Correlation of surface electromyogram signals of the apex vertebral paraspinal muscle with Cobb angle and axial trunk rotation angle in adolescent idiopathic scoliosis patients

doi:10.3969/j.issn.2095-4344.1223

Abstract

Abstract:

BACKGROUND: The progress of adolescent idiopathic scoliosis is evaluated mainly by X-ray films, but there are many drawbacks in repeated exposure to X-rays, and more methods are urgently needed to improve the diagnosis and treatment process.

OBJECTIVE: To determine whether the muscle function of the paraspinal muscles on both sides of the apical vertebrae is balanced by collecting the surface electromyographic activity signal of the paraspinal muscles on both sides of the apical vertebrae in adolescent idiopathic scoliosis, and to explore the correlation of the root mean square contrast value with the Cobb angle and the axial trunk rotation angle on both sides so as to provide a new method for the clinical diagnosis of adolescent idiopathic scoliosis.

METHODS: Eighty-nine patients with adolescent idiopathic scoliosis were selected, with an average age of (14.78±2.20) years. The root mean square values, Cobb angle and axial trunk rotation angle of the paraspinal muscles on both sides of the apical vertebrae were collected. The root mean square contrast values of the paravertebral muscles on both sides of the apical vertebrae were calculated. The correlation of the root mean square contrast value with Cobb angle and axial trunk rotation angle on both sides of the apical vertebrae was analyzed.

RESULTS AND CONCLUSION: (1) The root mean square value of the vertebral paraspinal muscles of the adolescent idiopathic scoliosis was significantly higher than that of the concave side (P=0.022). (2) In all adolescent idiopathic scoliosis patients, the Cobb angle was correlated with the axial trunk rotation angle (r=0.613, P ≤ 0.001), and the root mean square contrast value was correlated with the axial trunk rotation angle (r=0.269, P=0.011). (3) In patients with mild to moderate adolescent idiopathic scoliosis, there was a positive correlation between the root mean square contrast value and the Cobb angle and axial trunk rotation angle. (4) These results indicate that the muscle function of the paraspinal muscles on both sides of the apical vertebrae in adolescent idiopathic scoliosis patients is unbalanced. In patients with mild to moderate adolescent idiopathic scoliosis, the root mean square contrast value of the vertebral paraspinal muscle and the axial trunk rotation angle can indirectly determine the Cobb angle.

Key words: adolescent idiopathic scoliosis, surface electromyography, root mean square, X-ray, Cobb angle, axial trunk rotation, apex paraspinal muscle

CLC Number:

R445

','1');return false;" target="_blank">

R445

Yuan Wangshu, Chen Lixia, Shen Jianxiong, Wang Hai, Yu Keyi, Liu Ying, Zhou Jingya, Lin Youxi.

Correlation of surface electromyogram signals of the apex vertebral paraspinal muscle with Cobb angle and axial trunk rotation angle in adolescent idiopathic scoliosis patients

[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(24): 3824-3828.

Figures/Tables 2

References

[1]Horne JP, Flannery R, Usman S. Adolescent idiopathic scoliosis: diagnosis and management. Am Fam Physician. 2014;89(3):193-198.

[2]Asher MA, Burton DC. Adolescent idiopathic scoliosis:natural history and long term treatment effects. Scoliosis. 2006;1:2.

[3]Weinstein SL, Dolan LA, Cheng JCY, et al. Adolescent idiopathic scoliosis. Lancet. 2008;371:1527-1537.

[4]Zhang H, Guo C, Tang M, et al. Prevalence of scoliosis among primary and middle school students in mainland china: a systematic review and meta-analysis. Spine (Phila Pa 1976). 2015;40(1):41-49.

[5]Hengwei F, Zifang H, Qifei W, et al. Epidemiology prevalence of idiopathic scoliosis in chinese schoolchildren: a large, population-based study. Spine.2016;(2):259-264.

[6]Teixeira FA, Carvalho GA. Reliability and validity of thoracic kyphosis measurements using flexicurve method. Rev Bras Fisioter. 2007;11(3):199-204.

[7]Ng JK, Kippers V, Richardson CA, et al. Range of motion and lordosis of the lumbar spine: reliability of measurement and normative values. Spine. 2011;26(1):53-60.

[8]Doody MM, Lonstein JE, Stovali M, et al. Breast Cancer Mortality After Diagnostic Radiography. Findings From the U.S. Scoliosis Cohort Study. Spine.2000;25:2052-2011.

