MUSCLE DISORDERS IN ADOLESCENT IDIOPATHIC SCOLIOSIS: LITERATURE REVIEW

Alves, Débora Pinheiro Lédio; Araújo, Barbara de

doi:10.1590/S1808-185120161501151839

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Review Article • Coluna/Columna 15 (1) • Jan-Mar 2016 • https://doi.org/10.1590/S1808-185120161501151839 copy

MUSCLE DISORDERS IN ADOLESCENT IDIOPATHIC SCOLIOSIS: LITERATURE REVIEW

DISTÚRBIOS MUSCULARES NA ESCOLIOSE IDIOPÁTICA DO ADOLESCENTE: REVISÃO DA LITERATURA

ANORMALIDADES MUSCULARES EN LA ESCOLIOSIS IDIOPÁTICA DEL ADOLESCENTE: REVISIÓN DE LA LITERATURA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Scoliosis is characterized by three-dimensional changes of the spine and is estimated to be present in 4% of the population worldwide. The most common form is the adolescent idiopathic. The purpose of this study is to identify the major muscle abnormalities found in patients with adolescent idiopathic scoliosis through a literature review. We conducted an electronic search of the national databases PubMed, Lilacs, PEDro, and EMBASE using the keywords "scoliosis", "biomechanics", "exercise", "physical therapy specialty", "idiopathic", and "muscles", from January 2003 to April 2015. The most relevant articles in English, Portuguese and Spanish were selected by title and abstract. It was also performed a manual search of the references of the selected articles. From a total of 4,319 articles, 11 were selected. We conclude that individuals with AIS have changes in the paraspinal muscles, with a difference in activation between the concave and convex sides, suggesting an increase in EMG activity on the convex side, although there is still no consensus among the authors.

Keywords:
Scoliosis, Biomechanical phenomena; Adolescent; Exercise, Physical therapy specialty; Muscles

Keywords	Data base	References located
Scoliosis and biomechanics	Pubmed PEdro LILACS EMBASE	157 0 2 143
Idiopathic and scoliosis andexercises	Pubmed PEdro LILACS EMBASE	240 13 3 0
Scoliosis and physical and therapy	Pubmed PEdro LILACS EMBASE	946 7 30 71
Scoliosis and muscle	Pubmed PEdro LILACS EMBASE	1575 28 1104 0
Total	4319

Autor e ano	Type of study	Oxford	Objective	Sample	Conclusion
Pingot et al.²⁸ 2007	Intervention	2C	To evaluate the torque of the hip flexor and extensor muscles in IS.	N:123	Change in strength on both sides.
Lin et al.²⁹ 2010.	Cross-sectional paired control study	2B	To determine whether subjects with IS have dysfunction of the shoulder kinematics and, if so, whether it is related to muscular activation.	N: 26	Change in the EMG in patients with upper thoracic curve.
Mahaudens et al.³⁰ 2005	Simple study paired for age and sex	2B	To evaluate the impact of pelvic change secondary to AIS and the efficiency of the locomotor mechanism, both in a standing position and walking.	N: 24	Change in the paraspinal, abdominal, and lumbar quadratus muscles.
Gaudreault et al.³¹ 2005	Pilot study (controlled)	2B	To evaluate the paraspinal muscles of the subjects with IS using EMG and to compare the difference in activation of the two sides.	N: 16	Change in the EMG on the convex side of the curve.
Cheung et al.³² 2006.	Longitudinal prospective study	3C	To evaluate the development of the curve, the relationship between the variables and the EMG, and this relationship during progression.	N: 105	Increase in the EMG of the convex side during the period of curve progression.
Cheung et al.³³ 2005	Cross-sectional study	3B	To examine the relationship between the EMG activity of the paraspinal muscles and the progression of the scoliotic curve.	N: 23	Relationship between the EMG activity and the progression of the curve.
Oliveira et al.³⁴ 2011	Prospective clinical study	3B	To record and process the myoelectric amplitude of the erector spinae muscles in IS and to compare it with healthy individuals.	N: 30	Without difference in activation between the sides of the curve.
Tsai et al.³⁵2010	Cross-sectional study	2B	To evaluate paraspinal activation in healthy individuals and those with IS during extension and flexion of the trunk in terms of angulation and speed.	N: 74	Increased activation of the convex side in patients with moderate curves.
Schimid et al.³⁶ 2010	Cross-sectional study	3B	To investigate if asymmetrical resistance training focused on the concave side of the curve increases the EMG activity on the concave side.	N: 16	Both exercises can produce an increase in the EMG on the concave side.
Chwała et al.³⁷ 2014	Cross-sectional study	3B	To evaluate the impact of symmetrical and asymmetrical exercises on the activity of the paraspinal muscles in girls with AIS.	N: 82	Change in activation between the sides that depends on the type of curve and exercise.
Bassani et al.³⁸ 2008	Cross-sectional study	2B	To evaluate the neuromuscular efficiency and fatigued lumbar extensors in subjects with and without AIS using the EMG.	N: 20	Less strength and neuromuscular efficiency, without difference in activation between the two sides.

Sociedade Brasileira de Coluna Al. Lorena, 1304 cj. 1406/1407, 01424-001 São Paulo, SP, Brasil, Tel.: (55 11) 3088-6616 - São Paulo - SP - Brazil
E-mail: coluna.columna@uol.com.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Rua Domingos Delgado, 138, Vila Souza, São Paulo, SP, Brasil. 02881-070. barbara_de_araujo@hotmail.com