No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain

Babińska, Anna; Wawrzynek, Wojciech; Czech, Elżbieta; Skupiński, Jarosław; Szczygieł, Jarosław; Łabuz-Roszak, Beata

doi:10.5603/pjnns.a2018.0006

Cited by 15 publications

(11 citation statements)

References 27 publications

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“…6) In contrast to the above findings, there is some evidence that muscle CSA is not associated with pain, disability, or quality of life (QoL) in patients with nonspecific LBP. 7) Furthermore, it has been reported that some degeneration occurs even in people without LBP. 8) For instance, Chung et al suggested that endplates of the intervertebral disc were found in asymptomatic healthy subjects.…”

Section: Introductionmentioning

confidence: 99%

Associations between Paraspinal Muscle Morphology, Disc Degeneration, and Clinical Features in Patients with Lumbar Spinal Stenosis

Miki

Fujita²,

Takashima

et al. 2020

PRM

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Objective: The purpose of this study was to examine the relationships between intervertebral disc degeneration in the lumbar spine, paraspinal muscle morphology, and clinical features in patients with lumbar spinal stenosis (LSS). Methods: A total of 52 patients with LSS participated in this study. Magnetic resonance imaging was used to assess intervertebral disc degeneration at L4/5 and to measure the standardized cross-sectional areas (SCSAs) of the multifidus and erector spinae muscles. The intensity of low back pain (LBP) and lower limb pain, the level of disability, and the quality of life (QoL) were evaluated using patient-reported outcome measures. The associations between the image findings and clinical features, including the disability score, the pain score for low back pain, and the QoL score, were calculated using Spearman’s rank correlation coefficient. Results: No associations were found between disc degeneration and clinical features. However, disc degeneration and the SCSA of the multifidus muscle ( r =−0.38, P <0.01) and of the erector spinae muscle ( r =−0.29, P=0.04) were significantly associated. Analysis of the associations between muscle morphology and clinical features found that the SCSA of the multifidus muscle was associated with LBP ( r =0.31, P=0.03). Conclusions: These results suggest that there is some correlation between atrophy of the multifidus and pain intensity. Consequently, focusing on the CSA of the multifidus muscle may help to clarify the causes of LBP in patients with LSS. However, because of the cross-sectional nature of this study, causal relationships could not be determined and further research is needed.

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Section: Introductionmentioning

confidence: 99%

Associations between Paraspinal Muscle Morphology, Disc Degeneration, and Clinical Features in Patients with Lumbar Spinal Stenosis

Miki

Fujita²,

Takashima

et al. 2020

PRM

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“…However, besides reliability a diagnostic method also requires adequate validity to allow for use in clinical practice. Several trials have shown, that degenerative changes of the lumbar spine do not necessarily correlate with clinical symptoms [26, 27]. Even advanced imaging techniques fail to clearly identify the source of symptoms in patients with low back pain [28].…”

Section: Discussionmentioning

confidence: 99%

Evaluation criteria for the assessment of occupational diseases of the lumbar spine - how reliable are they? -

Ulmar

Wölfle-Roos

Kocak

et al. 2019

BMC Musculoskelet Disord

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Background: In 2005, the German Association of Occupational Accident Insurance Funds (DGUV) defined radiological evaluation criteria for the assessment of degenerative occupational diseases of the lumbar spine. These include the measurement of intervertebral osteochondrosis and classification of vertebral osteosclerosis, antero-lateral and posterior spondylosis, and spondyloarthritis via plain radiography. The measures currently remain in daily use for determining worker compensation among those with occupational diseases. Here, we aimed to evaluate the inter-and intraobserver reliability of these evaluation criteria. Methods: We enrolled 100 patients with occupational degenerative diseases of the lumbar spine. Native antero-posterior and lateral radiographs of these patients were evaluated according to DGUV recommendations by 4 observers with different levels of clinical training. Evaluations were again conducted after 2 months to assess the intra-observer reliability. Results: The measurement of intervertebral osteochondrosis showed good inter-observer reliability (ICC: 0.755) and excellent intra-observer reliability (ICC: 0.827). The classification of vertebral osteosclerosis exhibited moderate kappa values for inter-observer reliability (К: 0.426) and intra-observer reliability (К: 0.441); the remaining 3 criteria showed poor interand intra-observer reliabilities. Conclusion: The measurement of intervertebral osteochondrosis and classification of vertebral osteosclerosis showed adequate inter-and intra-observer reliability in the assessment of occupational diseases of the lumbar spine, whereas the classification of antero-lateral and posterior spondylosis and spondyloarthritis stage exhibited insufficient reliability. Hence, we recommend the revision of the DGUV recommendations for the evaluation of occupational diseases of the lumbar spine.

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“…Globally, around 13% of the general population have some form of CKD [ 3 ]. In 2016, around 1.2 million deaths and 35 million disability-adjusted life years were attributed to CKD globally, which represents an increase in mortality and disability by 98 and 62% since 1990, respectively [ 4 ]. A significant proportion of patients with CKD progress to end stage renal disease [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Quality of life for kidney transplant recipients and hemodialysis patients in Palestine: a cross-sectional study

Sarhan

Jarareh²,

Shraim

2021

BMC Nephrol

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Background Health related quality of life (HRQOL) is an important indicator of medical treatment and is a strong predictor of disability and mortality. The literature has shown mixed evidence about whether kidney transplantation improves HRQOL compared with other renal replacement modalities. The aim of this study was to compare the HRQOL in kidney transplant recipients (KTRs) and hemodialysis (HD) patients. Methods A cross-sectional study of 100 KTRs and 272 HD patients from two central kidney units in the West Bank, Palestine. The HRQOL was assessed using the Short Form-36 Health Survey. Multivariable linear regression was used to estimate differences in mean HRQOL scores between KTRs and HD patients. Results As compared to HD patients, KTRs had higher clinically important HRQOL in main domains and subscales of the SF-36 including physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health, ranging between 15.5 for social functioning (95% Confidence Interval (CI) 10.1, 20.7) to 32.6 for general health (95% CI 24.0, 41.1). Conclusions We found that KTRs have better HRQOL than HD patients in physical and mental components of the SF-36 scale including physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. Further longitudinal research comparing HRQOL among KTRs and the general population may identify key modifiable factors associated with lower HRQOL among KTRs that are amenable to intervention.

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No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain

Cited by 15 publications

References 27 publications

Associations between Paraspinal Muscle Morphology, Disc Degeneration, and Clinical Features in Patients with Lumbar Spinal Stenosis

Associations between Paraspinal Muscle Morphology, Disc Degeneration, and Clinical Features in Patients with Lumbar Spinal Stenosis

Evaluation criteria for the assessment of occupational diseases of the lumbar spine - how reliable are they? -

Quality of life for kidney transplant recipients and hemodialysis patients in Palestine: a cross-sectional study

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