Features of Muscle Imbalance in Patients with Scheuermann’s Disease and Different Variants of Spinal Sagittal Contour
Objective — to study the functional state of the various muscle groups of the trunk and lower extremities in patients with Sheurmann’s disease. Methods: 1) clinical one, with assessment of the spine and hip joints mobility, tone, strength and tolerance of the various muscle groups of the trunk and lower extremities; 2) roentgenometric one, with evaluation of the thoracic kyphosis and lumbar lordosis; 3) electrophysiological one, with assessment of bioelectric activity of the lumbar part of musculus erector spinae right and left, in the upright position. Results. It was found that patients with the classic form of Sheurmann’s disease have spinal sagittal contour in the form of a C-shaped deformation with thoracic hyperkyphosis not compensated by corresponding lumbar antideformation. Atypical variants of the disease are characterized by straightening of spinal sagittal contour with degenerative lumbar kyphosis in the form of flat back deformation. In both forms of the Sheurmann’s disease, a muscles imbalance with increased tone, decreased strength and tolerance of the antigravity muscles was revealed.
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Kozyrev G.S. The center of gravity of man in health and in certain diseases of the musculoskeletal system. Diss M.D., Ph.D. Kharkov, 1962:25.
Kolesnichenko V.A. Scheuermann’s disease. Early diagnosis and prediction of disease course . Diss M.D., Ph.D. Kharkov, 1962:34
Krasnoyarova N.A. Красноярова Н.А. Anatomical and physiological characteristics of skeletal muscle and tests for their research. Almaty, “Taugul-Print: 201.
Marks VO. Orthopedic Diagnosis. Minsk: Science & Technology, 1978, 506p.
Kobayashi T., Atsuta Y., Matsuno T. A longitudinal study of congruent sagittal spinal alignment in an adult cohort. Spine 2004;.29: 671–676.
Bradford D.S. Vertebral osteochondrosis (Scheuermann’s kyphosis). Clin. Orthop 1981;158: 83-90.
Cobb JR. Outline for the study of scoliosis. Instruct. Course Lectures the Am. Acad. of Orthop. Surg. 1948:5:261-275.
PJ Papagelopoulos, AF Mavrogenis, OD Savvidou. Current concepts in Scheuermann’s kyphosis. Orthopedics. 2008; 1: 52 - 58.
Lee CS, Lee CK, Kim YT, Hong YM, Yoo JH. Dynamic sagittal imbalance of the spine in degenerative flat back. Significance of pelvic tilt in surgical treatment. Spine (Phila Pa 1976). 2001; 26: 2029 -2035.
Fon GT, Pitt MJ, Thies ACJr. Thoracic kyphosis: range in normal subjects. Am. J. Roent. 1980; 134: 979-983.
Kim H.-J., Chung S., Kim S. Influence of trunk muscles on lumbar lordosis and sacral angle. Eur. Spine J. 2004; 15: 409 – 414.
Lowe T.G. Scheuermann’s Disease. Orthop. Clin. North Am. 1999; 3: 475-487.
Lowe T.G. Scheuermann’s Kyphosis. Neurosurg. Clin. North Am. 2007; 18: 305-315
Sorenson K.M. Scheuermann’s Juvenile Kyphosis: Clinical Appearences, Radiography, Etiology and Prognosis. Copenhagen, 1964, 437p.
Tome-Bermejo F, Tsirikos AI. Current concepts on Scheuermann kyphosis: Clinical presentation, diagnosis and controversies around treatment. Rev. Esp. Cir. Ortop. Traumatol. 2012: 56: 491-505.
Viola S., Andrassy I. Spinal mobility and posture: changes during growth with postural defects, structural scoliosis and spinal osteochondrosis. Europ. Spine J. 1995; 4: 29–33.
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