The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal Balance
Introduction: Exercise-induced low back pain (EILBP) is induced during anterior trunk tilting when walking or prolonged standing. In some elderly with chronic LBP, the pain is induced by EILBP. The paraspinal muscles play an important role in supporting the spine; therefore, a dysfunction of back mu...
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| Format: | Article |
| Language: | English |
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The Japanese Society for Spine Surgery and Related Research
2022-05-01
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| Series: | Spine Surgery and Related Research |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/ssrr/6/3/6_2021-0103/_pdf/-char/en |
| _version_ | 1818238401521909760 |
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| author | Masataka Nakamura Koji Otani Yota Kaneko Miho Sekiguchi Shin-ichi Konno |
| author_facet | Masataka Nakamura Koji Otani Yota Kaneko Miho Sekiguchi Shin-ichi Konno |
| author_sort | Masataka Nakamura |
| collection | DOAJ |
| description | Introduction: Exercise-induced low back pain (EILBP) is induced during anterior trunk tilting when walking or prolonged standing. In some elderly with chronic LBP, the pain is induced by EILBP. The paraspinal muscles play an important role in supporting the spine; therefore, a dysfunction of back muscles and kyphotic alignment are considered to be associated with EILBP. However, few reports are showing the relationship between EILBP and degenerative muscle changes. This study aimed to clarify the relationship between EILBP, degenerative changes of paraspinal muscles, and spinal alignment in an epidemiological study.
Methods: A total of 324 subjects were included in the analysis. The presence of EILBP was determined through a medical interview and physical examination. The subjects underwent lumbar spine magnetic resonance image (MRI) and X-ray. The fat infiltration rate (FIR) of the multifidus, erector spinae, and psoas major were analyzed using MRI. For lumbar sagittal balance, L1 axis S1 distance (LASD) was measured using X-ray images. Multivariate logistic regression analysis was used to analyze the association between the presence of EILBP and FIR or LASD.
Results: The prevalence of EILBP was 21% and it increased with age. The subjects with EILBP had statistically higher FIR of the multifidus, erector spinae, and psoas major than those without EILBP. There was a significant association between the presence of EILBP and higher FIR of the erector spinae at L1-2 and L5-S1 (p<0.05). However, there were no significant associations between EILBP and LASD.
Conclusions: According to the results in this study, EILBP is not rare and the FIR of the erector spinae is associated with the presence of EILBP. |
| first_indexed | 2024-12-12T12:41:04Z |
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| id | doaj.art-09c8a39dffe6453384e00b5a7bc9ddd3 |
| institution | Directory Open Access Journal |
| issn | 2432-261X |
| language | English |
| last_indexed | 2024-12-12T12:41:04Z |
| publishDate | 2022-05-01 |
| publisher | The Japanese Society for Spine Surgery and Related Research |
| record_format | Article |
| series | Spine Surgery and Related Research |
| spelling | doaj.art-09c8a39dffe6453384e00b5a7bc9ddd32022-12-22T00:24:12ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2022-05-016326127010.22603/ssrr.2021-01032021-0103The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal BalanceMasataka Nakamura0Koji Otani1Yota Kaneko2Miho Sekiguchi3Shin-ichi Konno4Department of Orthopaedic Surgery, Fukushima Medical University School of MedicineDepartment of Orthopaedic Surgery, Fukushima Medical University School of MedicineDepartment of Orthopaedic Surgery, Fukushima Medical University School of MedicineDepartment of Orthopaedic Surgery, Fukushima Medical University School of MedicineDepartment of Orthopaedic Surgery, Fukushima Medical University School of MedicineIntroduction: Exercise-induced low back pain (EILBP) is induced during anterior trunk tilting when walking or prolonged standing. In some elderly with chronic LBP, the pain is induced by EILBP. The paraspinal muscles play an important role in supporting the spine; therefore, a dysfunction of back muscles and kyphotic alignment are considered to be associated with EILBP. However, few reports are showing the relationship between EILBP and degenerative muscle changes. This study aimed to clarify the relationship between EILBP, degenerative changes of paraspinal muscles, and spinal alignment in an epidemiological study. Methods: A total of 324 subjects were included in the analysis. The presence of EILBP was determined through a medical interview and physical examination. The subjects underwent lumbar spine magnetic resonance image (MRI) and X-ray. The fat infiltration rate (FIR) of the multifidus, erector spinae, and psoas major were analyzed using MRI. For lumbar sagittal balance, L1 axis S1 distance (LASD) was measured using X-ray images. Multivariate logistic regression analysis was used to analyze the association between the presence of EILBP and FIR or LASD. Results: The prevalence of EILBP was 21% and it increased with age. The subjects with EILBP had statistically higher FIR of the multifidus, erector spinae, and psoas major than those without EILBP. There was a significant association between the presence of EILBP and higher FIR of the erector spinae at L1-2 and L5-S1 (p<0.05). However, there were no significant associations between EILBP and LASD. Conclusions: According to the results in this study, EILBP is not rare and the FIR of the erector spinae is associated with the presence of EILBP.https://www.jstage.jst.go.jp/article/ssrr/6/3/6_2021-0103/_pdf/-char/enlow back painexercise-induced low back painfat infiltration rateparaspinal musclelumbar sagittal balance |
| spellingShingle | Masataka Nakamura Koji Otani Yota Kaneko Miho Sekiguchi Shin-ichi Konno The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal Balance Spine Surgery and Related Research low back pain exercise-induced low back pain fat infiltration rate paraspinal muscle lumbar sagittal balance |
| title | The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal Balance |
| title_full | The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal Balance |
| title_fullStr | The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal Balance |
| title_full_unstemmed | The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal Balance |
| title_short | The Relationship between Exercise-Induced Low Back Pain, the Fat Infiltration Rate of Paraspinal Muscles, and Lumbar Sagittal Balance |
| title_sort | relationship between exercise induced low back pain the fat infiltration rate of paraspinal muscles and lumbar sagittal balance |
| topic | low back pain exercise-induced low back pain fat infiltration rate paraspinal muscle lumbar sagittal balance |
| url | https://www.jstage.jst.go.jp/article/ssrr/6/3/6_2021-0103/_pdf/-char/en |
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