scholarly journals Relations between Posture and Trunk Muscle Functions in Girls with Idiopathic Scoliosis

Author(s):  
Lina Budrienė ◽  
Romualdas Sinkevičius ◽  
Tomas Aukštikalnis ◽  
Indrė Ščiukaitė

Background. Idiopathic scoliosis (IS) affects 1–3% of children aged 10–16 years (Weinstein et al., 2008). It is important to make comprehensive evaluation and treatment of IS because it provokes health problems and progresses (Negrini et al., 2006). There is a lack of research on muscle impairments, their relations with posture in IS (Parent, Ritchter, 2016). Aim – to assess relations between posture and trunk muscle functions in schoolaged girls with IS. Methods. The study included 20 patients with IS. Anthropometric measurements, measurements of posture (habitual standing posture, posture performing auto-correction and performing Matthias test), functional trunk stability evaluation, trunk muscle static endurance tests were used. Results. After performing auto-correction, thoracic kyphosis signifcantly decreased. Measurements showed decreased static trunk muscle endurance, normal proportions between trunk muscle groups: 75% of subjects have trunk instability. Trunk inclination, left major surface rotation statistically signifcantly changed in functional trunk stability test. Statistical moderate correlations were determined between both side trunk muscle static endurance and: medium surface rotation, major left surface rotation, medium lateral deviation. Also between Cobb angle and static endurance of left side trunk muscles. Changes of major left surface rotation in functional trunk stability test correlated with static endurance ratio of both sides trunk muscles. Statistical strong correlation was determined between major right lateral deviation and both sides muscles static endurance. Conclusions. School-aged girls with IS change kyphosis after auto-correction have low static endurance of trunk muscles and dysfunction of functional stability. Statistically moderate and strong correlations between posture parameters and trunk muscle functions were assessed.Keywords: posture, trunk muscle functions, idiopathic scoliosis, school-aged girls.

2020 ◽  
Author(s):  
Roman Michalik ◽  
Juliane Hamm ◽  
Valentin Quack ◽  
Jörg Eschweiler ◽  
Matthias Gatz ◽  
...  

Abstract Background: Until recently, rasterstereographic analysis of the spine was limited to static measurements. However, understanding and evaluating the motion of the spine under dynamic conditions is an important factor in the diagnosis and treatment of spinal pathologies. Aim of this study was to study the spinal posture and pelvic position under dynamic conditions and compare it to static measurements using a dynamic rasterstereographic system. Methods: A total of 121 healthy volunteers (56 females; 65 males) were included in this observational study. The parameters trunk inclination, trunk imbalance, pelvic obliquity, kyphotic angle, lordotic angle, surface rotation and lateral deviation were studied and compared under static and dynamic (1,2,4,5 km/h) conditions using the system “Formetric 4D Motion ® “ (DIERS International GmbH, Germany). Results: Female volunteers had a higher lordotic angle than males under static conditions (p<0.001). Trunk inclination (5.31° vs. 6.74°), vertebral kyphotic angle (42.53° vs. 39,59°) and surface rotation (3.35° vs. 3.81°) increase under dynamic conditions (p<0.001). Trunk inclination and lordotic angle both show significant changes during walking compared to static conditions (p<0.001). Conclusion: The spinal posture differs between females and males during standing and during walking. Rasterstereography is a valuable tool for the dynamic evaluation of spinal posture and pelvic position, which can also be used to quantify motion in the spine and therefore it has the potential to improve the understanding and treatment of spinal pathologies. Trial registration: retrospectively registered


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Roman Michalik ◽  
Juliane Hamm ◽  
Valentin Quack ◽  
Jörg Eschweiler ◽  
Matthias Gatz ◽  
...  

