Symmetrical analysis of paravertebral muscles during superman exercise in patients with adolescent idiopathic scoliosis

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2024-11-26 DOI:10.1016/j.clinbiomech.2024.106400

Hongmiao Zhang , Zi Wang , Zhaohua Yuan , Sui Liang , Hua Zhang , Xianzeng Li

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引用次数: 0

Abstract

Background

To investigate the asymmetry of paravertebral muscles during the superman exercise in patients with adolescent idiopathic scoliosis, and to analyze the applicability of this exercise for the rehabilitation of these patients from the perspective of muscle electromyographic activity.

Methods

37 patients with adolescent idiopathic scoliosis are selected for this study. Surface electromyography signals of the bilateral paravertebral muscles during the daily sitting and the superman exercise are recorded. The differences in Surface electromyography of the bilateral paravertebral muscles are analyzed using the root mean square method and the paraspinal muscle symmetry index.

Findings

The results show that there is no significant difference in the paraspinal muscle symmetry index between the two states. Specifically, 29 patients exhibit the same paraspinal muscle symmetry index, 2 patients have similar indices, and 6 patients display different indices. The root mean square of the convex side paravertebral muscles is generally higher than that of the concave side.

Interpretation

In this study, the activation level of paravertebral muscles during the superman exercise is similar to that during the daily sitting, with the activation level on the convex side being higher than that on the concave side. This indicates that the superman exercise is not suitable for the rehabilitation of patients with adolescent idiopathic scoliosis and may even exacerbate the condition.

查看原文本刊更多论文

青少年特发性脊柱侧凸患者进行超人运动时椎旁肌肉的对称性分析

背景研究青少年特发性脊柱侧凸患者在进行超人运动时椎旁肌肉的不对称性，并从肌肉肌电活动的角度分析该运动对这些患者康复的适用性。本研究选择了 37 名青少年特发性脊柱侧弯症患者，记录他们在日常坐姿和超人运动中的双侧椎旁肌表面肌电图信号。结果表明，两种状态下的椎旁肌肉对称性指数没有显著差异。具体来说，29 名患者的脊柱旁肌肉对称性指数相同，2 名患者的指数相似，6 名患者的指数不同。本研究中，超人运动时椎旁肌肉的激活水平与日常坐姿相似，凸侧的激活水平高于凹侧。这表明超人训练并不适合青少年特发性脊柱侧凸患者的康复训练，甚至可能会加重病情。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.