Study On The Correlation Between Lumbar Stability And Low Back Muscle Degeneration

Study backgroundLumbar stability refers to the lumbar spine in loaded capacity to maintain their normal deformation of the structure,the size of the lumbar spine stiffness. Lumbar sections in part of the force under excessive shift would make lumbar segmental instability, caused low back pain. Lumbar spinal instability is one of the lumbar degenerative changes, current studies suggest: lumbar disc degeneration with age in General, but the degeneration regularity of different structures are not the same, there are also significant differences between different age and sex.The stability of the spine endogenous and exogenous stable system stable system composition, inner balance system including the vertebral body, disc, between vertebra joints, joint capsule, ligament, etc, and the external balance system is a direct or indirect role in spinal body muscle group. Around the spine in maintaining the stability of the muscle spine has important significance.The theory of traditional Chinese medicine in many ways have all emphasized the relationship between the ribs and bone. The prime of paralysis on the:"rib bone and facilitate joint main beam." One of the four principles of TCM treatment of tendon injuries "bones" think:tendons attached to the bone, treatment with only bones and the method used to achieve "reinforced soft bone". The Roman class sequence pointed out:"limb loss in outside, the injury of qi and blood to, Ying and Wei are not sequential, Zang-Fu viscera of discord". Theory of the Prime stick to saying:"rib injury within the liver, renal bone injury, pulse moves within the wound, flesh wound in the spleen".However currently on lumbar lost stability of clinic more limited to by image learn on lumbar of within source sexual stability structure as vertebral body, and small joint, and disc and the ligament of changes made judge, and less on maintained lumbar stability of outside source sexual structure is spinal of active stability system (vertebral next muscle as more crack muscle, most long muscle, iliac lumbar rib muscle,) of changes for system research, while lack on muscle system lesions clear of quantitative standard. This is because on the one hand due to the limitation of the development of imaging technologies and related application technology of popularity is not enough. Partly because of the new medical concept proposed and being recognized and accepted the theory of needs a process. But with the development of socio-economic and science and technology, diagnosis of soft tissue using MRI technology found the lesion has become possible. MRI imaging methods of the diversity and because of the sensitivity of the soft tissue lesions good that she is muscle damage diagnosis of the superior method.Based on the above criteria, this topic through the use of MRI technology for low back pain patients to determine the low back muscle degeneration of detection as well as on the stability of lumbar spine and low back to assess the relationship between muscle degeneration. Syndrome differentiation of traditional Chinese medicine in patients with low back pain at the same time, according to the Chinese medicine "liver primary reinforcement, the kidney dominates bone" theory, statistical analysis of renal deficiency, deficiency of the liver is the main syndrome of patients with lumbar vertebral instability, from the perspective of traditional Chinese medicine on lumbar stability and demonstrated the correlation between lumbar back muscles.Research purposeThis topic on patients with lumbar vertebral instability by using MRI technology to detect the low back muscle degeneration of as well as on the stability of lumbar spine and low back to assess the relationship between muscle degeneration. Hope this issue will provide clinical health workers on lumbar spinal instability and disease understanding, provide some basis for diagnosis and treatment and prevention, and wish to move from traditional Chinese medicine "bones" and "deficiency of liver and renal deficiency" angle for lumbar stability and provides some proof of the relationship between lumbar back muscles.Materials and methodsA prospective analysis of83cases (including40research group, control group of40cases, normal group3) research objects. Bed performance and image MRI and X line performance, pursuant to lumbar back muscle back variable of MRI evaluation index, evaluation analysis research object of lumbar back muscle back variable situation, statistics analysis research object of lumbar back muscle MRI displayed thickness value in research group and control group between of differences significantly sexual using TEST returns the probability value t test, samples for testing; Crack on many different changes of muscle groups differences between rank and Kruskal-Wallis testing of samples; Crack on patients’symptoms and more intramuscular fat infiltration of the correlation between Chi square test; Study group and the control group used the difference of syndromes of traditional Chinese medicine between rank and Kruskal-Wallis tests. Get P<0.05means a statistically significant difference.ResultsResearch Group study of40cases with an average thickness of lumbodorsal muscles low back muscle thickness greater than40patients of the control group and statistical significance to the difference (p=0.0480); Group of men in the study group and the control group average thickness of lumbodorsal muscles than women group, differences between men and women have statistically significant (p<0.05); Research Group on intervertebral lumbar dorsal muscle thickness L4/5total intervertebral lumbar dorsal muscle thickness is larger than the control group L4/5and the difference statistically significant (p=0.001); Represented by the multifidus muscles, observing the morphology of intramuscular fat infiltration of the low back muscles and signals (even, uneven), the study group and the control group and there was no clear difference between statistical significance (p>0.05); Symptoms and multifidus muscles in patients with fatty infiltration of the correlation between statistical studies, no statistical significance between the two (P=0.964>0.05); Both of study group and the control group most dialectical types of renal deficiency, deficiency of liver, no statistically significant difference between the two (P=0.33>0.05).ConclusionNo significant positive correlation between the stability of the lumbar and back muscle degeneration.