Linek Pawel, Wolny Tomasz, Saulicz Edward, Mysliwiec Andrzej
Department of Kinesitherapy and Special Methods in Physiotherapy, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland.
Turk J Phys Med Rehabil. 2017 Aug 22;63(3):224-229. doi: 10.5606/tftrd.2017.333. eCollection 2017 Jun.
This study aims to evaluate the thickness of the abdominal muscles on both sides in patients with mild adolescent idiopathic scoliosis (AIS) and to assess the absolute and relative thickness of oblique external (OE), oblique internal (OI), and transversus abdominis (TrA).
A total of 84 participants underwent ultrasonographic examination of the abdominal muscles in the supine resting position. All participants were divided into two groups including AIS group (n=42) and control group (n=42). The absolute and relative thicknesses of OE, OI, and TrA were recorded.
In the AIS group, the TrA on the left side was significantly thicker by 0.30 mm (95% CI 0.01-0.7) than the right side. For relative values, the percentage contribution to the structure of the lateral abdominal wall of the OE on the right and the TrA on the left was significantly higher by 3.2% (95% CI 0.9-5.5) and 3.1% (95% CI 1.1-5.0), respectively, in the AIS group.
Our study results show that, in the supine resting position, the muscles of the lateral abdominal wall are thinner in AIS patients. In addition, side-to-side differences in the percentage contribution of the OE and TrA to the structure of the lateral abdominal wall are seen in this patient population, although these differences are independent of the direction of the scoliosis.
本研究旨在评估轻度青少年特发性脊柱侧凸（AIS）患者双侧腹部肌肉的厚度，并评估腹外斜肌（OE）、腹内斜肌（OI）和腹横肌（TrA）的绝对厚度和相对厚度。
共有84名参与者在仰卧休息位接受了腹部肌肉的超声检查。所有参与者被分为两组，包括AIS组（n = 42）和对照组（n = 42）。记录OE、OI和TrA的绝对厚度和相对厚度。
在AIS组中，左侧的TrA比右侧厚0.30mm（95%CI 0.01 - 0.7），差异有统计学意义。就相对值而言，AIS组中右侧OE和左侧TrA对侧腹壁结构的贡献率分别显著高出3.2%（95%CI 0.9 - 5.5）和3.1%（95%CI 1.1 - 5.0）。
我们的研究结果表明，在仰卧休息位时，AIS患者的侧腹壁肌肉较薄。此外，在该患者群体中可观察到OE和TrA对侧腹壁结构贡献率的左右差异，尽管这些差异与脊柱侧凸的方向无关。
