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The relationship between muscle size, obesity, body fat ratio, pain and disability in individuals with and without nonspecific low back pain      
Yazarlar
İlyas Uçar
Erciyes Üniversitesi, Türkiye
Dr. Öğr. Üyesi Caner KARARTI
Türkiye
İsa Cüce
Türkiye
Enes Veziroğlu
Türkiye
Doç. Dr. Anıl ÖZÜDOĞRU
Kırşehir Ahi Evran Üniversitesi, Türkiye
Fatmanur Aybala Koçak
Türkiye
Yeliz Dadalı
Türkiye
Özet
Patients with nonspecific low back pain (NSLBP) may face motor control problems and health disability barriers during various tasks. However, studies investigating the extent of these disadvantages, and possible associated factors are quite limited in patients with NSLBP. To compare motor control performances and physical assessment domains between patients with NSLBP and asymptomatic controls. Twenty-seven patients with NSBLP and 27 age- and sex-matched asymptomatic controls participated in this cross-sectional study. Ultrasonographic imaging was used to determine abdominal and multifidus muscles thicknesses and adipose tissue rate. Visual analog scale was used to assess LBP severity. Body mass index (BMI) and Oswestry Disability Index (ODI) scores of the participants were physical assessment domains of LBP. BMI values were greater in the NSLBP group compared to the asymptomatic participants. ANCOVA revealed a significant interaction effect regarding external abdominal oblique and multifidus lumborum muscles thickness, and abdominal adipose tissue (p = 0.015; p = 0.001; p = 0.006), respectively in terms of two groups. The thicknesses of these muscles were lesser in the NSLBP group compared with the control group. Similarly, abdominal adipose tissue was higher in the NSLBP group. The stepwise multiple regression analysis demonstrated that the Oswestry Disability Index and abdominal adipose tissue rate were significant and independent factors of the low back pain severity with 73.5% of the variance. The study results indicate that increased disability and fat infiltration are possible determinants influencing pain severity, although further research is required. Examining musculoskeletal properties of lumbar region could provide information about the limitation in patients with NSBLP.
Anahtar Kelimeler
abdominal muscles, adipose tissue, back pain, diagnostic imaging, paraspinal muscles
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Clinical Anatomy
Dergi ISSN 0897-3806
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 01-2021
Cilt No 34
Sayı 34
Sayfalar 1201 / 1207
Doi Numarası 10.1002/ca.23776
Makale Linki http://dx.doi.org/10.1002/ca.23776