Abstract Background Until recently, rasterstereographic analysis of the spine was limited to static measurements. However, understanding and evaluating the motion of the spine under dynamic conditions is an important factor in the diagnosis and treatment of spinal pathologies. The aim of this study was to study the spinal posture and pelvic position under dynamic conditions and compare it to static measurements using a dynamic rasterstereographic system. Methods A total of 121 healthy volunteers (56 females; 65 males) were included in this observational study. The parameters trunk inclination, trunk imbalance, pelvic obliquity, kyphotic angle, lordotic angle, surface rotation, and lateral deviation were studied and compared under static and dynamic (1, 2, 4, 5 km/h) conditions using the system “Formetric 4D Motion®“ (DIERS International GmbH, Germany). Results Female volunteers had a higher lordotic angle than males under static conditions (p < 0.001). Trunk inclination (5.31° vs. 6.74°), vertebral kyphotic angle (42.53° vs. 39, 59°), and surface rotation (3.35° vs. 3.81°) increase under dynamic conditions (p < 0.001). Trunk inclination and lordotic angle both show significant changes during walking compared to static conditions (p < 0.001). Conclusion The spinal posture differs between females and males during standing and during walking. Rasterstereography is a valuable tool for the dynamic evaluation of spinal posture and pelvic position, which can also be used to quantify motion in the spine and therefore it has the potential to improve the understanding and treatment of spinal pathologies. Trial registration Retrospectively registered


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Toru Shirahata ◽  
Hideaki Sato ◽  
Sanehiro Yogi ◽  
Kaiji Inoue ◽  
Mamoru Niitsu ◽  
...  

Abstract Background Physical inactivity due to cachexia and muscle wasting is well recognized as a sign of poor prognosis in chronic obstructive pulmonary disease (COPD). However, there have been no reports on the relationship between trunk muscle measurements and energy expenditure parameters, such as the total energy expenditure (TEE) and physical activity level (PAL), in COPD. In this study, we investigated the associations of computed tomography (CT)-derived muscle area and density measurements with clinical parameters, including TEE and PAL, in patients with or at risk for COPD, and examined whether these muscle measurements serve as an indicator of TEE and PAL. Methods The study population consisted of 36 male patients with (n = 28, stage 1–4) and at risk for (n = 8) COPD aged over 50 years. TEE was measured by the doubly labeled water method, and PAL was calculated as the TEE/basal metabolic rate estimated by the indirect method. The cross-sectional areas and densities of the pectoralis muscles, rectus abdominis muscles, and erector spinae muscles were measured. We evaluated the relationship between these muscle measurements and clinical outcomes, including body composition, lung function, muscle strength, TEE, and PAL. Results All the muscle areas were significantly associated with TEE, severity of emphysema, and body composition indices such as body mass index, fat-free mass, and trunk muscle mass. All trunk muscle densities were correlated with PAL. The product of the rectus abdominis muscle area and density showed the highest association with TEE (r = 0.732) and PAL (r = 0.578). Several trunk muscle measurements showed significant correlations with maximal inspiratory and expiratory pressures, indicating their roles in respiration. Conclusions CT-derived measurements for trunk muscles are helpful in evaluating physical status and function in patients with or at risk for COPD. Particularly, trunk muscle evaluation may be a useful marker reflecting TEE and PAL.


2021 ◽  
pp. 1-10
Author(s):  
Ryo Miyachi ◽  
Nana Koike ◽  
Suzu Kodama ◽  
Junya Miyazaki

BACKGROUND: Although trunk muscles are involved in many important functions, evaluating trunk muscle strength is not an easy task. If trunk muscle mass and thickness could be used as indicators of trunk muscle strength, the burden of measurement would be reduced, but the relationship between trunk muscle strength and trunk muscle mass and thickness has not been clarified. OBJECTIVE: The purpose of this study was to clarify the relationship between trunk muscle strength and trunk muscle mass by bioelectrical impedance analysis and trunk muscle thickness by ultrasound imaging in healthy adults. METHODS: One hundred and twenty-one healthy university students were included in this study. Trunk flexion/extension muscle strength and trunk muscle mass by bioelectrical impedance analysis, and trunk muscle thickness by ultrasound imaging were measured. RESULTS: Both trunk flexion strength and trunk extension strength were significantly correlated with trunk muscle mass and oblique and rectus abdominis muscle thickness. Multiple regression analysis showed that trunk extension muscle strength had an independent relationship with trunk muscle mass. CONCLUSIONS: This study demonstrated that trunk muscle mass or trunk muscle thickness can be used as an alternative means for evaluating trunk muscle strength, making the evaluation of trunk muscles less burdensome.


