1. Comparison of the postoperative changes in trunk and lower extremity muscle activities between patients with adult spinal deformity and age-matched controls by using surface electromyography
- Author
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Osamu Nojima, Tomohiro Yamada, Koichiro Ide, Shin Oe, Tomohiro Banno, Katsuya Yamauchi, Go Yoshida, Hiroki Ushirozako, Yu Yamato, Hideyuki Arima, Yu Watanabe, Yukihiro Matsuyama, and Tomohiko Hasegawa
- Subjects
Adult ,Male ,medicine.medical_specialty ,electromyography ,Paraspinal Muscles ,Electromyography ,Biceps ,Lumbar ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Prospective Studies ,Prospective cohort study ,Aged ,medicine.diagnostic_test ,business.industry ,adult spinal deformity ,Torso ,Trunk ,operation ,paraspinal muscle ,Anesthesia ,Orthopedic surgery ,Spinal deformity ,lower extremity ,Female ,Level iii ,business - Abstract
Study Design:A prospective studyObjective:To investigate the paravertebral and lower extremity muscle activities using surface electromyography (S-EMG) in patients with adult spinal deformity (ASD) comparing with those of age-matched controls.Summary of Background Data:Although the paravertebral muscle is greatly involved in ASD pathology, little is known about the contribution of lower extremity muscle on maintaining standing posture.Methods:Fourteen patients with ASD (1 man, 13 women; mean age, 67.1 years) who underwent corrective fusion surgery with at least 2 years of follow-up and age-matched controls (1 men, 7 women; mean age, 69.3 years) were enrolled. The muscle activities of the thoracic and lumbar erector spinae (TES and LES), external oblique (EO), gluteus maximus (GM), rectus femoris (RF), and biceps femoris (BF) were recorded in the upright and anterior flexion positions using S-EMG pre-operatively and 1 year post-operatively.Results:Compared with controls, patients showed a significantly higher muscle activity in the LES and BF at rest in a standing position. After corrective fusion surgery, the muscle activity of LES decreased and that of RF increased (p
- Published
- 2022