The Relationship Between Magnetic Resonance Imaging and Functional Tests Assessment in Patients with Lumbar Disk Hernia

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2023 Oct 13

PMID 37830706

Authors

Bogdan-Alexandru Antohe

Huseyin Sahin Uysal

Adelina-Elena Panaet

George-Sebastian Iacob

Marinela Rata

Affiliations

Soon will be listed here.

Abstract

Although magnetic resonance imaging (MRI) findings are the gold standard for diagnosing herniated discs, there are many limitations to accessing MRI scanning devices in practice. This study aimed to evaluate the relationship between functional tests (the visual analog scale (VAS), the SLUMP test, the Sciatica Bothersomeness Index (SBI), the Oswestry Disability Index (ODI), and the LASEGUE test and MRI findings (LSA, IVDH L4-L5, IVDH L5-S1, DHS L4-L5, and DHS L5-S1) in patients diagnosed with disc herniation. Seventy-eight patients who met the inclusion criteria participated in the study. Radiologists and neurologists evaluated patients with disc herniation. After the disc hernia diagnosis, the patients were referred to a physical therapist for conservative management of the disk hernia. The physical therapists assessed the pain level and performed functional tests on patients. All statistical analyses were performed using R (Core Team) software. The correlation between the measured variables was conducted using the Pearson and Spearman tests. The study results indicated statistically significant correlations between DHS L4-L5 vertebral level and functional tests (VAS: = 0.49, = 0.00; SBI: = 0.44, = 0.00; ODI: = 0.49, = 0.00; LASEGUE: = -0.48, = 0.00; SLUMP: = 0.50, = 0.00). In conclusion, physiotherapists may prefer functional tests to diagnose the herniated disc, and these functional tests may contribute to performing evidence-based assessments.

References

Bovenschulte H, Schluter-Brust K, Liebig T, Erdmann E, Eysel P, Zobel C . MRI in patients with pacemakers: overview and procedural management. Dtsch Arztebl Int. 2012; 109(15):270-5. PMC: 3345344. DOI: 10.3238/arztebl.2012.0270. View

Hong J, Lee M, Jung S, Lee S . Does spinal stenosis correlate with MRI findings and pain, psychologic factor and quality of life?. Korean J Anesthesiol. 2015; 68(5):481-7. PMC: 4610928. DOI: 10.4097/kjae.2015.68.5.481. View

Thapa S, Lakhey R, Sharma P, Pokhrel R . Correlation between Clinical Features and Magnetic Resonance Imaging Findings in Lumbar Disc Prolapse. J Nepal Health Res Counc. 2016; 14(33):85-88. View

Carlson B, Albert T . Lumbar disc herniation: what has the Spine Patient Outcomes Research Trial taught us?. Int Orthop. 2019; 43(4):853-859. DOI: 10.1007/s00264-019-04309-x. View

Lee C, Fu T, Liu C, Hung C . Psychometric evaluation of the Oswestry Disability Index in patients with chronic low back pain: factor and Mokken analyses. Health Qual Life Outcomes. 2017; 15(1):192. PMC: 5627480. DOI: 10.1186/s12955-017-0768-8. View

Menezes-Reis R, Garrido Salmon C, Bonugli G, Mazoroski D, Tamashiro M, Savarese L . Lumbar intervertebral discs T2 relaxometry and T1ρ relaxometry correlation with age in asymptomatic young adults. Quant Imaging Med Surg. 2016; 6(4):402-412. PMC: 5009110. DOI: 10.21037/qims.2016.08.01. View

Tsuji T, Matsuyama Y, Sato K, Hasegawa Y, Yimin Y, Iwata H . Epidemiology of low back pain in the elderly: correlation with lumbar lordosis. J Orthop Sci. 2001; 6(4):307-11. DOI: 10.1007/s007760100023. View

Miller K . Physical assessment of lower extremity radiculopathy and sciatica. J Chiropr Med. 2009; 6(2):75-82. PMC: 2647081. DOI: 10.1016/j.jcme.2007.04.001. View

Tabesh H, Tabesh A, Fakharian E, Fazel M, Abrishamkar S . The effect of age on result of straight leg raising test in patients suffering lumbar disc herniation and sciatica. J Res Med Sci. 2015; 20(2):150-3. PMC: 4400709. View

10.

Mulleman D, Mammou S, Griffoul I, Watier H, Goupille P . Pathophysiology of disk-related sciatica. I.--Evidence supporting a chemical component. Joint Bone Spine. 2005; 73(2):151-8. DOI: 10.1016/j.jbspin.2005.03.003. View

11.

Benzakour T, Igoumenou V, Mavrogenis A, Benzakour A . Current concepts for lumbar disc herniation. Int Orthop. 2018; 43(4):841-851. DOI: 10.1007/s00264-018-4247-6. View

12.

Savage R, Whitehouse G, Roberts N . The relationship between the magnetic resonance imaging appearance of the lumbar spine and low back pain, age and occupation in males. Eur Spine J. 1997; 6(2):106-14. PMC: 3454595. DOI: 10.1007/BF01358742. View

13.

Luoma K, Riihimaki H, Luukkonen R, Raininko R, Viikari-Juntura E, Lamminen A . Low back pain in relation to lumbar disc degeneration. Spine (Phila Pa 1976). 2000; 25(4):487-92. DOI: 10.1097/00007632-200002150-00016. View

14.

Mertimo T, Karppinen J, Niinimaki J, Blanco R, Maatta J, Kankaanpaa M . Association of lumbar disc degeneration with low back pain in middle age in the Northern Finland Birth Cohort 1966. BMC Musculoskelet Disord. 2022; 23(1):359. PMC: 9011971. DOI: 10.1186/s12891-022-05302-z. View

15.

Grover V, Tognarelli J, Crossey M, Cox I, Taylor-Robinson S, McPhail M . Magnetic Resonance Imaging: Principles and Techniques: Lessons for Clinicians. J Clin Exp Hepatol. 2015; 5(3):246-55. PMC: 4632105. DOI: 10.1016/j.jceh.2015.08.001. View

16.

Janssen M, Bertrand S, Joe C, Levine M . Lumbar herniated disk disease: comparison of MRI, myelography, and post-myelographic CT scan with surgical findings. Orthopedics. 1994; 17(2):121-7. DOI: 10.3928/0147-7447-19940201-07. View

17.

Stankovic R, Johnell O, Maly P, Willner S . Use of lumbar extension, slump test, physical and neurological examination in the evaluation of patients with suspected herniated nucleus pulposus. A prospective clinical study. Man Ther. 1999; 4(1):25-32. DOI: 10.1016/s1356-689x(99)80006-x. View

18.

Ravikanth R . Magnetic Resonance Evaluation of Lumbar Disc Degenerative Disease as an Implication of Low Back Pain: A Prospective Analysis. Neurol India. 2020; 68(6):1378-1384. DOI: 10.4103/0028-3886.304091. View

19.

Sigmundsson F, Kang X, Jonsson B, Stromqvist B . Correlation between disability and MRI findings in lumbar spinal stenosis: a prospective study of 109 patients operated on by decompression. Acta Orthop. 2011; 82(2):204-10. PMC: 3235292. DOI: 10.3109/17453674.2011.566150. View

20.

Vialle L, Vialle E, Suarez Henao J, Giraldo G . LUMBAR DISC HERNIATION. Rev Bras Ortop. 2016; 45(1):17-22. PMC: 4799068. DOI: 10.1016/S2255-4971(15)30211-1. View