Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis

Background. The problem of the effect of adolescent idiopathic scoliosis on the functional condition of the lower limb muscles is still highlighted insufficiently.Aim. Analysis of the degree of involvement of the lower limb muscles in the pathological process in adolescents with idiopathic scoliosis...

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Autores principales: E. N. Shchurova, M. S. Saifutdinov, T. I. Dolganova, M. A. Akhmedova, A. P. Gorbach
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Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2021
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spelling oai:doaj.org-article:ca1dc5df694b40d8ae580454c3fb601c2021-11-23T06:14:46ZAnalysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis2541-94202587-959610.29413/ABS.2021-6.2.18https://doaj.org/article/ca1dc5df694b40d8ae580454c3fb601c2021-06-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2747https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. The problem of the effect of adolescent idiopathic scoliosis on the functional condition of the lower limb muscles is still highlighted insufficiently.Aim. Analysis of the degree of involvement of the lower limb muscles in the pathological process in adolescents with idiopathic scoliosis.Methods. A comparative analysis has been made on the results of examination of 209 adolescents: 25 adolescents with idiopathic scoliosis; 170 normal adolescents; 14 adolescents with congenital scoliosis. The moments of force ofthe lower limb muscles were evaluated using dynamometric stands. Electrophysiological characteristics of the lower limb muscles were registered by the method of global and stimulation electroneuromyography.Results. The decrease in the amplitude of voluntary EMG of the femoral muscles in adolescents with idiopathic and congenital scoliosis is accompanied by dropping the moments of force relative to the values of the control group. The leg muscles are characterized by the preservation of the values of force at the level of normal test subjects under the conditions of the reduced voluntary EMG of high frequency. The amplitude of the M-responses of the indicator muscles and the values of the excitation propagation velocity along the motor fibers were also preserved. There are no statistically significant correlations between the amount of the spine deformity, on the one hand, and the values of asymmetry of the characteristics of the muscles in adolescents with idiopathic scoliosis.Conclusion. In adolescents with idiopathic scoliosis the function of femoral muscles is decreased, and there is no relationship between the amount of the spine deformity and the values of asymmetry of the characteristics of the lower limb muscles. The similar character of muscle function changes in adolescents with idiopathic and congenital scoliosis can testify that the cause of the observed changes is not the disease etiology, but the insufficient level of motor activity.E. N. ShchurovaM. S. SaifutdinovT. I. DolganovaM. A. AkhmedovaA. P. GorbachScientific Сentre for Family Health and Human Reproduction Problemsarticleadolescencelower limbsmuscle strengthbioelectric activity of musclesspinal deformitiesidiopathic scoliosiscongenital scoliosisScienceQRUActa Biomedica Scientifica, Vol 6, Iss 2, Pp 154-165 (2021)
institution DOAJ
collection DOAJ
language RU
topic adolescence
lower limbs
muscle strength
bioelectric activity of muscles
spinal deformities
idiopathic scoliosis
congenital scoliosis
Science
Q
spellingShingle adolescence
lower limbs
muscle strength
bioelectric activity of muscles
spinal deformities
idiopathic scoliosis
congenital scoliosis
Science
Q
E. N. Shchurova
M. S. Saifutdinov
T. I. Dolganova
M. A. Akhmedova
A. P. Gorbach
Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis
description Background. The problem of the effect of adolescent idiopathic scoliosis on the functional condition of the lower limb muscles is still highlighted insufficiently.Aim. Analysis of the degree of involvement of the lower limb muscles in the pathological process in adolescents with idiopathic scoliosis.Methods. A comparative analysis has been made on the results of examination of 209 adolescents: 25 adolescents with idiopathic scoliosis; 170 normal adolescents; 14 adolescents with congenital scoliosis. The moments of force ofthe lower limb muscles were evaluated using dynamometric stands. Electrophysiological characteristics of the lower limb muscles were registered by the method of global and stimulation electroneuromyography.Results. The decrease in the amplitude of voluntary EMG of the femoral muscles in adolescents with idiopathic and congenital scoliosis is accompanied by dropping the moments of force relative to the values of the control group. The leg muscles are characterized by the preservation of the values of force at the level of normal test subjects under the conditions of the reduced voluntary EMG of high frequency. The amplitude of the M-responses of the indicator muscles and the values of the excitation propagation velocity along the motor fibers were also preserved. There are no statistically significant correlations between the amount of the spine deformity, on the one hand, and the values of asymmetry of the characteristics of the muscles in adolescents with idiopathic scoliosis.Conclusion. In adolescents with idiopathic scoliosis the function of femoral muscles is decreased, and there is no relationship between the amount of the spine deformity and the values of asymmetry of the characteristics of the lower limb muscles. The similar character of muscle function changes in adolescents with idiopathic and congenital scoliosis can testify that the cause of the observed changes is not the disease etiology, but the insufficient level of motor activity.
format article
author E. N. Shchurova
M. S. Saifutdinov
T. I. Dolganova
M. A. Akhmedova
A. P. Gorbach
author_facet E. N. Shchurova
M. S. Saifutdinov
T. I. Dolganova
M. A. Akhmedova
A. P. Gorbach
author_sort E. N. Shchurova
title Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis
title_short Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis
title_full Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis
title_fullStr Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis
title_full_unstemmed Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis
title_sort analysis of the degree of involvement of the lower limb muscles in the pathological process in adolescents with idiopathic scoliosis
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2021
url https://doaj.org/article/ca1dc5df694b40d8ae580454c3fb601c
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