隐性脊柱裂患者多裂肌对维持直立姿势的作用。
Contribution of the multifidus muscle for control of upright posture in subjects with spina bifida occulta.
作者信息
Chang Shin-Tsu, Ku Chih-Hung, Hsieh Ming-Fu, Chen Liang-Cheng, Chu Heng-Yi, Chang Cheng-Chiang, Tsai Kao-Chung
机构信息
Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, Taiwan.
出版信息
J Sport Rehabil. 2008 Aug;17(3):283-99. doi: 10.1123/jsr.17.3.283.
CONTEXT
The multifidus muscle plays a role in controlling lumbosacral position and postural sway. One of its attachment sites is the exact site of spina bifida occulta (SBO).
OBJECTIVE
To investigate the role of the muscle for postural control in SBO.
DESIGN
Cross-sectional cohort.
PARTICIPANTS
Eighty subjects with SBO (38 in minor; 42 in major) and controls.
INTERVENTIONS
N/A.
MAIN OUTCOME MEASURES
Subjects stood upright on a platform at 0 degrees and on an inclined surface (10 degrees and 20 degrees) with feet in plantarflexion/dorsiflexion, together with eyes open and closed. The platform system measured posture to obtain sway area and sway mean for statistics.
RESULTS
Upon sway area/mean, the group differences of major/minor SBO vs. control were all significant. Sway means of minor SBO were lower than those of major SBO at corresponding inclined degrees.
CONCLUSIONS
Subjects with SBO demonstrated increased sway as compared to controls.
背景
多裂肌在控制腰骶部位置和姿势摆动中起作用。其附着点之一正是隐性脊柱裂（SBO）的所在位置。
目的
研究该肌肉在隐性脊柱裂中对姿势控制的作用。
设计
横断面队列研究。
参与者
80名隐性脊柱裂患者（轻度38例；重度42例）及对照组。
干预措施
无。
主要观察指标
受试者分别在0度平台、10度和20度倾斜表面上站立，双脚处于跖屈/背屈状态，同时睁眼和闭眼。平台系统测量姿势以获取摆动面积和摆动均值用于统计分析。
结果
在摆动面积/均值方面，重度/轻度隐性脊柱裂组与对照组之间的组间差异均具有显著性。在相应倾斜度下，轻度隐性脊柱裂的摆动均值低于重度隐性脊柱裂。
结论
与对照组相比，隐性脊柱裂患者表现出更大的摆动。
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