Red flags, yellow flags, questionnaires d’évaluation et place de la kinésithérapie au sein du processus de diagnostic standardisé de la lombalgie non spécifique

Fournier, Nicolas

doi:10.1016/j.kine.2014.11.084

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…On the other hand, their etiologies would be represented by a sedentary lifestyle and reduced physical activity, which are often related to the overweight, Forensic Medicine and Anatomy Research weakness and atrophy of parasipinaux muci, particularly multifidus [23]. To this must be added an extension of the neurological inhibition of the lumbar multifid muscle following an injury in the lower back where dysfunction is a very common cause [24]. Because of these risk factors, lower back injuries and the incidence and severity of fatty atrophy of the lumbar multifidus muscle tend to be directly correlated with the duration of the symptoms of low back pain.…”

Section: Discussionmentioning

confidence: 99%

Impact of Multifidus Muscle Morphometry on the Clinical Evolution of Chronic Low Back Pain

Mar¹,

Ndiaye²,

Diop³

et al. 2023

FMAR

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Purpose: The multifidus muscle is an important extensor muscle of the lumbar spine. It plays a major role in the stability and realization of axial rotation movements of the thoraco-lumbar spine. Its atrophy by fatty degeneration would be at the origin of the occurrence of chronic low back pain which constitutes a public health problem in Senegal. Taking into account its anatomy is essential for the etiopathogenic analysis and the treatment of low back pain. The purpose of our work was to investigate the impact of multifidus muscle morphometry on the anatomy-clinical evolution of low back pain. Material and method: this was a prospective study over a period of 30 months from November 2019 to May 2022. It involved 100 patients seen in the neurology department of Fann Hospital for chronic low back pain and who had already had a scanner falling within the criteria for low back pain. We used 3D Slicer, SPSS 20, Excel 2016 software to model and analyze the morphometric data of the multifidus muscle after physiotherapy and control lumbar scans. Results: The sex ratio was 2.23. The average age of the patients was 45 ± 7 years. On the initial CT scan, according to the Hadar classification, we noted a predominance of grade 2 with 56% in L5/S1, followed by grade 1 with 32% and grade 3 with 14%. In L4/L5, the majority of patients, 67%, had grade 1. A conflicting circumferential disc bulge with the roots predominating in L5/S1 was present in 94% of men (p-value = 0.02

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Section: Discussionmentioning

confidence: 99%