Nguyen Hanh Thi, Le Thanh-Van, Pham Tan Minh, Huynh Hieu Kim, Mahaudens Philippe, Nguyen Ngoc-Minh
Faculty of Rehabilitation, Da Nang University of Medical Technology and Pharmacy, Da Nang, Vietnam.
Department of Rehabilitation, Faculty of Nursing and Medical Technology, University of Medicine and Pharmacy at Ho Chi Minh City, 72713, Ho Chi Minh, Vietnam.
Spine Deform. 2025 Mar 21. doi: 10.1007/s43390-025-01075-2.
This study compared trunk muscle endurance between female adolescents with idiopathic scoliosis (AIS) and non-AIS groups.
This cross-sectional study included 91 females. Trunk muscle endurance was assessed using the Ito-Shirado and Biering-Sørensen tests. Anthropometric and radiographic data were collected. The Mann-Whitney U test compared endurance and abdominal-to-paraspinal endurance ratio between groups. Spearman's correlation assessed relationships between endurance and participant characteristics.
The AIS group's performance on the Ito-Shirado and Biering-Sørensen tests was 57% and 68% of the non-AIS group's test durations, respectively (p = 0.001). However, there was no significant difference in the abdominal-to-paraspinal endurance ratio between the two groups (p = 0.7). Additionally, a low negative correlation was observed between paraspinal muscle endurance and both weight (rho = - 0.29, p = 0.006)) and BMI (rho = - 0.3, p = 0.005) in the AIS group, while abdominal endurance correlated negatively with height (rho = - 0.25, p = 001).
Females with AIS exhibit significantly reduced endurance in both paraspinal and abdominal muscles compared to healthy controls, despite maintaining a similar abdominal-to-paraspinal endurance ratio. The findings suggest the need for trunk muscle endurance evaluation and training in rehabilitation programs for individuals with AIS.
本研究比较了特发性脊柱侧凸（AIS）女性青少年与非AIS组之间的躯干肌耐力。
这项横断面研究纳入了91名女性。使用伊藤-白户试验和比林-索伦森试验评估躯干肌耐力。收集人体测量和影像学数据。采用曼-惠特尼U检验比较两组之间的耐力以及腹直肌与椎旁肌耐力比值。采用斯皮尔曼相关性分析评估耐力与参与者特征之间的关系。
AIS组在伊藤-白户试验和比林-索伦森试验中的表现分别为非AIS组测试持续时间的57%和68%（p = 0.001）。然而，两组之间的腹直肌与椎旁肌耐力比值无显著差异（p = 0.7）。此外，在AIS组中，观察到椎旁肌耐力与体重（rho = - 0.29，p = 0.006）和BMI（rho = - 0.3，p = 0.005）均呈低负相关，而腹直肌耐力与身高呈负相关（rho = - 0.25，p = 0.01）。
与健康对照组相比，患有AIS的女性尽管腹直肌与椎旁肌耐力比值相似，但椎旁肌和腹直肌的耐力均显著降低。研究结果表明，在针对AIS患者的康复计划中，需要对躯干肌耐力进行评估和训练。
