DOI QR코드

DOI QR Code

Diagnostic values of abdominal muscles thickness and sterno-costal angle for young adults with rounded shoulders

  • Lee, Chan-hee (Department of Physical Therapy, Median Hospital) ;
  • Hwang, Sujin (Department of Physical Therapy, Division of Health Science, Baekseok University)
  • Received : 2020.03.11
  • Accepted : 2020.03.24
  • Published : 2020.03.30

Abstract

Objective: The purposes of this study was to evaluate the diagnostic values of abdominal muscles thickness and sterno-costal angle as the quantitative diagnostic indicators for young adults with rounded shoulders. Design: A observational, cross-sectional study. Methods: This study included thirty-three male participants in order to examine the relationship among thoracic kyphosis, sternocostal angle, and abdominal muscle thickness. We used ultrasound imaging to measure the muscle thickness, two gravity-dependent inclinometers to measure the kyphosis angle, and Image J to measure the sterno-costal angle. Results: There was a significant positive correlation between the amount of thoracic kyphosis angle and muscle thickness of the external oblique (EO) on the right side (r=0.931), and on the left side (r=0.432), and the transverse abdominis (TrA) (r=0.649). There was also a significant negative correlation between the thoracic kyphosis angle and the sterno-costal angle at the right side (r=-0.942) and at the left side (r=-0.860). There was a significant positive relationship with muscle thickness of the EO and TrA on the right side with the thoracic kyphosis angle, and was significant negative relationship with the sterno-costal angle on both sides. Conclusions: The results of the study suggest that the thoracic kyphosis angle is related to muscle thickness of the EO and TrA on the dominant side and the sterno-costal angle. We also suggest that future studies are needed to determine how strengthening the abdominal muscles may contribute to preventing excessive thoracic kyphosis in young adults.

Keywords

References

  1. Kisner C, Colby LA, Borstad S. Therapeutic exercise: foundations and techniques. 7th ed. Philadelphia (PA): F.A. Davis Co.; 2018.
  2. Houglum PA, Bertoti DB, Brunnstrom S. Brunnstrom's clinical kinesiology. 6th ed. Philadelphia (PA): F.A. Davis Co.; 2012.
  3. Carrier G, Frechette E, Ugalde P, Deslauriers J. Correlative anatomy for the sternum and ribs, costovertebral angle, chest wall muscles and intercostal spaces, thoracic outlet. Thorac Surg Clin 2007;17:521-8. https://doi.org/10.1016/j.thorsurg.2007.04.003
  4. Cappello M, De Troyer A. On the respiratory function of the ribs. J Appl Physiol (1985). 2002;92:1642-6. https://doi.org/10.1152/japplphysiol.01053.2001
  5. Porterfield JA, DeRosa C. Mechanical low back pain: perspectives in functional anatomy. 2nd ed. Philadelphia (PA): W.B. Saunders; 1998.
  6. Quek J, Pua YH, Clark RA, Bryant AL. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther 2013;18:65-71. https://doi.org/10.1016/j.math.2012.07.005
  7. Barrett E, Lenehan B, O'sullivan K, Lewis J, McCreesh K. Validation of the manual inclinometer and flexicurve for the measurement of thoracic kyphosis. Physiother Theory Pract 2018; 34:301-8. https://doi.org/10.1080/09593985.2017.1394411
  8. Katzman WB, Wanek L, Shepherd JA, Sellmeyer DE. Age-related hyperkyphosis: its causes, consequences, and management. J Orthop Sports Phys Ther 2010;40:352-60. https://doi.org/10.2519/jospt.2010.3099
  9. Hides JA, Miokovic T, Belavy DL, Stanton WR, Richardson CA. Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. J Orthop Sports Phys Ther 2007;37:480-6. https://doi.org/10.2519/jospt.2007.2416
  10. Lewis JS, Valentine RE. Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain. BMC Musculoskelet Disord 2010;11:39. https://doi.org/10.1186/1471-2474-11-39
  11. Kado DM, Prenovost K, Crandall C. Narrative review: hyperkyphosis in older persons. Ann Intern Med 2007;147:330-8. https://doi.org/10.7326/0003-4819-147-5-200709040-00008
  12. Di Bari M, Chiarlone M, Matteuzzi D, Zacchei S, Pozzi C, Bellia V, et al. Thoracic kyphosis and ventilatory dysfunction in unselected older persons: an epidemiological study in Dicomano, Italy. J Am Geriatr Soc 2004;52:909-15. https://doi.org/10.1111/j.1532-5415.2004.52257.x
  13. Sinaki M, Brey RH, Hughes CA, Larson DR, Kaufman KR. Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kyphotic posture and muscle strength. Osteoporos Int 2005;16:1004-10. https://doi.org/10.1007/s00198-004-1791-2
  14. Takahashi T, Ishida K, Hirose D, Nagano Y, Okumiya K, Nishinaga M, et al. Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people. Osteoporos Int 2005;16:273-9. https://doi.org/10.1007/s00198-004-1669-3
  15. Cochrane ME, Tshabalala MD, Hlatswayo NC, Modipana RM, Makibelo PP, Mashale EP, et al. The short-term effect of smartphone usage on the upper-back postures of university students. Cogent Eng 2019;6:1627752. https://doi.org/10.1080/23311916.2019.1627752
  16. Berolo S, Wells RP, Amick BC 3rd. Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: a preliminary study in a Canadian university population. Appl Ergon 2011;42:371-8. https://doi.org/10.1016/j.apergo.2010.08.010
  17. Chany AM, Marras WS, Burr DL. The effect of phone design on upper extremity discomfort and muscle fatigue. Hum Factors 2007;49:602-18. https://doi.org/10.1518/001872007X215683
  18. Hoffman J, Gabel P. Expanding Panjabi's stability model to express movement: a theoretical model. Med Hypotheses 2013;80:692-7. https://doi.org/10.1016/j.mehy.2013.02.006
  19. Lorbergs AL, Allaire BT, Yang L, Kiel DP, Cupples LA, Jarraya M, et al. A longitudinal study of trunk muscle properties and severity of thoracic kyphosis in women and men: the Framingham Study. J Gerontol A Biol Sci Med Sci 2019;74:420-7. https://doi.org/10.1093/gerona/gly056
  20. Bansal S, Katzman WB, Giangregorio LM. Exercise for improving age-related hyperkyphotic posture: a systematic review. Arch Phys Med Rehabil 2014;95:129-40. https://doi.org/10.1016/j.apmr.2013.06.022
  21. Benedetti MG, Berti L, Presti C, Frizziero A, Giannini S. Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment. J Neuroeng Rehabil 2008;5:32. https://doi.org/10.1186/1743-0003-5-32
  22. Kuo YL, Tully EA, Galea MP. Sagittal spinal posture after Pilates- based exercise in healthy older adults. Spine (Phila Pa 1976) 2009;34:1046-51. https://doi.org/10.1097/BRS.0b013e31819c11f8

Cited by

  1. Effects of Body-Adhesive Backpack Condition on Craniovertebral Angle, Sagittal Shoulder Angle and Muscle Fatigue vol.11, pp.4, 2020, https://doi.org/10.20540/jiaptr.2020.11.4.2203