A comparison of interferential current efficacy in elderly intervertebral disc degeneration patients with or without sarcopenia : a retrospective study

© 2024. The Author(s)..

BACKGROUND: Intervertebral disc degeneration and sarcopenia are both age-related diseases without effective treatments. Their comorbidities may worsen the prognosis, and further studies on interaction and therapy are needed. The purpose of the study was to investigate the prevalence of sarcopenia in intervertebral disc degeneration, and to compare the characteristics of intervertebral disc degeneration with and without sarcopenia and effects of interferential current.

METHODS: One hundred twenty disc degeneration patients were included from 2021 to 2022 in a single institute. Medical records, examination results and radiological reports were reviewed. Patients with sarcopenia were screened and grouped according to Asian Working Group for Sarcopenia 2019. VAS, ODI, SARC-F, SMI, gait speed (GS), grip strength, disc Pfirrmann grading, standard cross-sectional area (SCSA), degree of fatty infiltration (DFF), and nerve conduction velocity (NCV) were assessed before and after treatment.

RESULTS: The prevalence of sarcopenia in intervertebral disc degeneration was 28.3%. The difference of VAS, ODI, disc Pfirrmann grading, SCSA, DFF and NCV between two groups were significant before intervention (P < 0.05), SCSA and DFF were related to the degree of disc degeneration. The improvement of SMI, GS, grip strength, VAS, SARC-F and ODI in intervertebral disc degeneration with sarcopenia group was significant after intervention, as well as SMI, GS, grip strength, VAS and ODI in those without sarcopenia (P < 0.05). The improvement of grip strength, GS, ODI and SARC-F in intervertebral disc degeneration with sarcopenia group were greater than the one without sarcopenia (P < 0.05), whereas there was no significance in improvement degree of other indicators between the two groups (P > 0.05).

CONCLUSION: The prevalence of sarcopenia was high in intervertebral disc degeneration, and paravertebral muscles degeneration correlated with the degree of disc degeneration. Compared to those without sarcopenia, intervertebral disc degeneration patients with sarcopenia have more severe pain, poorer mobility and neurological function. Interferential current is effective in intervertebral disc degeneration patients and sarcopenia patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

BMC musculoskeletal disorders - 25(2024), 1 vom: 13. März, Seite 214

Sprache:

Englisch

Beteiligte Personen:

Yuan, Hui [VerfasserIn]
Dong, Lini [VerfasserIn]
Zhang, Ou [VerfasserIn]
Wang, Xiaoxiao [VerfasserIn]
Chen, Zejun [VerfasserIn]
Li, Yunchao [VerfasserIn]
He, Haoyu [VerfasserIn]
Lü, Guohua [VerfasserIn]
Li, Jing [VerfasserIn]
Kuang, Lei [VerfasserIn]

Links:

Volltext

Themen:

Bioelectrical impedance analysis
Interferential current
Intervertebral disc degeneration
Journal Article
Paravertebral muscles
Sarcopenia

Anmerkungen:

Date Completed 15.03.2024

Date Revised 16.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12891-024-07337-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36970889X