Hoppenfeld S, Lopez R A, Molnar G
Albert Einstein College of Medicine, Bronx, New York.
Spine (Phila Pa 1976). 1991 Jul;16(7):757-60. doi: 10.1097/00007632-199107000-00012.
Eighty-four patients were objectively evaluated with a weight-bearing pattern analyzer to determine whether spine deformity has an effect on the amount of weight borne on the right versus left foot and on the fore versus the hind foot. Patients with idiopathic scoliosis treated with bracing and surgery and patients with Scheuermann's kyphosis treated with bracing were compared with control subjects. Patients with right thoracic and thoracolumbar curves did not bear more weight on the right foot, as was previously thought. Patients with relatively unaffected lumbar spines exhibited normal sagittal plane weight-bearing patterns, whereas patients with double major and lumbar curves did show abnormalities in the weight-bearing pattern. Bracing of curves less than 40 degrees did not alter the plantar weight-bearing pattern, but it did significantly alter the pattern in curves greater than 40 degrees. Surgically treated patients were found to have increased hindfoot weight-bearing irrespective of the curve type or surgery.
使用负重模式分析仪对84名患者进行客观评估，以确定脊柱畸形是否会对左右脚以及前脚与后脚的负重程度产生影响。将接受支具治疗和手术治疗的特发性脊柱侧凸患者以及接受支具治疗的休门氏后凸患者与对照组进行比较。右胸弯和胸腰弯患者并不像之前认为的那样右脚负重更多。腰椎相对未受影响的患者表现出正常的矢状面负重模式，而双主弯和腰弯患者的负重模式确实存在异常。小于40度的侧弯进行支具治疗不会改变足底负重模式，但大于40度的侧弯进行支具治疗会显著改变负重模式。无论侧弯类型或手术方式如何，接受手术治疗的患者后脚负重均增加。
