Correlation between pressure pain threshold and L4-5 supraspinous ligament biomechanics after cesarean delivery under spinal anesthesia.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Mohamed G Ali, Rehab S Mamoon, Reem M Alwhaibi, Mohammed A M Sarhan, Amel M Yousef, Fahima M Okeel, Hoda M Zakaria, Abeer A Mohammed, Mohammed A Soliman, Mohammad Auais
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引用次数: 0

Abstract

BackgroundLocalized low back pain is a frequent complaint after spinal anesthesia for cesarean delivery (CD).ObjectivesThis study aimed to examine the pressure pain threshold (PPT) and biomechanical properties (stiffness, elasticity, relaxation time, and creep) of the L4-5 supraspinous ligament at the spinal anesthesia needle insertion site in women who had CD. These measurements were compared with those from the controls who never had pregnancy or anesthesia, and correlations between the variables were explored.MethodsA retrospective cohort study involved 44 women, divided into two groups. Group A: 22 women experienced spinal anesthesia for CD, and Group B: 22 women represented the controls. L4-5 supraspinous ligament's PPT was measured using pressure algometry, and its biomechanical properties were assessed with the MyotonPRO device.ResultsSignificant differences were found in PPT between the two groups (P = 0.0001), but non-significant differences were observed in stiffness, elasticity, relaxation time, or creep (P = 0.318, 0.344, 0.241, and 0.227, respectively). There were also non-significant correlations between PPT and biomechanical properties.ConclusionWomen who experienced spinal anesthesia for CD showed increased tenderness and lower PPT at the L4-5 site, 6-12 weeks postpartum, with minor changes in supraspinous ligament biomechanics. The relationship between PPT and these properties was negligible.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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