[9]Nash CL,Gregg EC, Brown RH, et al. Risks of exposure to X-rays in patients undergoing long term treatment for scoliosis.J Bone Joint Surg.1979;61:371-374.

[10]Rao PS, Gregg EC.A revised estimate of the risk of carcinogenesis from X-rays to scoliosis patients. Invest Radiol. 1984;19:58-60.

[11]Qiao J, Xu L, Zhu Z, et al. Inter- and intraobserver reliability assessment of the axial trunk rotation: manual versus smartphone-aided measurement tools. BMC Musculoskelet Disord. 2014;15(1):343.

[12]Döhnert MB, Tomasi E. Validity of computed photogrammetry for detecting idiopathic scoliosis in adolescents. Rev Bras Fisioter. 2008;12:290-296.

[13]Murrel GAC, Coonrad RW, Moorman CT, et al. An Assesment of the Reliability of the Scoliometer. Spine.1993;18:709-703.

[14]Bonagamba GH, Coelho DM, Oliveira AS. Inter and intra-raterreliability of the scoliometer. Rev Bras Fisioter. 2010;14:432-438.

[15]Coelho DM, Bonagamba GH, Oliveira AS. Scoliometer measurements of patients with idiopathic scoliosis. Braz J Phys Ther. 2013;17(2):179-184.

[16]Carlson BB, Burton DC, Asher MA. Comparison of trunk and spine deformity in adolescent idiopathic scoliosis. Scoliosis. 2013;8(1):2.

[17]Criswell E. Cram’s introduction to Surface Electromyography. MA: Jonesand Bartlett, 2009:3.

[18]Odermatt D, Mathieu PA, Beausejour M, et al. Electromyography of scoliotic patients treated with a brace. J Orthop Res. 2003;21:931-936.

[19]Cheung J, Veldhuizen AG, Halberts JP, et al. Geometric and electromyographic assessments in the evaluation of curve progression in idiopathic scoliosis. Spine. 2006;31:322-329.

[20]Zoabli G, Mathieu PA, Aubin CE. Back muscles biometry in adolescent idiopathic scoliosis. Spine J. 2007;(7): 338-344.

[21]Mannion AF, Meier M, Grob D. Paraspinal muscle fibre type alterations associated with scoliosis: an old problem revisited with new evidence. Eur Spine J. 1998;(7):289-293.

[22]Kwok G, Yip J, Cheung MC, et al. Evaluation of myoelectric activity of paraspinal muscles in adolescents with idiopathic scoliosis during habitual standing and sitting. Biomed Res Int. 2015;2015:958.

[23]Nestoriuc Y, Martin A, Rief W, et al. Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback. 2008;33(3):125-140.

[24]Ahmed MU, Begum S, Funk P, et al. A multi-module case-based biofeedback system for stress treatment. Artif Intell Med. 2011;51(2):107-115.

[25]Kappes B. Biofeedback therapy: training or treatment. Appl Psychophysiol Biofeedback. 2008;33:173-179.

[26]DeVries HA. Efficiency of electrical activity" as a physiological measure of the functional state of muscle tissue. Am J Phys Med. 1968; 47(1):10-22.

[27]Christenstensen H, Lo Monaco M, Dahl K, et al. Progressing of electrical activity in human muscle during a gradual increase in force. Electroencephalogr Clin Neurophysiol. 1984;58(3):230-239.

[28]de Oliveira AS, Gianini PE, Camarini PM, et al. Electromyographic analysis of paravertebral muscles in patients with idiopathic scoliosis. Spine. 2011;36(5):E334-339.

[29]Kwok G, Yip J, Cheung MC, et al. Evaluation of myoelectric activity of paraspinal muscles in adolescents with idiopathic scoliosis during habitual standing and sitting. Biomed Res Int. 2015;2015: 958450.

[30]Cheung J, Veldhuizen AG, Halberts JP, et al. Geometric and electromyographic assessments in the evaluation of curve progression in idiopathic scoliosis. Spine (Phila Pa 1976). 2006 ;31(3):322-329.

[31]Mannion AF, Meier M, Grob D, et al. Paraspinal musclefibre type alterations associated with scoliosis: An old problemrevisited with new evidence. Eur Spine J. 1998; 7(4):289-293.

[32]Bylund P, Jansson E, Dahlberg E, et al. Muscle fiber types inthoracic erector spinae muscles fiber types in idiopathicand other fo RMS of scoliosis. Clin Orthop Relat Res. 1987;(214): 222-228.