Fatih TEMİZTÜRK, Şule TEMİZTÜRK, Yasemin ÖZKAN, M. Hayri ÖZGÜZEL

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

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

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

Objective: The aim of this study was to investigate therelationship between clinical examination and magneticresonance imaging (MRI) findings in the patients withlow back pain.Material and Methods: We retrospectively examinedthe files of 100 patients who fulfilled the inclusion criteriaof the study among 560 in patients, who were treated inphysical medicine and rehabilitation clinic between 2009and 2011. The clinical examination findings and MRIfindings of the patients were recorded in the follow-upform. The relationship between the clinical examinationfindings and MRI findings was examined.Results: Visual analogue scale and intervertebral discdegeneration didn’t correlate significantly. In the patientswho had a sequestered herniation, the rate of musclestrength loss was significantly higher (40%). In thecases of extruded disc herniation, the rate of a positivestraight leg raising test was significantly higher (77,8%).The association between the disc protrusion and clinicalexamination findings was not significant. The relationshipbetween posterolateral herniation and restriction inlumbar flexion angle was significant (p<0.05).Conclusion: In this study a correlation is determinedbetween MRI findings of extruded or sequestered,posterolateral herniations and physical examinationfindings, but no relationship was found between theother MRI findings and physical examination in patientswith low back pain.

Keywords:

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

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