Association Between Trendelenburg Sign and Lumbar MRI Abnormalities
Association of the Trendelenburg Sign With Spinopelvic Biomechanics and Lumbar MRI Abnormalities"
調査の概要
詳細な説明
The Trendelenburg sign is a clinical indicator of hip abductor muscle dysfunction and altered pelvic stability. Changes in hip abductor function may affect spinopelvic biomechanics and contribute to lumbar degenerative changes. This prospective observational study aims to investigate the association between Trendelenburg sign positivity and lumbar MRI abnormalities in adults with chronic low back pain.
Participants will be classified as Trendelenburg-positive or Trendelenburg-negative based on clinical examination. Hip abductor muscle strength and lumbar MRI findings will be evaluated. MRI parameters will include the presence and severity of facet joint arthropathy, ligamentum flavum thickness, multifidus muscle thickness, and psoas muscle characteristics.
The primary objective is to determine whether a positive Trendelenburg sign is associated with lumbar facet arthropathy. Secondary objectives include evaluating the relationships between the Trendelenburg sign, hip abductor strength, and other lumbar MRI parameters. The findings may improve understanding of the biomechanical relationship between hip function and lumbar degeneration in patients with chronic low back pain.
研究の種類
入学 (推定)
連絡先と場所
研究連絡先
- 名前：zeynep Iyigun, Prof. MD
- 電話番号：+905056987368
- メール：zeynep.iyigun@bau.edu.tr
研究場所
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Istanbul、トルコ（Türkiye）
- Bahçeşehir University
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参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Age between 18 and 65 years.
- Patients who have previously presented to the clinic with a complaint of low back pain.
- Willingness and ability to provide written informed consent for participation in the study.
- Availability of lumbar MRI images obtained within the previous 12 months and accessible for evaluation.
Exclusion Criteria:
- Presence of red flag conditions associated with low back pain, including malignancy, infection, acute trauma, or significant neurological deficits.
- History of lumbar spine surgery.
- Structural spinal anomalies such as sacralization or lumbarization.
- Spinal deformities, including scoliosis.
- Rheumatologic diseases affecting the spine (e.g., axial spondyloarthritis).
- Significant radiculopathy or advanced neurological deficits, and the presence of extruded or sequestrated lumbar disc herniation.
- Clinically significant lumbar spinal stenosis.
- Spondylolysis and/or spondylolisthesis.
- Acute vertebral fracture, compression fracture, or recent fracture associated with severe osteoporosis.
- Hip or pelvic conditions that may directly influence the Trendelenburg sign, including: History of hip arthroplasty or hip surgery, advanced hip osteoarthritis, residual deformity following lower-extremity fracture, significant leg length discrepancy (>2 cm).
- Systemic or neuromuscular disorders, including multiple sclerosis, myopathies, amyotrophic lateral sclerosis (ALS), stroke, or peripheral neuropathies.
- Pregnancy.
- Severe knee or ankle pathology or other conditions causing substantial gait impairment.
研究計画
研究はどのように設計されていますか？
デザインの詳細
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Presence and Severity of Lumbar Facet Joint Arthropathy
時間枠：Baseline
|
Assessment of the presence and severity of lumbar facet joint arthropathy on magnetic resonance imaging (MRI) and its association with Trendelenburg sign positivity.
|
Baseline
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。