Gait analysis, trunk movements, and electromyographic patterns after minimally invasive spine surgery for lumbar instability: An observational prospective study

Miscusi, Massimo; Serrao, Mariano; Ricciardi, Luca; Conte, Carmela; Castiglia, Stefano Filippo; Ippolito, Giorgio; Coppola, Gianluca; Forcato, Stefano; Scerrati, Alba; Raco, Antonino

doi:10.1016/j.wnsx.2023.100262

Cited by 1 publication

(2 citation statements)

References 56 publications

(73 reference statements)

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“…Unfortunately, as stated in the introduction, there is no scientific literature on the evaluation of the kinematic behaviour of the trunk and its muscles in MM patients. However, the findings are comparable with what is reported in the literature in other studies where sEMG is used to evaluate the impact of surgery in patients with vertebral instability [ 50 , 51 ]. The results of these studies reveal that trunk muscle activity changes following surgery.…”

Section: Discussionsupporting

confidence: 88%

“…This comparison with the literature, on the one hand, confirms the validity of sEMG for assessing the effect of surgery in a variety of patients, from neurological to spinal deformity to oncological diseases, and preventing impaired spine mobility and muscle activation. On the other hand, the increased trunk muscular activations at one month after surgery indicate the necessity to expose patients to specific trunk rehabilitation so that they recover as much as possible to normality following surgery, which has already been established at three months after surgery for patients with lumbar instability [ 51 ], and in disabling occupational lumbar spinal disorder patients with prior work-related injuries in [ 50 ].…”

Section: Discussionmentioning

confidence: 99%

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Instrumental Evaluation of the Effects of Vertebral Consolidation Surgery on Trunk Muscle Activations and Co-Activations in Patients with Multiple Myeloma: Preliminary Results

Montante,

Zampa,

Balestreri

et al. 2024

Sensors

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Multiple myeloma (MM) patients complain of pain and stiffness limiting motility. To determine if patients can benefit from vertebroplasty, we assessed muscle activation and co-activation before and after surgery. Five patients with MM and five healthy controls performed sitting-to-standing and lifting tasks. Patients performed the task before and one month after surgery. Surface electromyography (sEMG) was recorded bilaterally over the erector spinae longissimus and rectus abdominis superior muscles to evaluate the trunk muscle activation and co-activation and their mean, maximum, and full width at half maximum were evaluated. Statistical analyses were performed to compare MM patients before and after the surgery, MM and healthy controls and to investigate any correlations between the muscle’s parameters and the severity of pain in patients. The results reveal increased activations and co-activations after vertebroplasty as well as in comparison with healthy controls suggesting how MM patients try to control the trunk before and after vertebroplasty surgery. The findings confirm the beneficial effects of vertebral consolidation on the pain experienced by the patient, despite an overall increase in trunk muscle activation and co-activation. Therefore, it is important to provide patients with rehabilitation treatment early after surgery to facilitate the CNS to correctly stabilize the spine without overloading it with excessive co-activations.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%