Comparison of Lateral Abdominal Muscle Thickness and Cross-Sectional Area of Multifidus in Adults with and without Scoliosis
Abstract Background: Scoliosis is common in students with a prevalence of 1-2% in teenagers and more than 50% in adults ≥ 60 years. The aim was to compare the abdominal and multifidus muscles size in adults with and without scoliosis. Methods: Forty men with and without scoliosis were recruited. The Visual Analogue Scale and the Oswestry Disability Questionnaire were used to evaluate the pain intensity and functional disability in the patients’ group, respectively. Subjects were asked to lie down in a supine position with their knees bent to measure abdominal muscles using sonography. The linear transducer was placed vertically on the anterolateral abdominal wall to record images of the abdominal muscles (Transversus abdominis, internal oblique, external oblique). To assess the lumbar multifidus muscle size, the curvilinear head was used horizontally on the multifidus muscle at the L5-S1 level in a prone lying position. Results: No significant difference was found between the two groups for demographic variables. A significant difference was found between the healthy subjects and patients with scoliosis for right and left abdominal and multifidus muscles size (p<0.05). No significant difference was reported between the two sides of the convexity and concavity on muscles size in patients with scoliosis (p>0.05). Conclusions: According to the results, patients with scoliosis had smaller abdominal and lumbar multifidus muscles size, but no significant differences were found between the muscle size of the concave and convex sides in the scoliosis group. Future work is needed to support the findings of the current study.