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
[11]  
Martinson H., Stokes M.J., Measurement of anterior tibial muscle size using real-time ultrasound imaging, Eur J Appl Physiol, 63, pp. 250-254, (1991)
[12]  
Portillo D., Sinhora G., McNeill T., Spencer D., Schultz A., Trunk strengths in structurally normal girls and girls with idiopathic scoliosis, Spine, 7, pp. 551-554, (1982)
[13]  
Reuber M., Schultz A., McNeill T., Spencer D., Trunk muscle myoelectric activities in idiopathic scoliosis, Spine, 8, pp. 447-456, (1983)
[14]  
Riddle H., Roaf R., Muscle imbalance in the causation of scoliosis, Lancet, 1, pp. 1245-1246, (1955)
[15]  
Saghal V., Shah A., Flanagan N., Et al., Morphologic and morphometric studies of muscle in idiopathic scoliosis, Acta Orthop Scand, 54, pp. 242-251, (1983)
[16]  
Shakespeare D.T., Stokes M., Sherman K.P., Young A., Reflex inhibition of the quadriceps after meniscectomy: Lack of association with pain, Clin Physiol, 5, pp. 137-144, (1985)
[17]  
Stokes M.J., Hides J.A., Jull G.A., Cooper D.H., Mechanism of human paraspinal muscle wasting with acute low back pain, J Physiol (Abstract), 290, (1992)
[18]  
Stokes M., Young A., The contribution of reflex inhibition to arthrogenous muscle weakness, Clin Sci, 67, pp. 7-14, (1984)
[19]  
Stokes M., Young A., Measurement of quadriceps cross-sectional area by ultrasonography: A description of the technique and its applications in physiotherapy, Physiother Prac, 2, pp. 31-36, (1986)
[20]  
Stokes M., Young A., Muscle weakness due to reflex inhibition: Future research in different areas of rehabilitation Proc Xth World, Confed Phys Ther, pp. 416-420, (1987)