KMID : 0361419970210020376
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Journal of Korean Academy of Rehabilitation Medicine 1997 Volume.21 No. 2 p.376 ~ p.383
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Comparisons between Clinical, Radiologic and Electrodiagnostic Finding in the Low Back Pain Patients
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Abstract
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The authors reviewed the diagnostic use of clinical findings on physical examination, electrodiagnostic data, and radiologic findings including magnetic resonance imaging (MRI) in 55 patients with low back pain(LBP). Radiologic parameters
included
the
lumbar lordosis, lumbosacral joint angle, and disc height narrowing, Clinical parameters included straight leg raising test, motor sensory tests, and deep tendon reflxes (DTRs) on physical examination. MRI findings were classified 6 categories as
bulging. Protruded. Extruded, sequestered, normal, and multiple level.
In 35 cases of radiculopathy group, the severity of herniated intervertebral disc was well correlated with some of clinical and radiologic parameters such as motor weakness, sensory or DTR abnormalities, and L5/S1 disc height. There was no
correlations
between MRI and electrodiagnostic findings on the site of the root lesions in all but 10 cases(18.2%).
We suggest that the electrodiagnostic studies should be performed routinely as part of LBP evaluation for the identification of site and degree of radiculopathy.
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KEYWORD
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