지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 296 - 303 (8page)
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초록· 키워드
오류제보하기
Background: To achieve a prolonged therapeutic effect in patients with lumbar facet joint syndrome, radiofrequency medial branch neurotomy (RF-MB) is commonly performed. The purpose of this study was to evaluate the prognostic value of paravertebral muscle twitching when performing RF-MB in patients with lumbar facet joint syndrome.Methods: We collected and analyzed data from 68 patients with confirmed facet joint syndrome. Sensory stimulation was performed at 50 Hz with a 0.5 V cut-off value. Patients were divided into 3 groups according to the twitching of the paravertebral muscle during 2 Hz motor stimulation: ‘Complete’, when twitching was observed at all needles; ‘Partial’, when twitching was present at 1 or 2 needles; and ‘None’, when no twitching was observed. The relationship between the long-term effects of RF-MB and paravertebral muscle twitching was analyzed.Results: The mean effect duration of RF-MB was 4.6, 5.8, and 7.0 months in the None, Partial, and Complete groups, respectively (P = 0.47). Although the mean effect duration of RF-MB did not increase significantly in proportion to the paravertebral muscle twitching, the Complete group had prolonged effect duration (＞ 6 months) than the None group in subgroup analysis. (P = 0.03).Conclusions: Paravertebral muscle twitching while performing lumbar RF-MB may be a reliable predictor of long-term efficacy when sensory provocation under 0.5 V is achieved. However, further investigation may be necessary for clarifying its clinical significance. (Korean J Pain 2017; 30: 296-303)
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Beresford ZM / 2010 / Lumbar facet syndromes / Curr Sports Med Rep 9 : 50 ~ 56
Bogduk N / 1982 / The human lumbar dorsal rami / J Anat 134 : 383 ~ 397
Cavanaugh JM / 1997 / Mechanisms of low back pain : a neurophysiologic and neuroanatomic study / Clin Orthop Relat Res : 166 ~ 180
Cohen SP / 2011 / Does sensory stimulation threshold affect lumbar facet radiofrequency denervation outcomes? A prospective clinical correlational study / Anesth Analg 113 :
Cohen SP / 2013 / Establishing an optimal"cutoff"threshold for diagnostic lumbar facet blocks : a prospective correlational study / Clin J Pain 29 : 382 ~ 391
Bogduk N / 1982 / The human lumbar dorsal rami / J Anat 134 : 383 ~ 397
Cavanaugh JM / 1997 / Mechanisms of low back pain : a neurophysiologic and neuroanatomic study / Clin Orthop Relat Res : 166 ~ 180
Cohen SP / 2011 / Does sensory stimulation threshold affect lumbar facet radiofrequency denervation outcomes? A prospective clinical correlational study / Anesth Analg 113 :
Cohen SP / 2013 / Establishing an optimal"cutoff"threshold for diagnostic lumbar facet blocks : a prospective correlational study / Clin J Pain 29 : 382 ~ 391
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