KMID : 0895820160260030109
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Journal of Oriental Rehabilitation Medicine 2016 Volume.26 No. 3 p.109 ~ p.117
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The Correlation between Cross-sectional Area of Lumbar Paraspinal Muscles and Walking Ability in the Patients with Lumbar Spinal Stenosis
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Kim Min-Chul
Seo Young-Hoon Lee Sang-Min Kim Yoo-Jong Hong Je-Rak Yoo Do-Hyun Kim Ji-Soo Kim Tae-Gyu Choi Jae-Young Kim Tae-Hoon
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Abstract
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Objectives : The purpose of this study was to investigate the correlation between walking ability of lumbar spinal stenosis patients and the cross-sectional area (CSA) of lumbar paraspinal muscles.
Methods : This study was carried out on 62 lumbar spinal stenosis patients who had limited walking abilities because of neurogenic claudication (NC). All patients received more than 2 weeks of complex treatment at Mokhuri Neck&Back Hospital. CSA of lumbar paraspinal muscles was measured from axial T2-weighted MRI and divided by CSA of adjacent vertebral body to avoid influence of body statues (RCSA-Relative CSA). Pain Free Walking Distance and Numerical Rating Scale (NRS) was measured before and after treatment.
Results : The Pain Free Walking Distance had significantly increased in patients who had bigger RCSA of psoas muscle (r=0.313, p£¼0.05).
Conclusions : The psoas muscle can be a predictive factor for restoring walking ability of lumbar spinal stenosis patients who have limitations walking.
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KEYWORD
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Spinal stenosis, Paraspinal muscle, Psoas muscle, Neurogenic claudication, Magnetic resonance imaging
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