Morphometry of the Psoas Muscle in Individuals with Chronic Low Back Pain using Magnetic Resonance Imaging Psoas Muscle Morphometry in Chronic Back Pain

Article Sidebar

Abstract Full Article PDF
Published: Jul 19, 2023
Keywords:
Psoas muscle chronic low back pain Psoas muscle, chronic, low back pain, magnetic resonance imaging

Main Article Content

Ebbi Donald Robinson
Department of Human Anatomy, Faculty Of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
Boma Uriah Erekosima
Department of Radiology, Rivers State University Teaching Hospital/ Faculty Of Clinical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Kinikanwo Monday Didia
Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.
Grateful Nwokocha
Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Abstract

Introduction: Psoas muscle is located in the iliopsoas compartment; it originates at the transverse process of the lumbar vertebrae; T12-L5 and inserts at the lesser trochanter of the femur (Christiane, 2020). Chronic low back pain is low back pain lasting more than 12 weeks (Brian et al, 2012). Aim: To determine the dimensions of the psoas muscle in patients with chronic low back pain using magnetic resonance imaging (MRI). Materials and Methods: This retrospective study was done in the Radiology department of the Rivers State University Teaching Hospital following ethical approval. Sixty MRI images of sixty patients, 18years and above, were used to study the psoas muscle. The data were analyzed using SPSS version 23.0 and Excel 2019 edition. Sex differences were determined using the T-test, while side differences were determined using paired T-test. Differences in measured parameters across body mass index (BMI) categories were determined using ANOVA. Confidence interval was set at 95% and P < 0.05 was considered statistically significant. Results: Dimensions of right psoas muscle obtained were higher in male subjects compared to females. Sexual dimorphism was observed in the height (T = 2.30; P = 0.02) of the individuals with chronic low back pain. There was no sexual dimorphism in all measured parameters at P < 0.05, implying that the dimension of the psoas muscle in chronic low back pain is same for both sexes. The mean width was higher in obese subjects (4.26
+0.45cm), followed by overweight (4.19 + 0.41cm) and normal subjects (3.73 + 0.46). The mean length of psoas muscle followed a similar pattern. The mean length of the psoas muscle followed a similar pattern. Conclusion: Sexual dimorphism was observed in the height of individuals with chronic low back pain. However, there was no sexual dimorphism in other parameters, suggesting that the dimensions of the psoas muscle in chronic low back pain are the same for both sexes.

Article Details

How to Cite
Donald Robinson, E., Uriah Erekosima, B., Didia , K. . M., & Nwokocha, G. (2023). Morphometry of the Psoas Muscle in Individuals with Chronic Low Back Pain using Magnetic Resonance Imaging: Psoas Muscle Morphometry in Chronic Back Pain. Journal of Basic Medical and Clinical Sciences, 2(1), 47–55. Retrieved from https://jbmcs.org.ng/index.php/jbmcs/article/view/2
Issue
Vol. 2 No. 1 (2023): Ahead-of-Print
Section
Original Articles
Author Biographies

Ebbi Donald Robinson, Department of Human Anatomy, Faculty Of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

 

 

Boma Uriah Erekosima, Department of Radiology, Rivers State University Teaching Hospital/ Faculty Of Clinical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

 

 

Kinikanwo Monday Didia , Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

 

 

Grateful Nwokocha, Department of Human Anatomy, Faculty of Basic Medical Sciences, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

 

 

References

BBC Science, (2014). Human Body & Mind. Retrieved from bbc.co.uk/science/hum.

Brian, R. W., Philip, J. B., & Andrew, J. S. (2012). Low back pain in the United States: incidence and risk factors for presentation in the emergency setting. Spine Journal 12 (1), 63-70.

Christiane, N. (2020). Why Your Psoas Muscle Is the Most Vital Muscle in Your Body. Retrieved from www.drnorthrup.com

Cooper, R. G., Clair, F., & Jayson, M. I. (1992). Radiographic demonstration of paraspinal muscle wasting in patients with chronic low back pain. Rheumatology 31 (6) 389-394.

Jan, E. G., Julie, A. H., & Paul, W. H. (2013). Size and symmetry of trunk muscles in ballet dancers with and without low back pain. Journal of orthopedic & sports physical therapy 43 (8), 525-533.

Jasvinder, C. (2018). What is the prevalence of low back pain (LBP)? Retrieved from www.medscape.com

Juraj, A., Ivan, P., Verner, M., Hrvoje, V., Gordana, S., Stanislav, P., … Daniela, M. (2013). MRI features of the psoas major muscle in patients with low back pain. European spine journal 22 (9), 1965-1971.

Morris, L.D., Daniels, K.J., Ganguli, B. et al. (2018). An update on the prevalence of low back pain in Africa: a systematic review and meta-analyses. BMC Musculoskelet Disord 19, 196 https://doi.org/10.1186/s12891-018-2075-x

Muzeyyen, K., Demet, K., Hasan, O., Dilek, E., & Funda, L. (2007). CT measurement of the trunk muscle areas in patients with chronic low back pain. Diagnostic and interventional radiology 13 (3), 144.

Niamh, G. (2021). Psoas major muscle. Retrieved from kenhub.com.

Nottidge, T. E, Nottidge, B. A, Ekrikpo, U. E. (2019). Prevalence and predictors of low back pain in a Southern Nigerian hospital. Ann Afr Med. 18(3):167-172. doi: 10.4103/aam.aam_59_18. PMID: 31417018; PMCID: PMC6704812.

Parkkola, R., Rytokoski, U., & Kormano, M. (1993). Magnetic resonance imaging of the discs and trunk muscles in patients with chronic low back pain and healthy control subjects. Spine 18 (7), 830-836.