ΔSVA and ΔPT correlated with FI at L4 (r = 0.577, p = 0.003 and r = -0.407, p = 0.048, respectively). DSD group, had weak correlations (-0.3 < r < -0.1) between changes in sagittal and PSM parameters.Conclusion: PSM quality in adults with spinal deformity correlates with patients’ ability to maintain an upright posture and sagittal decompensation after walking for 10 minutes.


Author(s):  
Michael Faloon ◽  
Roger F. Widmann ◽  
John S. Blanco ◽  
Matthew E. Cunningham ◽  
Bernard A. Rawlins ◽  
...  

1975 ◽  
Vol 40 (3) ◽  
pp. 444-450 ◽  
Author(s):  
J. E. Wax ◽  
H. W. Norton ◽  
G. R. Schmidt
Keyword(s):  

1974 ◽  
Vol 39 (2) ◽  
pp. 303-308 ◽  
Author(s):  
G. Eikelenboom ◽  
D. R. Campion ◽  
R. G. Kauffman ◽  
R. G. Cassens

2019 ◽  
pp. 34-38
Author(s):  
Bogdan Hagiu

Low lumbar pain is a very common condition that can benefit from kinetotherapy, which can be combined with specific medication and cognitive therapy. Depending on the pathophysiological mechanism of production, some physiotherapy exercises or techniques can be highlighted, because they have an increased efficiency in combating this type of pain. Thus, in the case of lower lumbar pain inherent to fibromyalgia, aerobic exercises appear to be more useful, and in the case of pain that accompany a herniated disc are recommended strenght exercises and lumbar stabilization. Lower lumbar pains due to work accidents are particularly beneficial for aerobic exercise if muscular contractions are present, and those with a sacroiliac joint dysfunction as an etiology can be alleviated by Mulligan mobilizations, Mulligan tapping and ultrasound; for those caused by spinal osteoarthritis are especially useful yoga and stretching exercises. Lower lumbar pain can also be caused by ankylosing spondylitis, in which case they can be improved by gymnastics, hydrotherapy, massage, leisure activities.


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