MUTIFIDUS MUSCLE CROSS SECTIONAL AREA MEASURED BY MRI IN FEMALES WITH CHRONIC IDIOPATHIC NECK PAIN
Wael Gabr*, Mohamed Kamal, Osama Abdel Salam, Monzer Mustafa, Moustafa E.M. Radwan
ABSTRACT
Multifidus muscles asymmetry and atrophy was found to be associated with chronic idiopathic spine pain[1], OBJECTIVE: This study tries to find a relation between chronic idiopathic neck pain and structural abnormality in multifidus muscle using MRI study Methods: 32 patients with chronic idiopathic neck pain (CINP) and 20 healthy subjects were recruited in this study. The multifidus muscle cross sectional area measured by MRI was compared in patients and control groups. P associa Results: .The mean cross sectional area (CSA) in cm2 of the multifidus muscle measured by MRI at the level C3, C4, C5 and C6 vertebrae were significantly reduced only in patients with severe CINP as compared to control group, while it was comparable to control group in patients with mild, and moderat CINP. There was no significant asymmetry between left and right sides in patient with CINP. Conclusion: severe CINP associated with structural changes in the neck muscles and can be detected by MRI studies. The CINP must be managed properly before development of paraspinal muscles atrophy.
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