Back muscle function in adolescent girls treated with a rigid brace for idiopathic scoliosis: no impact of 6-month brace wear on muscle strength or endurance

Author(s):  
D Pikulska ◽  
M Kozinoga ◽  
P Janusz ◽  
T Kotwicki

The study aimed to determine the impact of 6-month rigid brace on back muscle strength and endurance in adolescents with idiopathic scoliosis. Sixty–one girls, aged 7.0–16.0, were analyzed in two groups: the study group (6–month rigid brace wear) vs. the control group (no brace treatment), recruited consecutively and matched for age, body height, weight, BMI, primary curve location and Cobb angle. All patients underwent clinical and radiological examination, modified Biering–Sorensen test, prone and standing maximum strength and endurance tests. No significant difference between groups in back muscles strength or endurance, both gobal and reported to body weight was found. No relation between the daily brace time and the back muscle strength or endurance was observed. The 6–month use of a rigid brace did not affect the strength or endurance of the back muscles in adolescent girls treated for idiopathic scoliosis.

2017 ◽  
Vol 26 (2) ◽  
pp. 163-170 ◽  
Author(s):  
Chong-Suh Lee ◽  
Kyung-Chung Kang ◽  
Sung-Soo Chung ◽  
Won-Hah Park ◽  
Won-Ju Shin ◽  
...  

OBJECTIVE There is a lack of evidence of how back muscle strength changes after lumbar fusion surgery and how exercise influences these changes. The aim of this study was to evaluate changes in back muscle strength after posterior lumbar interbody fusion (PLIF) and to measure the effects of a postoperative exercise program on muscle strength and physical and mental health outcomes. METHODS This prospective study enrolled 59 women (mean age 58 years) who underwent PLIF at 1 or 2 spinal levels. To assess the effects of a supervised lumbar stabilization exercise (LSE), the authors allocated the patients to an LSE (n = 26) or a control (n = 33) group. The patients in the LSE group performed the LSEs between 3 and 6 months postoperatively. Back extensor strength, visual analog scale (VAS) scores in back pain, and physical component summary (PCS) and mental component summary (MCS) scores on the 36-Item Short Form Health Survey were determined for the both groups. RESULTS Mean strength of the back muscles tended to slightly decrease by 7.5% from preoperatively to 3 months after PLIF (p = 0.145), but it significantly increased thereafter and was sustained until the last follow-up (38.1%, p < 0.001). The mean back muscle strength was similar in the LSE and control groups preoperatively, but it increased significantly more in the LSE group (64.2%) than in the control group (21.7%) at the last follow-up 12 months after PLIF (p = 0.012). At the last follow-up, decreases in back pain VAS scores were more significant among LSE group patients, who had a pain reduction on average of 58.2%, than among control group patients (reduction of 26.1%) (p = 0.013). The patients in the LSE group also had greater improvement in both PCS (39.9% improvement) and MCS (20.7% improvement) scores than the patients in the control group (improvement of 18.0% and 1.1%, p = 0.042 and p = 0.035, respectively). CONCLUSIONS After PLIF, strength in back muscles decreased until 3 months postoperatively but significantly increased after that period. The patients who regularly underwent postoperative LSE had significantly improved back strength, less pain, and less functional disability at 12 months postoperatively.


2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Ajeng Fitria ◽  
Leonardo Lubis ◽  
Ambrosius Purba

The increasing number of elderly and elderly life expectancy is a challenge for health workers. Decreased cardiac endurance, muscle strength and increased incidence of inflammation will occur in the elderly as we get older. health cardio exercises series-I is an aerobic exercise that has moderate intensity and is carried out for 30 minutes, research is needed to analyze the effect on cardiac endurance, muscle strength and decrease plasma TNF-? levels in the elderly. Research design with experimental method, pre-test and post-test design approach. The study was conducted for 4 weeks on 25 samples which were divided into 3 groups of frequency of health cardio exercises series-I to measure endurance of the heart. A 6-minute road test and muscle strength were used for hand grip strength dynamometer, test back and leg dynamometer. Measurement of plasma TNF-? levels is carried out using the Elisa method. The data was then analyzed using paired t-test to see differences before and after health cardio exercises series-I. The results showed health cardio exercises series-I performed 3x / mg can increase the heart's endurance compared to the frequency of 4x / mg and 5x / mg (-16.11 vs 15.62 vs -47.62 meters). health cardio exercises series-I frequency of 3x / mg and 4x / mg can increase back muscle strength (p-value = 0.019, p <0.05) and the frequency of 5x / mg can increase the strength of attractive shoulder muscles. (p-value = 0.033, p <0.05). Health cardio exercises series-I performed 3x / mg, 4x / mg and 5x / mg did not have a significant effect on plasma TNF-? protein expression in the elderly (0.506 vs 0.856 vs. 0.382, p <0.05). It is suggested that the elderly can do I-1 series heart exercise with a frequency of 3x / mg to increase the heart's lung endurance and back muscle strength, a health cardio exercises series-I 4x / mg series to increase muscle strength of the back back, a series of health cardio exercises series-I frequency of 5x / mg to increase attractive shoulder muscle strength.


