LOCOMOTOR KINETICS OF THE LOWER EXTREMITIES IN HEALTHY INDIVIDUALS AND IDIOPATHIC SCOLIOSIS
DOI: 10.22138/2500-0918-2023-20-1-5-16
T.I. Dolganova, E.N. Shchurova, D.V. Dolganov,
O.M. Sergeenko, A.O. Trofimov, M.A. Ahmedova
Federal State Budgetary Institution National Ilizarov Medical Research Centre for Traumatology and Orthopedics of the RF Ministry of Health, Kurgan, Russian Federation
Abstract. Aim: The definition of «muscle contractile reserve» is a prognostic criterion in assessing locomotor capabilities. Material and methods: Groups of adolescents: 1-healthy, 2-idiopathic scoliosis. Research methods: dynamometry, 3D video analysis of gait. Results: In AIS, the relative isometric moment of force is reduced compared to healthy ones: in hip extensors by 36% (p=0.00106), hip flexors by 33% (p=0.0002), hip abductors by 38% (p=0003), leg extensors by 37% (p=3.22E-07), leg flexors by 42% (p=4.15E-06). In healthy adolescents, the muscle reserve at a walking speed of 3.7-4.3 km/h was: in hip extensors and flexors 65-75%, hip adductors 30-40%, hip abductors — 80-90%, leg extensors — 70-80%, leg flexors — 80-90% and dorsal foot flexors — 75-90%. The kinetic values of the plantar flexors exceed the isometric maximum when the foot is placed at an angle of 90° by 30-40%. In AIS the distal muscle groups had no signs of functional damage; proximal muscle groups showed asymmetry (up to 25%) and a decrease in strength in the isometric mode by 33-42%. Muscle reserve at the same speed is reduced for anti-gravity muscles in AIS: in hip extensors by 40% and in leg extensors by 70%. The total joints power did not significantly differ from the control group.
Conclusions: In locomotor stereotypes in patients with scoliosis, there was a pattern of adaptive redistribution of the kinetic potential of the contractile function from one joint muscle to another.
Keywords: muscles of the lower extremities, locomotor kinetics, contractile potential of muscles, adolescents, idiopathic scoliosis
There is no conflict of interest.
Contact details of the corresponding author:
Tamara I. Dolganova
rjik532007@rambler.ru
Received 11.11.2022г
For citation:
Dolganova T.I., Shchurova E.N., Dolganov D.V., Sergeenko O.M., Trofimov A.O., Ahmedova M.A. Locomotor kinetics of the lower extremities in healthy individuals and idiopathic scoliosis. [Online] Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2023, Vol. 20, no. 1-2, pp. 5–16. DOI: 10.22138/2500-0918-2023-20-1-5-16 (In Russ)
REFERENCES
1. Yagci G, Yakut Y, Simsek E. The effects of exercise on perception of verticality in adolescent idiopathic scoliosis. Physiotherapy Theory and Practice. 2018; 34(8): 579-588. https://doi.org/10.1080/09593985.2017.1423429
2. Pingot M, Czernicki J, Kubacki J. Assessment of muscle strength of hip joints in children with idiopathic scoliosis. Ortop Traumatol Rehabil. 2007;9(6):636-643.
3. Zhu Z, Tang NL, Xu L, Qin X, Mao S, Song Y et al. Genome-wide association study identifies new susceptibility loci for adolescent idiopathic scoliosis in Chinese girls. Nat Commun, 2015; 6: 8355. https://doi.org/10.1038/ncomms9355.
4. Sharma S, Londono D, Eckalbar WL, Gao X, Zhang D, Mauldin K et al. A PAX1 enhancer locus is asso¬ciated with susceptibility to idiopathic scoliosis in females. Nat Commun. 2015; 6: 6452. https://doi.org/10.1038/ncomms7452.
5. Garg B, Gupta M, Mehta N, Malhotra R. Influence of Etiology and Onset of Deformity on Spatiotemporal, Kinematic, Kinetic, and Electromyography Gait Variables in Patients with Scoliosis-A Prospective, Comparative Study. Spine. 2021;46(6):374-382. https://doi.org/10.1097/BRS.0000000000003796
6. Haddas R, Ju KL, Belanger T, Lieberman IH. The use of gait analysis in the assessment of patients afflicted with spinal disorders. Eur Spine J. 2018; 27(8):1712-1723. https://doi.org/10.1007/s00586-018-5569-1.
7. Haber CK, Sacco M. Scoliosis: lower limb asymmetries during the gait cycle. Arch Physiother. 2015;5:4. https://doi.org/10.1186/s40945-015-0001-1.
