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The association of presacral nodules with biomechanics of the lumbar region and lumbar discopaties in patients with low back pain/Bel agrili hastalarda copeman nodullerinin lomber bolge biyomekanigi ve lomber diskopati ile iliskisi

Koybasi, Mine ; Yorgancioglu, Rezan Z ; Oken, Oznur ; Ayhan, Figen ; Tuncbilek, Isil

Türkiye fiziksel tip ve rehabilitasyon dergisi, 2010-03, p.18

Galenos Yayinevi Tic. Ltd

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  • Título:
    The association of presacral nodules with biomechanics of the lumbar region and lumbar discopaties in patients with low back pain/Bel agrili hastalarda copeman nodullerinin lomber bolge biyomekanigi ve lomber diskopati ile iliskisi
  • Autor: Koybasi, Mine ; Yorgancioglu, Rezan Z ; Oken, Oznur ; Ayhan, Figen ; Tuncbilek, Isil
  • Assuntos: Care and treatment ; Complications and side effects ; Diagnosis ; Lordosis ; Low back pain ; Pain ; Risk factors
  • É parte de: Türkiye fiziksel tip ve rehabilitasyon dergisi, 2010-03, p.18
  • Descrição: Objective: The aim of this study was to investigate the relationship between Copeman's nodules, which are seen in the presacral region, and demographic features such as: age, gender, body mass index, number of pregnancies, and presence of lumbar disc lesions and biomechanics of the lumbar region. Materials and Methods: This trial included 58 inpatients (49 women, 9 men; mean age SD:40.7±11.7 years, range 21-67 years) with low back pain. Standing lateral roentgenograms of lumbo-sacral region, ultrasonography of soft tissues and lumbar magnetic resonance imaging were performed in all patients. Sacral angle, lumbo-sacral angle and lumbar lordotic curve were evaluated using Cobb's method in lumbo-sacral x-rays. Results: Significant correlations between Copeman's nodules and body mass index, presence of lumbar discopathy, degrees of lumbar lordotic curve were found. However, age, gender, number of pregnancies, sacral and lumbosacral angle did not correlate with the presence of Copeman's nodules. Conclusion: Copeman's nodules may represent the alterations of the biomechanics of lumbo-sacral region and lumbar disc herniation due to weakness of abdominal muscles. Therefore, strengthening of abdominal muscles and correction of lumbar biomechanics in patients with nodules and low back pain are important in the management of lumbar lordosis. Turk J Phys Med Rehab 2010;56:18-20. Key Words: Copeman's nodules, low back pain, lumbar disc herniation, lumbar lordotic curve Amac: Calismanin amaci, bel agrili hastalarda presakral bolgede rastlanan Copeman nodullerinin yas, cinsiyet, vucut kitle indeksi, gebelik sayisi gibi demografik bulgular, lomber diskopati varligi ve lumbosakral bolgenin biyomekanik ozellikleri ile iliskisini arastirmakti. Gerec ve Yontem: Bu amacla, 21-67 yaslari arasinda (ort. yas 40,7±11,7) 58 bel agrili hasta (49 kadin, 9 erkek) calismaya alindi. Tum hastalara ayakta lateral lumbosakral grafi, yumusak doku ultrasonografisi ve lom-ber bolgenin manyetik resonans goruntulemesi yapildi. Ayakta lateral cekilen lumbosakral grafilerde; sakral aci, lumbosakral aci ve lomber lordoz acisi Cobb metoduna gore hesaplandi. Bulgular: Copeman nodulu ile vucut kitle indeksi, lomber diskopati varligi ve lomber lordoz acisi arasinda anlamli korelasyonlar saptandi. Ancak yas, cinsiyet, kadinlarda gebelik sayisi, sakral aci ve lumbosakral aci ile nodul varligi arasinda bir iliski saptanamadi. Sonuc: Copeman nodulleri, bel agrili hastalarda lomber bolgenin biyomekanik ozelliklerinin degismis olabilecegini ve bir lomber disk patolojisinin olaya eslik edebilecegini akla getirebilir. Bel agrisi ve Copeman nodulu bulunan hastalarda karin kaslarinin guclendirilmesi ile lomber lordozun duzeltilmesi tedavide onemli olabilir. Turk Fiz Tip Rehab Derg 2010;56:18-20. Anahtar Kelimeler: Bel agrisi, Copeman nodulleri, lomber diskopati, lomber lordoz acisi
  • Editor: Galenos Yayinevi Tic. Ltd
  • Idioma: Turco

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