Author(s):  
María del Mar Moreno-Muñoz ◽  
Fidel Hita-Contreras ◽  
María Dolores Estudillo-Martínez ◽  
Agustín Aibar-Almazán ◽  
Yolanda Castellote-Caballero ◽  
...  

Background: Abdominal Hypopressive Training (AHT) provides postural improvement, and enhances deep trunk muscle activation. However, until recently, there was a lack of scientific literature supporting these statements. The major purpose of this study was to investigate the effect of AHT on posture control and deep trunk muscle function. Methods: 125 female participants aged 18–60 were randomly allocated to the Experimental Group (EG), consisting of two sessions of 30 min per week for 8 weeks of AHT, or the Control Group (CG), who did not receive any treatment. Postural control was measured with a stabilometric platform to assess the static balance and the activation of deep trunk muscles (specifically the Transverse Abdominal muscle (TrA)), which was measured by real-time ultrasound imaging. Results: The groups were homogeneous at baseline. Statistical differences were identified between both groups after intervention in the Surface of the Center of Pressure (CoP) Open-Eyes (S-OE) (p = 0.001, Cohen’s d = 0.60) and the Velocity of CoP under both conditions; Open-Eyes (V-OE) (p = 0.001, Cohen´s d = 0.63) and Close-Eyes (V-CE) (p = 0.016, Cohen´s d = 0.016), with the EG achieving substantial improvements. Likewise, there were statistically significant differences between measurements over time for the EG on S-OE (p < 0.001, Cohen´s d = 0.99); V-OE (p = 0.038, Cohen´s d = 0.27); V-CE (p = 0.006, Cohen´s d = 0.39), anteroposterior movements of CoP with Open-Eyes (RMSY-OE) (p = 0.038, Cohen´s d = 0.60) and activity of TrA under contraction conditions (p < 0.001, Cohen´s d = 0.53). Conclusions: The application of eight weeks of AHT leads to positive outcomes in posture control, as well as an improvement in the deep trunk muscle contraction in the female population.


1987 ◽  
Vol 31 (4) ◽  
pp. 462-466 ◽  
Author(s):  
Sean Gallagher ◽  
Richard L. Unger ◽  
E. William Rossi

The purpose of this study was to examine the lifting capacity of low-seam coal miners in four restricted work postures (roof heights of 36″, 40″, 44″, and 48″), investigate the associated metabolic costs, and to examine electromyographic (EMG) data from eight trunk muscles during the lifting procedure. Subjects were thirteen underground miners accustomed to handling materials in restricted work postures. Each subject performed two twenty-minute periods of asymmetric lifting in each of four postures during the day of testing. The frequency of lifting was 10 lifts per minute. A specially designed lifting box incorporated microswitches in one handle of the box and another in the bottom of the box, in order to examine the trunk muscle function at specific points during the lfting cycle. The data collected will be used by the Bureau of Mines to make recommendations for lifting materials in low-seam coal mines.


2017 ◽  
Vol 27 (5) ◽  
pp. 71-75
Author(s):  
Vaiva Strukčinskaitė ◽  
Juozas Raistenskis ◽  
Aurelija Šidlauskienė ◽  
Birutė Strukčinskienė ◽  
Sigitas Griškonis

The prevalence of scoliosis in the paediatric population is increasing every year. The treatment of idiopathic scoliosis in Lithuania is based on traditional physical therapy, and it is not always the most effective. Schroth method recently is widely globally used evidence-based conservative scoliosis treatment method. The aim of the study was to assess the effects of the Schroth method treatment for trunk muscles’ static endurance and spine mobility in girls with idiopathic scoliosis. The study was conducted in 2016-2017 at the Physical Medicine and Rehabilitation Centre, Children’s Hospital, Affiliate of Vilnius University Hospital Santaros Klinikos. In the study participated 50 girls aged 9-17 years with idiopathic scoliosis. The patients were divided into two groups: the study group (n = 25) and the control group (n = 25). Schroth treatment method for the study group and a traditional physiotherapy for the control group were used. For patients were applied 10 procedures of physiotherapy (for 30 minutes, 5 times a week). The study showed that trunk muscles’ static endurance results after rehabilitation were significantly higher in the study group than in the control group (p&lt;0.05). The analysis of the average changes in the results between the groups revealed that in the study group the results of abdominal muscles (16.08 s more), left side trunk muscles (6.98 s more), and right side trunk muscles (7.84 s more) had changed significantly. Results of spine mobility significantly improved in both groups after rehabilitation (p&lt;0.05). Trunk flexion amplitude estimated to have significantly greater improvement in the study group. The treatment using Schroth method had significantly improved the indicators of trunk muscles’ static endurance and mobility of the spine during spinal flexion. When compare the results inside the groups, the significant change was shown in the majority of spine and posture-related parameters in the study group. Special physiotherapy, especially Schroth method for children with idiopathic scoliosis have been shown to be an effective conservative treatment for scoliosis.


