Limb length discrepancy (LLD) has been associated with stress fractures, biomechanic gait alterations, osteoarthrosis and other muscle-joint dysfunctions. Electromyographic patterns reflect the function of neuromuscular system. Abnormality may be evidenced by comparison with their opposite limb. Our aim was to evaluate differences in surface electromyography (EMGs) activity of paraspinal, pelvic and lower limb muscles, in adolescents with, and without LLD. Methods: 21 subjects with LLD and 19 without it were evaluated. LLD was diagnosed by clinical and X-ray methods for shortenings ≥ 1 cm. EMGs recordings both in rest and maximal isometric voluntary contraction (MIVC), were obtained from lumbar paraspinal (LPM), gluteus medium (GMM), tensor fascia lattae (TFLM), rectus femoris (RFM), semimembranosus (SMM) and soleus (SM) muscles in both sides of the body. RMS, MRV and PPA were analyzed. Differences were assessed by Student's ôtö test (α = 0.05). Results: Differences were found in MRV and RMS during MIVC in high LPM, between the short side in LLD group and the corresponding (ipsilateral) side in non-LLD group (mean ± S.E.) (365.14 ± 46.31 vs 250.42 ± 86.80; P = 0.03 and 503.04 ± 62.49 vs 330.52 ± 26.19; P = 0.01 respectively). Similar results were found for PPA in SMM (810.25 ± 108.67 vs 1273.05 ± 143.39; P = 0.008). TFLM showed differences in PPA between larger side in LLD and the corresponding side in non-LLD subjects (655.90 ± 88.89 vs 1018.15 ± 132.53; P = 0.02). In SM, PPA differences for both, short and large extremities, when compared with corresponding legs in control subjects were found, with P = 0.03 and P = 0.01 respectively. When short and large side in LLD subjects were contrasted, differences were found in GMMs PPA (404.38 ± 53.17 vs 297.47 ± 36.04; p = 0.05), TFLMs MRV and RMS (361.85 ± 34.67 vs 301.80 ± 31.44; p = 0.02 for MRV; 478.14 ± 47.22 vs 393.23 ± 40.15; p = 0.02 for RMS). The SMM only showed MRV differences (610.10 ± 79.79 vs 514.70 ± 52.53; P= 0.04). It is important to state that no significative difference between right and left muscles for MRV, RMS and PPA, were found in subjects with no LLD. Conclusions: There are selective differences between EMGs in accordance with the different functions performed by the studied muscles, both between short an large sides of LLD subjects, and with corresponding sides of controls. No EMGs differences were found between right and left side in non-LLD subjects. Supp. SIHGO-CONACYT 19990202027.
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