Kong Bong-Jun, Lim Jong-Soo, Kim Kyung
Department of Physical Therapy, Daegu University Graduate School of Physical Therapy, Daegu University, Republic of Korea.
J Phys Ther Sci. 2014 Jan;26(1):37-40. doi: 10.1589/jpts.26.37. Epub 2014 Feb 6.
[Purpose] This study investigated the relationship between herniated nucleus pulposus (HNP) and fat infiltration of muscles around the spine by measuring body mass index (BMI) and fat infiltration of the muscles around the spine. [Subjects and Methods] Subjects were 82 people, both men and women they were divided into two groups, a normal group and a patient group who were suffering from serious HNP between L4 and L5. Of the anthropometric measurement, and fat infiltration muscles by measuring the cross-sectional area from the center of the disc to the muscle around the spine and the cross-sectional area of fat infiltration. [Results] Fat infiltration rate of each lumbar layer in the normal group was different L34-L45 and L45-L5S1, but not between L23-L34. Fat infiltration in the muscle between the normal group and patients with HNP was different in the layers and the difference was greatest in the L5-S1 layer. [Conclusion] We performed correlation analysis of BMI and the total fat infiltration rate in each group to find the relationship between obesity and fat infiltration in the lumbar spine. Fat infiltration increased, and normal people or patients with chronic back pain are considered to be exposed to other diseases as fat infiltration in the lumbar spine increases.
[目的]本研究通过测量体重指数(BMI)和脊柱周围肌肉的脂肪浸润情况,探讨腰椎间盘突出症(HNP)与脊柱周围肌肉脂肪浸润之间的关系。[对象与方法]研究对象为82人,男女皆有,分为正常组和患有L4至L5严重HNP的患者组。进行人体测量,并通过测量从椎间盘中心到脊柱周围肌肉的横截面积以及脂肪浸润的横截面积来评估肌肉脂肪浸润情况。[结果]正常组各腰椎层面的脂肪浸润率在L34 - L45和L45 - L5S1之间存在差异,但在L23 - L34之间无差异。正常组与HNP患者的肌肉脂肪浸润在各层面存在差异,且在L5 - S1层面差异最大。[结论]我们对每组的BMI与总脂肪浸润率进行了相关性分析,以找出肥胖与腰椎脂肪浸润之间的关系。脂肪浸润增加,并且正常人和慢性背痛患者被认为随着腰椎脂肪浸润的增加会面临其他疾病。