2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Marzena Wiernicka ◽  
Tomasz Kotwicki ◽  
Ewa Kamińska ◽  
Dawid Łochyński ◽  
Mateusz Kozinoga ◽  
...  

The aim of this work was to analyze postural stability of girls having progressive form of idiopathic scoliosis and undergoing specific period of the adolescent growth spurt. Twenty-seven girls, aged 13.4 ± 1.2 years, presenting structural idiopathic scoliosis, thoracic or thoracolumbar pattern, radiological Cobb angle 41.7 ± 17.4° (study group) and 37 healthy girls (control group) were included. The groups were sex, age, height, weight, and BMI matched. Postural stability examination was performed using two stabilometric platforms with visual control (eyes open) at three stages: (1) both legs’ stance, (2) left leg stance, and (3) right leg stance. The Center of Pressure (COP) sway path length, the area and the displacement amplitude were compared. For the double stance, no difference in postural stability parameters between the groups was found. However, for the right leg stance, the total sway path length was longer (p=0.04) and the mean amplitude of the lateral COP displacement was increased (p=0.03) in the scoliotic group. In conclusion, for double stance, the adolescent girls with progressive form of idiopathic scoliosis revealed fair postural stability compared to control group. An impaired postural control was observed during right leg stance.


2007 ◽  
Vol 102 (6) ◽  
pp. 2274-2278 ◽  
Author(s):  
Brandon R. Macias ◽  
Peihong Cao ◽  
Donald E. Watenpaugh ◽  
Alan R. Hargens

The purpose of this study was to determine whether lower body negative pressure (LBNP) treadmill exercise maintains lumbar spinal compressive properties, curvature, and back muscle strength after 28 days of 6° head-down tilt (HDT) bed rest (BR). We hypothesize that LBNP treadmill exercise will maintain lumbar spine compressibility, lumbar lordosis and back muscle strength after 28 days of 6° HDT bed rest. Fifteen healthy identical twin pairs (14 women and 16 men) participated in this study. One identical twin was randomly assigned to the nonexercise control (Con) group, and their sibling was assigned to the exercise (Ex) group. The lumbar spine was significantly more compressible Post-BR compared with Pre-BR in the Con ( P = 0.01). Lumbar spine compressibility Post-BR was not significantly different compared with Pre-BR in the Ex group ( P = 0.89). In both the Con and Ex groups, there were no significant changes Post-BR in lumbar lordosis compared with Pre-BR. Back muscle strength significantly decreased in the Con group Post-BR ( P = 0.002), whereas in the Ex group back muscle strength was not significantly different from Pre-BR values. A significant increase in lumbar spine compressibility in the Con group suggests that spinal deconditioning to gravity occurs during 28-day bed rest. Changes in the mechanical properties of the lumbar spine may be an early indicator of lumbar intervertebral disk degeneration. Supine LBNP treadmill exercise provides axial loads to the lumbar spine and may prevent lumbar spine deconditioning associated with HDT bed rest.


2010 ◽  
Vol 20 (6) ◽  
pp. 954-961 ◽  
Author(s):  
Shiro Imagama ◽  
Yukihiro Matsuyama ◽  
Yukiharu Hasegawa ◽  
Yoshihito Sakai ◽  
Zenya Ito ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Liqin Yin ◽  
Changfa Tang ◽  
Xia Tao

Objective. To study the criterion-related validity of simple muscle strength test (SMST) indicators and assess whole body muscle strength in Chinese children aged 10 to 12 years old.Methods. Two hundred and forty children were equally divided into four groups in different genders and residences. The SMST indicators (hand-grip, knee bent push-up, back muscle strength, sit-up, leg muscle strength, and standing long jump) were tested. We set up the total level of the whole-body muscle strength (Ftotal) through testing isokinetic muscle strength of the six joints’ flexion and extension movements. Pearson correlation analyses were used to analyze the correlation between the SMST indicators and theFtotal.Results.(1)Leg muscle strength and back muscle strength demonstrated the highest validity scores. Sit-ups, hand grip, and standing long jump demonstrated the lowest validity scores.(2)Leg muscle strength had the highest validity for males, but back muscle strength had the highest validity for females.Conclusions. Back muscle strength and leg muscle strength can give the highest validity of assessing whole body muscle strength, and also has higher validity in both the urban and rural children. For urban children, but not rural, the knee bent push-up also has a high validity indicator.


Author(s):  
Stephan A. Konz ◽  
Jacobus Coetzee

Subjects (6 male, 6 female) lifted and lowered boxes at eight variations of location and direction. For each of the eight, there were three weights (5, 10, and 15 kg for males, 5, 7.5, and 10 for females), three volumes (150, 225, and 300 mm cubes), and two techniques (bend and squat); 144 conditions in all. Subjects rated difficulty using a 7-point scale (1 = prepared to do continuously, 3 = 1110 min for 8 hr, 5 = 1/120 min for 8 hr, 7 = refuse to do). For the same weight, females rated tasks more difficult than males. In addition, for each additional kg of weight, the female rating increased 0.44 versus 0.14 for males. The effect of volume was significant for females but not males. Lowering was 3% easier than lifting. Bending was 2% easier than squatting. Isometric back muscle strength is a good index of the maximum weight a person will lift (r = 0.84; rating standard error = 0.4).


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