Surface electromyography study on asymmetry in paravertebral muscle degeneration in patients with degenerative lumbar scoliosis

Abstract

Background: The asymmetry of paravertebral muscle (PVM) degeneration in degenerative lumbar scoliosis (DLS) patients has been extensively studied by imaging and histological examination and has not yet been verified by surface electromyography (sEMG) techniques.Objective:To study the relationship between the surface electromyography (sEMG) and degenerative characteristics of paravertebral muscles (PVMs) in patients with degenerative lumbar scoliosis (DLS).Method:In twenty DLS patients and fifteen healthy subjects, sEMG activity of the PVMs at the level of the upper end vertebra (UEV), apical vertebra (AV) and lower end vertebra (LEV) was measured during static standing and dynamic standing forward flexion and backward extension tasks. Action segmentation was achieved according to inertial measurement unit (IMU) data.The sEMG characteristics of the PVMs on the convex and concave sides were compared, and the relationship of these data with the Cobb angle and lumbar lordotic angle (LL) was analyzed.Results:In the DLS group, there was no difference in sEMG activity between the convex and concave sides at the UEV or AV level， but in the motion and return phases of the standing forward flexion task (P=0.000, P=0.015) and the maintenance and return phases of the standing backward extension task (P=0.001, P=0.01), there was a significant difference in sEMG activity between the convex and concave sides at the LEV level.Asymmetrical sEMG activity at the LEV level was negatively correlated with the Cobb angle (F=93.791，P <0.001) and LL angle (F=65.564，P <0.001).Conclusion:In the DLS group, asymmetrical sEMG activity of the PVMs appeared at the LEV level, with the concave side being more active than the convex side. This sEMG characteristics were consistent with their imaging and histological degenerative features and correlated with bone structural parameters.