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06.02.2019 | Original Article

ISSLS PRIZE IN CLINICAL SCIENCE 2019: clinical importance of trunk muscle mass for low back pain, spinal balance, and quality of life—a multicenter cross-sectional study

verfasst von: Yusuke Hori, Masatoshi Hoshino, Kazuhide Inage, Masayuki Miyagi, Shinji Takahashi, Shoichiro Ohyama, Akinobu Suzuki, Tadao Tsujio, Hidetomi Terai, Sho Dohzono, Ryuichi Sasaoka, Hiromitsu Toyoda, Minori Kato, Akira Matsumura, Takashi Namikawa, Masahiko Seki, Kentaro Yamada, Hasibullah Habibi, Hamidullah Salimi, Masaomi Yamashita, Tomonori Yamauchi, Takeo Furuya, Sumihisa Orita, Satoshi Maki, Yasuhiro Shiga, Masahiro Inoue, Gen Inoue, Hisako Fujimaki, Kosuke Murata, Ayumu Kawakubo, Daijiro Kabata, Ayumi Shintani, Seiji Ohtori, Masashi Takaso, Hiroaki Nakamura

Erschienen in: European Spine Journal | Ausgabe 5/2019

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Abstract

Study design

A multicenter cross-sectional study.

Objectives

To clarify the relationship of trunk muscle mass with low back pain, spinal sagittal balance, and quality of life.

Summary of background data

Few reports have investigated the relationship of trunk muscle mass with lumbar spine function and spinal balance, and the clinical significance of trunk muscle mass remains unclear.

Methods

Patients attending spinal outpatient clinics at 10 different medical institutions were enrolled in this study. Patient demographics, trunk muscle mass and appendicular skeletal muscle mass (ASM) measured by bioelectrical impedance analysis (BIA), body mass index (BMI), Charlson Comorbidity Index (CCI), the Oswestry Disability Index (ODI), visual analog scale (VAS) for low back pain, sagittal vertical axis (SVA), and EuroQol 5 Dimension (EQ5D) score were investigated. Multivariate nonlinear regression analysis was used to investigate the association of trunk muscle mass with the ODI, VAS score, SVA, and EQ5D score.

Results

Of 2551 eligible patients, 1738 (mean age 70.2 ± 11.0 years; 781 men and 957 women) were enrolled. Trunk muscle mass was significantly correlated with the ODI, VAS score, SVA, and EQ5D score (P < 0.001) when adjusted for age, sex, BMI, ASM, CCI, and history of lumbar surgery. Patient deterioration was associated with a decrease in trunk muscle mass, and the deterioration accelerated from approximately 23 kg.

Conclusions

Trunk muscle mass was significantly associated with the ODI, VAS score, SVA, and EQ5D score. Trunk muscle mass may assume an important role to elucidate and treat lumbar spinal dysfunction and spinal imbalance.

Graphical abstract

These slides can be retrieved under Electronic Supplementary Material.

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Titel: ISSLS PRIZE IN CLINICAL SCIENCE 2019: clinical importance of trunk muscle mass for low back pain, spinal balance, and quality of life—a multicenter cross-sectional study
verfasst von: Yusuke Hori
Masatoshi Hoshino
Kazuhide Inage
Masayuki Miyagi
Shinji Takahashi
Shoichiro Ohyama
Akinobu Suzuki
Tadao Tsujio
Hidetomi Terai
Sho Dohzono
Ryuichi Sasaoka
Hiromitsu Toyoda
Minori Kato
Akira Matsumura
Takashi Namikawa
Masahiko Seki
Kentaro Yamada
Hasibullah Habibi
Hamidullah Salimi
Masaomi Yamashita
Tomonori Yamauchi
Takeo Furuya
Sumihisa Orita
Satoshi Maki
Yasuhiro Shiga
Masahiro Inoue
Gen Inoue
Hisako Fujimaki
Kosuke Murata
Ayumu Kawakubo
Daijiro Kabata
Ayumi Shintani
Seiji Ohtori
Masashi Takaso
Hiroaki Nakamura
Publikationsdatum: 06.02.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 5/2019
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-019-05904-7

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Springer Medizin

ISSLS PRIZE IN CLINICAL SCIENCE 2019: clinical importance of trunk muscle mass for low back pain, spinal balance, and quality of life—a multicenter cross-sectional study

Abstract

Study design

Objectives

Summary of background data

Methods

Results

Conclusions

Graphical abstract

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Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Study design

Objectives

Summary of background data

Methods

Results

Conclusions

Graphical abstract

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