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The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain

OBJECTIVES: Sarcopenia is postulated to be an influential factor in chronic low back pain. The aim of this study is to evaluate the relationship between traditional clinical measures of sarcopenia and novel radiographic methods which evaluate overall muscle status, such as adjusted psoas cross-secti...

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Autores principales: Gibbons, Denys, McDonnell, Jake M., Ahern, Daniel P., Cunniffe, Gráinne, Kenny, Rose-Anne, Romero-Ortuno, Roman, Butler, Joseph S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: HYLONOME PUBLICATIONS 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175279/
https://www.ncbi.nlm.nih.gov/pubmed/35775088
http://dx.doi.org/10.22540/JFSF-07-052
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author Gibbons, Denys
McDonnell, Jake M.
Ahern, Daniel P.
Cunniffe, Gráinne
Kenny, Rose-Anne
Romero-Ortuno, Roman
Butler, Joseph S.
author_facet Gibbons, Denys
McDonnell, Jake M.
Ahern, Daniel P.
Cunniffe, Gráinne
Kenny, Rose-Anne
Romero-Ortuno, Roman
Butler, Joseph S.
author_sort Gibbons, Denys
collection PubMed
description OBJECTIVES: Sarcopenia is postulated to be an influential factor in chronic low back pain. The aim of this study is to evaluate the relationship between traditional clinical measures of sarcopenia and novel radiographic methods which evaluate overall muscle status, such as adjusted psoas cross-sectional area (APCSA) and degree of fat infiltration (%FI) in paraspinal muscles, in patients with chronic low back pain. METHODS: Prospective study performed at our institution from 01/01/19-01/04/19. Inclusion criteria were patients ≥65 years old not requiring surgical intervention presenting to a low back pain assessment clinic. RESULTS: 25 patients were identified (mean age: 73 years, 62% male). On spearman’s analyses, %FI shared a significant relationship with hand grip strength (r = -0.37; p=0.03), chair rise (r=0.38; p=0.03), SC (r=0.64; p<0.01), and visual analogue scale scores (r=-0.14; p=0.02). Comparably, a statistically significant correlation was evident between APCSA and %FI (r=-0.40; p=0.02) on analysis. CONCLUSION: The results of our study demonstrate a statistically significant relationship between APCSA and %FI in the multifidus and erector spinae muscles. Further significant associations of relatability were depicted with traditional clinical measures of sarcopenia. Thus, %FI may be a supplemental indicator of the sarcopenic status of patients presenting with chronic low back pain.
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spelling pubmed-91752792022-06-29 The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain Gibbons, Denys McDonnell, Jake M. Ahern, Daniel P. Cunniffe, Gráinne Kenny, Rose-Anne Romero-Ortuno, Roman Butler, Joseph S. J Frailty Sarcopenia Falls Original Article OBJECTIVES: Sarcopenia is postulated to be an influential factor in chronic low back pain. The aim of this study is to evaluate the relationship between traditional clinical measures of sarcopenia and novel radiographic methods which evaluate overall muscle status, such as adjusted psoas cross-sectional area (APCSA) and degree of fat infiltration (%FI) in paraspinal muscles, in patients with chronic low back pain. METHODS: Prospective study performed at our institution from 01/01/19-01/04/19. Inclusion criteria were patients ≥65 years old not requiring surgical intervention presenting to a low back pain assessment clinic. RESULTS: 25 patients were identified (mean age: 73 years, 62% male). On spearman’s analyses, %FI shared a significant relationship with hand grip strength (r = -0.37; p=0.03), chair rise (r=0.38; p=0.03), SC (r=0.64; p<0.01), and visual analogue scale scores (r=-0.14; p=0.02). Comparably, a statistically significant correlation was evident between APCSA and %FI (r=-0.40; p=0.02) on analysis. CONCLUSION: The results of our study demonstrate a statistically significant relationship between APCSA and %FI in the multifidus and erector spinae muscles. Further significant associations of relatability were depicted with traditional clinical measures of sarcopenia. Thus, %FI may be a supplemental indicator of the sarcopenic status of patients presenting with chronic low back pain. HYLONOME PUBLICATIONS 2022-06-01 /pmc/articles/PMC9175279/ /pubmed/35775088 http://dx.doi.org/10.22540/JFSF-07-052 Text en Copyright: © 2022 Hylonome Publications https://creativecommons.org/licenses/by-nc-sa/4.0/All published work is licensed under Creative Commons Attribution NonCommercial - ShareAlike 4.0 International
spellingShingle Original Article
Gibbons, Denys
McDonnell, Jake M.
Ahern, Daniel P.
Cunniffe, Gráinne
Kenny, Rose-Anne
Romero-Ortuno, Roman
Butler, Joseph S.
The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
title The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
title_full The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
title_fullStr The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
title_full_unstemmed The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
title_short The relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
title_sort relationship between radiological paraspinal lumbar measures and clinical measures of sarcopenia in older patients with chronic lower back pain
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9175279/
https://www.ncbi.nlm.nih.gov/pubmed/35775088
http://dx.doi.org/10.22540/JFSF-07-052
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