2021 ◽  
Author(s):  
Nika Zolfaghari

The study of seated balance, specifically for the application of wheelchair users, has been an area of interest for quite some time. Unfortunately, most of the available studies to date have focused on upper limb and shoulder muscles, and little has been done analyzing the activity of trunk muscles (abdominal and back). For the purpose of this study, motorized rotational motion in the forward and backward directions at ±45 degrees was simulated, and the corresponding trunk muscle activity of nine healthy subjects was recorded by surface electromyography (EMG) for eight muscles, including an analysis on the effect of holding on to a harness for support, coupled with the presence of a visual input. The collected raw data was filtered, and the produced results illustrated that the muscle activity was greatest in the forward rotational direction, when the subject was holding on to a harness for support, with visuals present.


1992 ◽  
Vol 36 (10) ◽  
pp. 742-746
Author(s):  
Christopher A. Hamrick ◽  
Sean Gallagher

Trunk muscle activity of twelve healthy males with coal mining experience was examined while each subject lifted a box under various conditions. The independent variables were four levels of posture (kneeling, stooped under a 1.2 m roof, stooped under a 1.6 m roof, and standing), height to which the box was lifted (35 cm or 70 cm), and weight of the lifting box (15 kg, 20 kg, or 25 kg). The dependent variables were the peak EMG values recorded during a lift for each of eight trunk muscles (left and right erectores spinae, left and right latissimus dorsi, left and right external oblique, and left and right rectus abdominis). Posture and weight of lift significantly affected peak activity of the left and right erectores spinae, the left and right latissimus dorsi muscles, and the right external oblique muscle. The latissimus dorsi muscle activity was highest in the low stooping posture, and was lowest in the kneeling posture, while erectores spinae activity was highest in the kneeling posture and decreased as the trunk became more flexed. Thus, the muscle activity during lifting tasks is affected by restricting a worker's posture. Consequently, many lifting guidelines and recommendations currently in use may not be directly applicable to work being performed in restricted postures.


Author(s):  
Kazuma Uebayashi ◽  
Yu Okubo ◽  
Takuya Nishikawa ◽  
Taro Morikami ◽  
Jindo Hatanaka

BACKGROUND: Given the characteristics of the superficial trunk muscles that cross the chest and pelvis, their excessive contraction might limit chest mobility. OBJECTIVE: To examine the immediate effects of two types of trunk muscle exercises on chest mobility and trunk muscle activities. METHODS: Fourteen healthy men (age: 21.1 ± 1.0 years, height: 172.7 ± 5.6 cm, weight: 61.0 ± 7.1 kg, body mass index: 20.4 ± 1.7 kg/m2; mean ± SD) randomly performed trunk side flexion and draw-in exercises using a cross-over design. The chest kinematic data and trunk muscle activities were measured before and after each intervention during the following tasks: maximum inspiration/expiration and maximum pelvic anterior/posterior tilt while standing. Two-way repeated measures analysis of variance was used for statistical analysis (P< 0.05). RESULTS: After the side flexion, upper and lower chest mobility significantly decreased, and superficial trunk muscle activity significantly increased during the maximum pelvic anterior tilt (P< 0.05). Additionally, after the draw-in, upper chest mobility significantly increased during the maximum pelvic anterior tilt (P< 0.05). CONCLUSIONS: Increased activity of the superficial abdominal muscles might limit chest mobility during maximum pelvic anterior tilt. Conversely, the facilitation of deep trunk muscles might increase upper chest mobility during the maximum pelvic anterior tilt.


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