Evidence map›Paper›PMID 39966792›Full record

ArticleBMC musculoskeletal disorders2025

Paraspinal muscles activities in S-shaped adolescent idiopathic scoliosis during physiotherapeutic scoliosis specific exercise: a case-control study.

Yu Wang, Shuhan Wang, Minghui Gu, Jiang Xu, Xiaolin Huang, Lingfeng Xie

Abstract read
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Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yu Wang *Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Shuhan Wang *NHC Key Laboratory of Glycoconjugates Research, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fudan University, Shanghai, China.
Minghui GuDepartment of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Jiang XuDepartment of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Xiaolin HuangDepartment of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Lingfeng XieDepartment of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China. xielingfeng1983@126.com.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundWhile Insights into the dynamics of the paraspinal muscles can contribute to more targeted interventions for individuals with adolescent idiopathic scoliosis (AIS), few studies have focused on changes in the paraspinal muscles of AIS during Physiotherapeutic Scoliosis-Specific Exercise (PSSE). Therefore, this study compared the differences in muscle activities between AIS and healthy subjects during PSSE, aiming to provide a scientific guidance of clinical treatment and daily life for AIS.

methodsTwelve S-shaped AIS and ten age-matched healthy controls participated. Five paired target paraspinal muscle groups (upper end vertebra, apex vertebra, lower end vertebra of the thoracic and apex vertebra, lower end vertebra of the lumbar) were assessed by surface electromyography (sEMG) during five postures: relaxed sitting, erect sitting, symmetrical pole-sitting correction and asymmetrical pole-sitting over-correction (1 and 2). Hold each posture for 20s and repeat 3 times to obtain sEMG data.

resultsThe results revealed that exercises effectively activated paraspinal muscles in AIS subjects, with a stronger activation observed during asymmetrical exercises (P < 0.05). Compared to healthy group, AIS subjects exhibited inhibited paraspinal muscle activity during relaxed sitting at the apex vertebra of thoracic and lumbar spine (P < 0.01). Additionally, in erect sitting, AIS subjects also showed inhibition of the paraspinal muscles at the apex of thoracic spine (P < 0.05). Furthermore, erect sitting failed to enhance symmetric muscle activation in S-shaped AIS.

conclusionsThese findings indicate that increasing the proportion and intensity of asymmetric exercises in PSSE treatments could enhance the activation and functional recovery of paraspinal muscles in AIS individuals. Furthermore, close monitoring of paraspinal muscle activity during rehabilitation is recommended to enable timely adjustments to the treatment regimen.

trial registrationChinese Clinical Trial Registry ChiCTR2300075167, 28th of August, 2023.

Indexed as

Exercise TherapyParaspinal MusclesScoliosisAdolescentCase-Control StudiesChildElectromyographyFemaleHumansMalePostureThoracic VertebraeAdolescent idiopathic scoliosisParaspinal musclePhysiotherapeutic scoliosis specific exerciseSurface electromyography

Identifiers

PMID39966792
PMCPMC11837671

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