PATTERN OF ASYMMETRY OF PARASPINAL MUSCLE SIZE IN ADOLESCENT IDIOPATHIC SCOLIOSIS EXAMINED BY REAL-TIME ULTRASOUND IMAGING - A PRELIMINARY-STUDY

被引:72
作者
KENNELLY, KP [1 ]
STOKES, MJ [1 ]
机构
[1] ROYAL HOSP & HOME,RES DEPT,W HILL,LONDON SW15 3SW,ENGLAND
关键词
Adoloscent idiopathic scoliosis; Imaging paraspinal muscles; Multifidus muscle; Ultrasound;
D O I
10.1097/00007632-199306000-00017
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The symmetry of lumbar multifidus size was examined in 20 patients with adolescent idiopathic scoliosis, aged 12-19 years. With the subject prone, bilateral real-time ultrasound images were obtained at the level of the 4th lumbar vertebra. Cross-sectional area and linear (horizontal and vertical) measurements were made using on-screen calipers. A pattern of asymmetry of lumbar multifidus cross-sectional area was shown to exist for the different curve types. The cross-sectional area was smaller (P < 0.0001) on the opposite side to the convexity of a primary thoracic curve, and on the convex side of a lumbar or thoracolumbar curve. The combined linear measurements (multiplied) correlated with cross-sectional area (r = 0.95) and could therefore be used for rapid clinical assessment of multifidus size. These preliminary findings provide a basis for further investigation of the role of the musculature in the pathogenesis of adolescent idiopathic scoliosis.
引用
收藏
页码:913 / 917
页数:5
相关论文
共 24 条
[1]  
Amonoo-Kuofi H.S., The density of muscle spindles in the medial, intermediate and lateral columns of human intrinsic post-vertebral muscles, J Anat, 136, pp. 509-519, (1983)
[2]  
Edwards R.E., Lippold O., The relations between force and integrated electrical activity in fatigued muscle, J Physiol, 132, pp. 677-681, (1956)
[3]  
Enneking W.F., Harrington P., Pathological changes in scoliosis, J Bone Joint Surg, 51A, pp. 165-184, (1969)
[4]  
Ford D.M., Bagnall K.M., McFadden K.D., Greenhill B.J., Raso V.J., Paraspinal muscle imbalance in adolescent idiopathic scoliosis, Spine, 9, pp. 373-376, (1984)
[5]  
Gershuni D.H., Gosink B.B., Hargens A.R., Et al., Ultrasound evaluation of the anterior musculofascial compartment of the leg following exercise, Clin Orthop, 167, pp. 185-190, (1982)
[6]  
Green R., Histochemistry and ultrastructure of paraspinal muscles in idiopathic scoliosis and control subjects, Med Lab Sci, 38, pp. 197-216, (1981)
[7]  
Heckmatt J.Z., Pier N., Dubowitz V., Measurement of quadriceps muscle thickness and subcutaneous tissue thickness in normal children by real-time ultrasound imaging, J Clin Ultrasound, 16, pp. 171-176, (1988)
[8]  
Hides J., Cooper D.H., Stokes M.J., Diagnostic ultrasound imaging for measurement of the lumbar multifidus muscle in normal young adults, Physiother Theory Pract, 8, pp. 19-26, (1992)
[9]  
Low M.D., Chew E.C., Kung L.S., Hsu L., Leong J., Ultrastructure of nerve fibres and muscles spindles in adolescent idiopathic scoliosis, Clin Orthop Rel Res, 174, pp. 217-221, (1983)
[10]  
Macintosh J.E., Valencia F., Bogduk N., Munro R.R., The morphology of the lumbar multifidus, Clin Biomech, 1, pp. 196-204, (1986)