8. Karimi MT, Kavyani M, Kamali M. Balance and gait performance of scoliotic subjects: A review of the literature. J Back Musculoskelet Rehabil. 2016; 29(3):403-15. https://doi.org/10.3233/BMR-150641.
9. Shchurova EN, Saifutdinov MS, Dolganova TI, Akhmedova MA, Gorbach AP Analysis of the Degree of Involvement of the Lower Limb Muscles in the Pathological Process in Adolescents with Idiopathic Scoliosis. Acta Biomedica Scientifica. 2021;6(2):154-165. https://doi.org/10.29413/ABS.2021-6.2.18 (In Russ.)
10. Wallow EB, Barreiro E, Gosker H, Sathyapala SA, Sanchez F, Hopkinson NS, Moxham J, Schols A, Gea J, Polkey MI; ENIGMA in COPD project. Quadriceps muscle strength in scoliosis. Eur Respir J. 2009;34(6):1429-35. https://doi.org/ 10.1183/09031936.00074008.
11. Mahaudens P, Mousny M. Gait in adolescent idiopathic scoliosis. Kinematics, electromyographic and energy cost analysis. Stud Health Technol Inform. 2010;158:101-106.
12. Fosang A, Baker R. A method for comparing manual muscle strength measurements with joint moments during walking. Gait Posture 2006; 24(4 ):406–411.
13. Dallmeijer AJ, Baker R, Dodd KJ, Taylor NF. Association between isometric muscle strength and gait joint kinetics in adolescents and young adults with cerebral palsy. Gait Posture. 2011;33(3):326-32. https://doi.org/ 10.1016/j.gaitpost.2010.10.092.
14. Negrini S, Donzelli S., Aulisa AG, Czaprowski D. Schreiber S., Claude de Mauroy J., et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018.13:3. https://doi.org/10.1186/s13013-017-0145-8.
15. Shchurov VA, Dolganova TI, Dolganov DV. Femoral Muscle Dynamometer. Biomedical Engineering. 2014;48(1):30-32. https://doi.org/10.1007/s10527-014-9410-9. (In Russ.)
16. Shchurov VA, Dolganova TI, Dolganov DV. Device for Measuring Lower Leg Muscle Strength. Biomedical Engineering. 2016;50(2):124-127. https://doi.org/10.1007/s10527-016-9602-6. (In Russ.)
17. Aksenov A.YU., Klishkovskaya T.A. Programma formirovaniya otcheta biomekhaniki hod’by cheloveka. Pat. RF № 2020665238; opubl. 24.11.2020. (In Russ.)
18. Dolganova TI, Popkov DA, Dolganov DV, Chibirov GM. Indicators of the kinetics of locomotor stereotypes in healthy children in different speed ranges of movement. Genij Ortopedii. 2022; 28(3): 417-424. https://doi.org/10.18019/1028-4427- 2022-28-3-417-424. (In Russ.)
19. Gajdyshev I.P. Reshenie nauchnyh i inzhenernyh zadach sredstvami Excel, VBA i S/S+++. Sankt-Peterburg: VHV-Peterburg, 2004. 512 s. (In Russ.)
Authors
Tamara I. Dolganova
M.D., Ph.D.
Leading researcher of the Scientific Laboratory of the Clinics for neuroorthopedics and systemic diseases
rjik532007@rambler.ru
ORCID:https://orcid.org/0000-0002-0117-3451
Elena N. Shchurova
DSc in Biology
Leading researcher, Clinical Laboratory of the Clinic of Spine Pathology and Rare Diseases
elena.shurova@mail.ru
ORCID:https://orcid.org/0000-0003-0816-1004
Dmitriy V. Dolganov
Ph.D. in Biology
Senior researcher of of the Scientific Laboratory of the Clinics for neuroorthopedics and systemic diseases
paradigma-dv@rambler.ru
ORCID https://orcid.org/0000-0002-8708-1303
Olga M. Sergeenko
MD
Neurosurgeon, orthopedic surgeon, Division of the Spinal Surgery
pavlova.neuro@mail.ru
ORCID: 0000-0003-2905-0215
Anatoliy O. Trofimov
Postgraduate
trofimov.doc@bk.ru
ORCID https://orcid.org/0000-0003-3455-4530
Mehriban A. Akhmedova
Postgraduate
marina.ahmedova.90@mail.ru
ORCID: https://orcid.org/0000-0001-5486-6422
Federal State Budgetary Institution National Ilizarov Medical Research Centre for Traumatology and Orthopedics of the RF Ministry of Health
Kurgan, Russian Federation