ArticleAsian spine journal2023
Electromyographic Discrepancy in Paravertebral Muscle Activity Predicts Early Curve Progression of Untreated Adolescent Idiopathic Scoliosis.
Article in Asian spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07738588 (Design of a Wireless and Non-Invasive EMG-Based Embedded Measurement System for Monitoring Muscle Activation Asymmetries in Scoliosis), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Design of a Wireless and Non-Invasive EMG-Based Embedded Measurement System for Monitoring Muscle Activation Asymmetries in Scoliosis
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review.PloS one · 2024Pooled it
- Therapeutic Effect of Schroth Method on Plantar Pressure and Related Muscle Imbalance in Children and Adolescent With Idiopathic Scoliosis.Archives of rehabilitation research and clinical translation · 2026Article
- The asymmetrical ROS-METTL3-ESR1 axis in paraspinal muscle progenitor cells determines the progression of adolescent idiopathic scoliosis.Experimental & molecular medicine · 2026Article
- Effects of Bracing Combined With Tele-Rehabilitation-Guided Family Physiotherapeutic Scoliosis-Specific Exercises on Adolescent Idiopathic Scoliosis.Orthopaedic surgery · 2026Article
- The role of proprioception in the management and rehabilitation of adolescent idiopathic scoliosis.Frontiers in rehabilitation sciences · 2026Article
- Wearable Devices in Scoliosis Treatment: A Scoping Review of Innovations and Challenges.Bioengineering (Basel, Switzerland) · 2025Review
- Paraspinal muscles activities in S-shaped adolescent idiopathic scoliosis during physiotherapeutic scoliosis specific exercise: a case-control study.BMC musculoskeletal disorders · 2025Article
- Spinal muscle characteristics during three different types of locomotion activities among college students with idiopathic scoliosis.BMC musculoskeletal disorders · 2024Article
- Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis.Children (Basel, Switzerland) · 2024Article
- Elasticity and cross-sectional thickness of paraspinal muscles in progressive adolescent idiopathic scoliosis.Frontiers in pediatrics · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
STUDY
designThis study adopted a prospective cohort study design. PURPOSE: This study aimed to examine electromyogram (EMG) discrepancy in paravertebral muscle activity and scoliosis progression, determine how vertebral morphology and EMG discrepancy evolve during scoliosis progression, and identify differences in EMG activity between individuals with and without adolescent idiopathic scoliosis (AIS). OVERVIEW OF LITERATURE: Higher EMG activity is observed in the convex side of scoliotic curves, but not in populations without scoliosis, suggesting that higher EMG activity is a causative factor for curve progression.
methodsIn this study, 267 matched pairs of AIS and controls were recruited. The participants underwent EMG measurements at their first presentation and did not receive any treatment for 6 months at which point they underwent EMG and radiographs. Early curve progression was defined as >5° in Cobb angle at 6 months. The root mean square of the EMG (rms-EMG) signal was recorded with the participants in sitting and back extension. The rms-EMG ratio at the upper end vertebrae, apical vertebrae (AV), and lower end vertebrae (LEV) of the major curve was calculated.
resultsThe rms-EMG ratio in the scoliosis cohort was high compared with that in the controls (sitting: 1.2±0.3 vs. 1.0±0.1, p<0.01; back extension: 1.1±0.2 vs. 1.0±0.1, p<0.01). An AV rms-EMG ratio in back extension, with a cutoff threshold of ≥1.5 in the major thoracic curve and ≥1.3 in the major lumbar curve, was a risk factor for early curve progression after 6 months without treatment (odds ratio, 4.1; 95% confidence interval, 2.8-5.9; p<0.01). Increases in side deviation (SD) (distance between the AV and the central sacral line) were related to a higher rms-EMG ratio in LEV of the major thoracic curve (baseline: rs=0.2, p=0.03; 6 months: rs=0.3, p<0.01).
conclusionsAn EMG discrepancy was detected in the scoliosis cohort, which was related to increases in SD in the major thoracic curve. The AV rms-EMG ratio in back extension was correlated with curve progression after 6 months of no treatment.
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