Psoas muscle index and psoas muscle density are associated with functional status in patients with degenerative lumbar spinal stenosis.
BACKGROUND: The factors affecting lumbar spinal function in patients with degenerative lumbar spinal stenosis (DLSS) are still unclear. OBJECTIVE: This study explored psoas major muscle morphology in patients with DLSS and its association with their functional status. METHODS: A retrospective study...
| Publicado en: | Journal of Back & Musculoskeletal Rehabilitation Vol. 37; no. 4; pp. 921 - 929 |
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| Autores principales: | , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178421108&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178421108 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538127 3MD jtl: Journal of Back & Musculoskeletal Rehabilitation issn: 10538127 maglogo: N pubinfo: dt: 2024 vid: 37 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 178421108 175180263 178421108 178421108 10.3233/BMR-230138 178421108 ppf: 921 ppct: 8 formats: tig: atl: Psoas muscle index and psoas muscle density are associated with functional status in patients with degenerative lumbar spinal stenosis. aug: au: Hou, Xiaofei Hu, Hailiang Kong, Chao Zhang, Sitao Wang, Wei Lu, Shibao affil: Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, Beijing, China sug: subj: Psoas Muscles Anatomy and Histology Psoas Muscles Physiology Functional Status Lumbar Vertebrae Pathology Spinal Stenosis Rehabilitation Human Middle Age Aged Male Female Funding Source Retrospective Design Scales Multivariate Analysis Correlational Studies Physical Therapy Rehabilitation Conservative Treatment Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: The factors affecting lumbar spinal function in patients with degenerative lumbar spinal stenosis (DLSS) are still unclear. OBJECTIVE: This study explored psoas major muscle morphology in patients with DLSS and its association with their functional status. METHODS: A retrospective study was conducted on 288 patients with DLSS and 260 control subjects. Psoas major muscle evaluation included three morphometric parameters at the L3/4 disc level: psoas major index (PMI), muscle attenuation, and psoas major morphological changes (MPM). The association between psoas major morphology and functional status was assessed using the Oswestry disability index (ODI). RESULTS: Both female and male patients with DLSS had a higher PMI and lower muscle attenuation. PMI and muscle attenuation were inversely correlated with age in the DLSS group. After multivariable analyses, the PMI and psoas major muscle attenuation were positively correlated with patients' functional status. CONCLUSION: The PMI and muscle attenuation were positively correlated with functional status in patients with DLSS. These findings have important implications for physiotherapy programs of postoperative rehabilitation and conservative management of DLSS. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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