Associations between paraspinal muscle characteristics and spinal curvature in conservatively treated adolescent idiopathic scoliosis : a systematic review

Copyright © 2023 Elsevier Inc. All rights reserved..

BACKGROUND CONTEXT: Children with adolescent idiopathic scoliosis (AIS) may show asymmetrical paraspinal muscle characteristics.

PURPOSE: To summarize the evidence regarding: (1) the associations between various paraspinal muscle characteristics and spinal curvature; (2) whether paraspinal muscle properties significantly differed between children with and without AIS; and (3) whether baseline paraspinal muscle characteristics predicted curve progression.

STUDY DESIGN/SETTING: Systematic literature review.

METHODS: Five databases (CINAHL, Academic Search Premier, MEDLINE, Scopus, and PubMed) were searched from inception to May 2022. This protocol was registered in the PROSPERO database of systematic reviews CRD 42020171263. The Critical appraisal skills program, the Appraisal Tool for Cross-Sectional Studies and Quality In Prognosis Studies tool were used to evaluate the risk of bias of the included studies. The strength of evidence of each identified association was determined by the Grading of Recommendations Assessment, Development, and Evaluation System (GRADE).

RESULTS: Of 1,530 identified citations, four cohort, 17 cross-sectional, and 23 case-control studies including 31 with low, nine with moderate and four with high risk of bias were included. Low to very low-strength evidence supported that the convex side of the curve had more type I muscle fibers, higher muscle volume and paraspinal muscle activity, while the concavity had more intramuscular fatty infiltration. Very low-strength evidence substantiated greater side-to-side surface electromyography signals during left trunk bending in prone lying, standing, and standing with perturbation between people with and without AIS. Also, low to very low-strength evidence supported that a larger side-to-side surface electromyography ratio at the lower end vertebra predicted curve progression.

CONCLUSIONS: Our review highlights that paraspinal muscles on the concavity of the curve demonstrate consistent changes (ie, altered muscle-related gene expression, muscle atrophy, increased fatty infiltration, reduced type I fibers, and reduced muscle activity), which may be the cause or consequence.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

The spine journal : official journal of the North American Spine Society - 24(2024), 4 vom: 19. Apr., Seite 692-720

Sprache:

Englisch

Beteiligte Personen:

Chan, Winnie W Y [VerfasserIn]
Fu, Siu-Ngor [VerfasserIn]
Chong, Tsz-Fung [VerfasserIn]
Singh, Gurjiven [VerfasserIn]
Tsai, Desmond S J [VerfasserIn]
Wong, Mathew C Y [VerfasserIn]
Zheng, Yong-Ping [VerfasserIn]
Parent, Eric C [VerfasserIn]
Cheung, Jason P Y [VerfasserIn]
Wong, Arnold Y L [VerfasserIn]

Links:

Volltext

Themen:

Adolescents
Electromyography
Journal Article
Paraspinal muscles
Review
Scoliosis
Spinal curvatures
Systematic review

Anmerkungen:

Date Completed 01.04.2024

Date Revised 01.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.spinee.2023.11.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364994002