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Association between cervical lordotic curvature and cervical muscle cross-sectional area in patients with loss of cervical lordosis

Authors
 Seo Yeon Yoon  ;  Hyun Im Moon  ;  Sang Chul Lee  ;  Na Lae Eun  ;  Yong Wook Kim 
Citation
 Clinical Anatomy, Vol.31(5) : 710-715, 2018 
Journal Title
 Clinical Anatomy 
ISSN
 0897-3806 
Issue Date
2018
Keywords
anatomy ; cross-sectional ; lordosis ; magnetic resonance imaging ; paraspinal muscles
Abstract
Disruption of the cervical lordotic curve can cause undesirable symptoms such as neck pain, and cord compression. The purpose of this study was to investigate the biomechanics of loss of cervical lordosis by measuring the cross-sectional area (CSA) of the cervical muscles using magnetic resonance imaging (MRI), and to determine the relationship between cervical lordosis angle and cervical muscle status. The cervical lordosis angle was measured on standing lateral plain radiography using the posterior tangent technique in patients who complained of neck pain. The CSAs of the cervical flexor muscles including the longus cervicis and longus capitis, the cervical extensor muscles including the splenius capitis and semispinalis capitis, and the sternocleidomastoid muscle, were measured at the maximum levels by axial T1-weighted MRI. We compared neck muscle CSAs between the two groups, the correlation with cervical lordosis angle, and muscle status including CSA and imbalance. The CSA of the semispinalis capitis was significantly lower in the loss of cervical lordosis group, and the ratio of cervical flexor to extensor was significantly different between the two groups (P < 0.05). Partial correlation analysis revealed that the cervical lordotic angle was significantly positively correlated with the ratio of flexor to extensor muscle CSAs (P < 0.05). There is a significant relationship between cervical muscle imbalance, including extensor muscle weakness, and loss of cervical lordosis. An exercise program focusing on cervical extensor muscle strengthening and restoring the balance of flexor and extensor muscles is recommended for patients with loss of cervical lordosis. Clin. Anat. 31:710-715, 2018. (c) 2018 Wiley Periodicals, Inc.
Full Text
https://onlinelibrary.wiley.com/doi/abs/10.1002/ca.23074
DOI
10.1002/ca.23074
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Wook(김용욱) ORCID logo https://orcid.org/0000-0002-5234-2454
Eun, Na Lae(은나래) ORCID logo https://orcid.org/0000-0002-7299-3051
Lee, Sang Chul(이상철) ORCID logo https://orcid.org/0000-0002-6241-7392
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162556
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