Investigation of the Relationship Between Clinical Examination and Magnetic Resonance Imaging Findings in Patients with Low Back Pain

Öz

Objective: The aim of this study was to investigate the
relationship between clinical examination and magnetic
resonance imaging (MRI) findings in the patients with
low back pain.
Material and Methods: We retrospectively examined
the files of 100 patients who fulfilled the inclusion criteria
of the study among 560 in patients, who were treated in
physical medicine and rehabilitation clinic between 2009
and 2011. The clinical examination findings and MRI
findings of the patients were recorded in the follow-up
form. The relationship between the clinical examination
findings and MRI findings was examined.
Results: Visual analogue scale and intervertebral disc
degeneration didn’t correlate significantly. In the patients
who had a sequestered herniation, the rate of muscle
strength loss was significantly higher (40%). In the
cases of extruded disc herniation, the rate of a positive
straight leg raising test was significantly higher (77,8%).
The association between the disc protrusion and clinical
examination findings was not significant. The relationship
between posterolateral herniation and restriction in
lumbar flexion angle was significant (p<0.05).
Conclusion: In this study a correlation is determined
between MRI findings of extruded or sequestered,
posterolateral herniations and physical examination
findings, but no relationship was found between the
other MRI findings and physical examination in patients
with low back pain.

Anahtar Kelimeler

• Magnetic resonance imaging
• low back pain
• intervertebral disc degeneration

Bel Ağrılı Hastalarda Klinik Muayene Bulguları ve Manyetik Rezonans Görüntüleme Bulguları Arasındaki İlişkinin Araştırılması

Öz

Amaç: Bu çalışmanın amacı, bel ağrısı şikayeti olan hastaların klinik muayene bulguları ile manyetik rezonans görüntüleme(MRG) bulguları arasındaki ilişkiyi araştırmaktır.

Gereç ve Yöntem: 2009-2011 tarihleri arasında fizik tedavi ve rehabilitasyon servisimizde yatan 560 hasta arasından, çalışmaya alınma kriterlerimizi karşılayan 100 hasta dosyası retrospektif olarak incelendi. Hastaların klinik muayene bulguları, MRG bulguları hasta takip formuna kaydedildi. Klinik muayene bulguları ile MRG bulguları arasındaki ilişki araştırıldı.

Bulgular: Görsel ağrı skalası ile intervertebral disk dejenerasyonu arasında anlamlı ilişki bulunamadı. Sekestre herni olan olgularda kuvvet kaybı oranı (% 40) anlamlı olarak yüksekti. Ekstrüde herni olan olgularda düz bacak kaldırma testi pozitifliği oranı (% 77,8) anlamlı olarak yüksekti. Protrüzyon ile klinik muayene bulguları arasında anlamlı ilişki bulunamadı. Posterolateral herniasyon ile lomber fleksiyon hareketindeki kısıtlılık arasındaki ilişki istatistiksel olarak anlamlıydı.

Sonuç: Bu çalışmada bel ağrılı hastaların MRG’sinde ekstrüde, sekestre ve posterolateral herniasyon ile fizik muayene bulguları arasında korelasyon tesbit edilirken, diğer MRG bulgularının fizik muayene ile ilişkisi bulunamamıştır.

 

 

Anahtar Kelimeler

• Manyetik rezonans görüntüleme
• other MRI findings and physical examination in patients bel ağrısı
• intervertebral disk dejenerasyonuwith low back pain

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