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Journals / Kocatepe Tıp Dergisi / 2015 / Cilt: 16 - Sayı: 2

Investigation of the Relationship Between Clinical Examination and Magnetic Resonance Imaging Findings in Patients with Low Back Pain

Bel Ağrılı Hastalarda Klinik Muayene Bulguları ve Manyetik Rezonans Görüntüleme Bulguları Arasındaki İlişkinin Araştırılması

Fatih TEMİZTÜRK
Şule TEMİZTÜRK
Yasemin ÖZKAN
M. Hayri ÖZGÜZEL
Pages
110–115
Publication Date
2015-07-04
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The relationshipbetween posterolateral herniation and restriction inlumbar flexion angle was significant (p<0.05).Conclusion: In this study a correlation is determinedbetween MRI findings of extruded or sequestered,posterolateral herniations and physical examinationfindings, but no relationship was found between theother MRI findings and physical examination in patientswith low back pain.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to investigate therelationship between clinical examination and magneticresonance imaging (MRI) findings in the patients withlow back pain.Material and Methods: We retrospectively examinedthe files of 100 patients who fulfilled the inclusion criteriaof the study among 560 in patients, who were treated inphysical medicine and rehabilitation clinic between 2009and 2011.
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Key Findings & Data:The relationship between the clinical examinationfindings and MRI findings was examined.Results: Visual analogue scale and intervertebral discdegeneration didn’t correlate significantly.
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Conclusion & Impact:The relationshipbetween posterolateral herniation and restriction inlumbar flexion angle was significant (p<0.05).Conclusion: In this study a correlation is determinedbetween MRI findings of extruded or sequestered,posterolateral herniations and physical examinationfindings, but no relationship was found between theother MRI findings and physical examination in patientswith low back pain.
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Manyetik rezonans görüntüleme · other MRI findings and physical examination in patients bel ağrısı · intervertebral disk dejenerasyonuwith low back pain

Abstract

Objective: The aim of this study was to investigate therelationship between clinical examination and magneticresonance imaging (MRI) findings in the patients withlow back pain.Material and Methods: We retrospectively examinedthe files of 100 patients who fulfilled the inclusion criteriaof the study among 560 in patients, who were treated inphysical medicine and rehabilitation clinic between 2009and 2011. The clinical examination findings and MRIfindings of the patients were recorded in the follow-upform. The relationship between the clinical examinationfindings and MRI findings was examined.Results: Visual analogue scale and intervertebral discdegeneration didn’t correlate significantly. In the patientswho had a sequestered herniation, the rate of musclestrength loss was significantly higher (40%). In thecases of extruded disc herniation, the rate of a positivestraight leg raising test was significantly higher (77,8%).The association between the disc protrusion and clinicalexamination findings was not significant. The relationshipbetween posterolateral herniation and restriction inlumbar flexion angle was significant (p<0.05).Conclusion: In this study a correlation is determinedbetween MRI findings of extruded or sequestered,posterolateral herniations and physical examinationfindings, but no relationship was found between theother MRI findings and physical examination in patientswith low back pain.

Özet

Amaç: Bu çalışmanın amacı, bel ağrısı şikayeti olan hastaların klinik muayene bulguları ile manyetik rezonans görüntüleme(MRG) bulguları arasındaki ilişkiyi araştırmaktır.Gereç ve Yöntem: 2009-2011 tarihleri arasında fizik tedavi ve rehabilitasyon servisimizde yatan 560 hasta arasından, çalışmaya alınma kriterlerimizi karşılayan 100 hasta dosyası retrospektif olarak incelendi. Hastaların klinik muayene bulguları, MRG bulguları hasta takip formuna kaydedildi. Klinik muayene bulguları ile MRG bulguları arasındaki ilişki araştırıldı.Bulgular: Görsel ağrı skalası ile intervertebral disk dejenerasyonu arasında anlamlı ilişki bulunamadı. Sekestre herni olan olgularda kuvvet kaybı oranı (% 40) anlamlı olarak yüksekti. Ekstrüde herni olan olgularda düz bacak kaldırma testi pozitifliği oranı (% 77,8) anlamlı olarak yüksekti. Protrüzyon ile klinik muayene bulguları arasında anlamlı ilişki bulunamadı. Posterolateral herniasyon ile lomber fleksiyon hareketindeki kısıtlılık arasındaki ilişki istatistiksel olarak anlamlıydı.Sonuç: Bu çalışmada bel ağrılı hastaların MRG’sinde ekstrüde, sekestre ve posterolateral herniasyon ile fizik muayene bulguları arasında korelasyon tesbit edilirken, diğer MRG bulgularının fizik muayene ile ilişkisi bulunamamıştır.

