Linek Paweł, Saulicz Edward, Wolny Tomasz, Myśliwiec Andrzej, Gogola Anna
Department of Kinesitherapy and Special Methods in Physiotherapy, The Jerzy Kukuczka Academy of Physical Education, Poland.
Department of Kinesitherapy and Special Methods in Physiotherapy, The Jerzy Kukuczka Academy of Physical Education, Poland ; Department of Physiotherapy, Academy of Business, Poland.
J Phys Ther Sci. 2015 Feb;27(2):465-8. doi: 10.1589/jpts.27.465. Epub 2015 Feb 17.
[Purpose] The objective of the study was to evaluate the symmetry of the thickness of the abdominal muscles at rest and while standing in patients with adolescent idiopathic scoliosis. [Subjects and Methods] An ultrasound assessment was performed of the side-to-side differences of the external oblique (EO), internal oblique (IO), and transversus abdominalis (TrA) muscles in the supine and standing positions in adolescent idiopathic scoliosis (AIS) and control groups. [Results] In the AIS group, 64.3% of the patients had left scoliosis with a mean Cobb angle of 10.7°, and 35.7% of the patients had right scoliosis with a mean Cobb angle of 10°. In the supine position, the thickness asymmetry of the TrA was greater in the AIS compared with the control group by an average of 14% (95% CI 3.9-24.2). [Conclusion] Among the abdominal muscles examined, patients with AIS exhibited more asymmetry only for the TrA. In the standing position, the TrA was as symmetric in the patients as in the control group. Mild scoliosis has no impact on the symmetry of the thickness of the OE and OI in the supine and standing positions. The direction of curvature had no effect on the symmetry of the abdominal muscles studied.
[目的]本研究的目的是评估青少年特发性脊柱侧凸患者静息时和站立时腹部肌肉厚度的对称性。[对象与方法]对青少年特发性脊柱侧凸（AIS）组和对照组患者仰卧位和站立位时腹外斜肌（EO）、腹内斜肌（IO）和腹横肌（TrA）的左右侧差异进行超声评估。[结果]在AIS组中，64.3%的患者为左侧脊柱侧凸，平均Cobb角为10.7°，35.7%的患者为右侧脊柱侧凸，平均Cobb角为10°。在仰卧位时，AIS组TrA的厚度不对称性比对照组平均大14%（95%CI 3.9 - 24.2）。[结论]在所检查的腹部肌肉中，AIS患者仅TrA表现出更多的不对称性。在站立位时，患者TrA的对称性与对照组相同。轻度脊柱侧凸对仰卧位和站立位时EO和OI厚度的对称性无影响。弯曲方向对所研究的腹部肌肉对称性无影响。
