Keessen W, Crowe A, Hearn M
Department of Orthopaedics, University Hospital for Children and Youth, Het Wilhelmina Kinderziekenhuis, Utrecht, The Netherlands.
Spine (Phila Pa 1976). 1992 Feb;17(2):149-55. doi: 10.1097/00007632-199202000-00006.
Defects in proprioceptive postural control have been linked to the etiology of idiopathic scoliosis. In particular, a rearrangement of the internal representation of the body has been proposed in these cases. In this study, upper-extremity proprioceptive accuracy was compared among the following groups: 1) patients with idiopathic scoliosis (n = 25); 2) subjects with nonprogressive spinal asymmetry detected by screening in school (n = 23); 3) subjects undergoing behavioral training for nocturnal enuresis (n = 17); and 4) normal subjects (n = 134). A significant inaccuracy was found among the right-handed subjects of the scoliosis and spinal asymmetry groups as compared to the normal group. It is postulated that proprioceptive dysfunction, or borderline function, is a causative factor of spinal asymmetry, which is often observed in early adolescence and which in some cases may be progressive.
本体感觉姿势控制缺陷与特发性脊柱侧凸的病因有关。特别是，在这些病例中已提出身体内部表征的重新排列。在本研究中，比较了以下几组的上肢本体感觉准确性：1）特发性脊柱侧凸患者（n = 25）；2）通过学校筛查发现的非进行性脊柱不对称受试者（n = 23）；3）接受夜间遗尿行为训练的受试者（n = 17）；4）正常受试者（n = 134）。与正常组相比，脊柱侧凸和脊柱不对称组的右利手受试者存在明显的不准确。据推测，本体感觉功能障碍或临界功能是脊柱不对称的一个致病因素，脊柱不对称在青春期早期经常出现，在某些情况下可能是进行性的。