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Cite This Article

TEMİZTÜRK, F., TEMİZTÜRK, Ş., ÖZKAN, Y., ÖZGÜZEL, M. H. (2015). Investigation of the Relationship Between Clinical Examination and Magnetic Resonance Imaging Findings in Patients with Low Back Pain. Kocatepe Tıp Dergisi, Cilt: 16 - Sayı: 2, 110–115. https://ajindex.com/articles/686235

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References (13)

  1. Walker BF. The prevalence of low back: a systematic review of the literature from 1966 to 1998. J Spinal Disord 2000;13(3):205-17.
  2. Von Korff M, Dvorkin SF, Le Resche L, et al. An epi- demiologic comparison of pain complaints. Pain 1988;32(2):173-83.
  3. Pittler MH, Karagülle MZ, Karagülle ME, Ernst E. mic impairment visible on lumbar magnetic resonan- Spa therapy and balneotherapy for treating low back pain. Rheumatology (Oxford) 2006;45(7):880–4. Andersson GB. Epidemiological features of cronic low-back pain. Lancet 1999;354(9178):581-5.
  4. Gilbert FJ, Grant AM, Gillan MGC, et al. Low back pain: influence of early MR imaging or CT on treat- ment and outcome-multicenter randomize trial. Ra- diology 2004;231(2):343-51.
  5. McGregor AH, Dore CJ, McCharty ID, Hughes SP. Are subjective clinical findings and objective clinical tests related to the motion characteristics of low back pain subjects? J Orthop Sports Phys Ther 1998;28(6):370-7.
  6. Quint U, Vilke HJ. Grading of degenerative disk di- Nerlich AG, Schleicher ED, Boos N. Immunohisto- logic markers for age-related changes of human lum- bar intervertebral discs. Spine 1997;22(24):2781-95.
  7. Jarvik JG, Hollingworth W, Martin B. Rapid magne- tic resonance imagine vs radiographs for patiens with low back pain. JAMA 2003;289(21):2810-8.
  8. Boden SD, Davis DO, Patronas NJ, et al. Abnormal magnetic resonance scans of the lumbar spine in as- ymptomatic subjects: aprospective investigation. J Bone Joint Surg Am 1990;72(3):403-8.
  9. Jarvik JG, Hollingwort W, Heagerty P, et al. The longitudinal assessment of imagine and disability of back study: baseline data. Spine 2001;26(10):1158-66.
  10. Takatalo J, Karppinen J, Niinimaki J, et al. Preva- lence of degenerative imagine findings in lumbar magnetic resonance imagine among young adults. Spine 2009;34(16):1716-21.
  11. Kjaer P, Korsholm L, Bendix T, et al. Modic changes and their associations with clinical findings. Eur Spine J 2006;15(9):1312-9. Lam KS. MRI follow-up of subchondral signal ab- normalities in a selected group of chronic low back pain patiens. Eur Spine J 2008;17(10):1309-10.
  12. Janardhana A, Rajagopal, Rao S, Kamath A. Corre- lations between clinical features and magnetic reso- nance imaging finding in lumbar disc prolapse. İndi- an J Orthop 2010;44(3):263-9.
  13. Beattie PF, Meyers SP, Stratford P, et al. Associati- ons between patient report of symptoms and anato- Dora C, Schmid MR, Elfering A, et al. Lumbar disc herniation: Do MR imagingfindings predict recurrence after surgical diskecto