Suppr超能文献

特发性脊柱侧凸:在跷跷板上坐立时 Cobb 角与动力策略之间的关系。

Idiopathic scoliosis: relations between the Cobb angle and the dynamical strategies when sitting on a seesaw.

机构信息

Institut des Sciences du Mouvement, UMR 6233 CNRS-Université de la Méditerranée, 163 avenue de Luminy, CP 910, 13288, Marseille Cedex 09, France.

出版信息

Eur Spine J. 2011 Feb;20(2):247-53. doi: 10.1007/s00586-010-1574-8. Epub 2010 Sep 19.

Abstract

The aim of this study was to determine the influence of the severity of the spinal curve on the postural regulation when self-imposed disturbances occur in a seated position in anteroposterior (AP) and mediolateral (ML) orientations. Twelve female adolescents with a right thoracic scoliosis (Cobb = 30.4° ± 9.7) were included in this study. The ground reaction forces (GRF) were studied while the subjects were maintaining their sitting on a seesaw (ML or AP destabilisation). Five conditions were tested: eyes open; with additional loads placed onto the subject's right or left shoulder; or onto the subject's right or left pelvis. We tested the correlation between the Cobb angle and the postural parameters (index of performance and GRF variability) for each condition. When the destabilisation was AP, the Cobb angle was significantly correlated with GRF variability and anterior and concavity index of performance. Two conditions showed higher correlations: stabilisation with the concavity pelvis load (GRF variability) and the open eyes (index of performance). In contrast, whatever the condition tested was, no link was found when the destabilisations were applied in ML direction. The destabilisation in a seated position highlights the influence of the curve severity on the postural organisation. In seated position, the postural control strategies specific to the scoliotic patients were always correlated by severity of curve, especially when the destabilisation is applied in AP directions. This study showed that the unstable seating position can be considered as a pertinent paradigm to help finding a postural clinical index for adolescent idiopathic scoliosis.

摘要

本研究旨在确定脊柱曲线严重程度对坐姿中自我施加的前后向(AP)和侧向(ML)干扰时姿势调节的影响。12 名患有右胸弯的女性青少年(Cobb = 30.4°±9.7°)被纳入本研究。在受试者坐在跷跷板上时(ML 或 AP 不稳定)研究地面反作用力(GRF)。测试了五种条件:睁眼;在受试者的右肩或左肩上加额外的负荷;或在受试者的右或左骨盆上加负荷。我们测试了 Cobb 角与每个条件的姿势参数(表现指数和 GRF 可变性)之间的相关性。当不稳定是 AP 时,Cobb 角与 GRF 可变性以及前凸和凹度表现指数显著相关。有两种情况显示出更高的相关性:使用凹骨盆负荷(GRF 可变性)和睁眼(表现指数)进行稳定。相比之下,无论测试的条件如何,当不稳定发生在 ML 方向时,都没有发现联系。坐姿不稳定突出了曲线严重程度对姿势组织的影响。在坐姿中,特发性脊柱侧凸患者的特定姿势控制策略始终与曲线严重程度相关,尤其是当不稳定发生在 AP 方向时。这项研究表明,不稳定的坐姿可以被认为是一个恰当的范例,可以帮助找到青少年特发性脊柱侧凸的姿势临床指标。

相似文献

1
Idiopathic scoliosis: relations between the Cobb angle and the dynamical strategies when sitting on a seesaw.
Eur Spine J. 2011 Feb;20(2):247-53. doi: 10.1007/s00586-010-1574-8. Epub 2010 Sep 19.
2
Idiopathic scoliosis and balance organisation in seated position on a seesaw.
Eur Spine J. 2010 May;19(5):739-46. doi: 10.1007/s00586-010-1325-x. Epub 2010 Mar 2.
3
Learning effect on the dynamical strategies in sitting position on seesaw motion for idiopathic scoliosis patients.
Neurosci Lett. 2013 Feb 8;534:264-8. doi: 10.1016/j.neulet.2012.12.022. Epub 2012 Dec 27.
4
Postural instability in early-stage idiopathic scoliosis in adolescent girls.
Spine (Phila Pa 1976). 2011 Jun;36(13):E847-54. doi: 10.1097/BRS.0b013e3181ff5837.
5
Relations between standing stability and body posture parameters in adolescent idiopathic scoliosis.
Spine (Phila Pa 1976). 2002 Sep 1;27(17):1911-7. doi: 10.1097/00007632-200209010-00018.
6
Dynamical asymmetries in idiopathic scoliosis during forward and lateral initiation step.
Eur Spine J. 2009 Feb;18(2):188-95. doi: 10.1007/s00586-008-0864-x. Epub 2009 Jan 8.

引用本文的文献

1
Early-onset scoliosis in children aged 4-7 years in Nanjing, China: A cross-sectional study.
Health Care Sci. 2024 Aug 18;3(4):274-285. doi: 10.1002/hcs2.111. eCollection 2024 Aug.
2
Static sitting posture control during writing tasks in idiopathic scoliosis among freshmen.
J Orthop Surg Res. 2023 Sep 28;18(1):735. doi: 10.1186/s13018-023-04228-z.
3
A perception bias of the gravitational vertical is confirmed in Adolescent Idiopathic Scoliosis.
Spine Deform. 2022 Jan;10(1):69-78. doi: 10.1007/s43390-021-00390-8. Epub 2021 Jul 28.
5
Cervicocephalic relocation test to evaluate cervical proprioception in adolescent idiopathic scoliosis.
Eur Spine J. 2016 Oct;25(10):3130-3136. doi: 10.1007/s00586-016-4551-z. Epub 2016 Apr 12.

本文引用的文献

1
Idiopathic scoliosis and balance organisation in seated position on a seesaw.
Eur Spine J. 2010 May;19(5):739-46. doi: 10.1007/s00586-010-1325-x. Epub 2010 Mar 2.
2
Gait in adolescent idiopathic scoliosis: kinematics and electromyographic analysis.
Eur Spine J. 2009 Apr;18(4):512-21. doi: 10.1007/s00586-009-0899-7. Epub 2009 Feb 18.
3
Dynamical asymmetries in idiopathic scoliosis during forward and lateral initiation step.
Eur Spine J. 2009 Feb;18(2):188-95. doi: 10.1007/s00586-008-0864-x. Epub 2009 Jan 8.
4
Postural imbalance in non-treated adolescent idiopathic scoliosis at different periods of progression.
Eur Spine J. 2009 Jan;18(1):38-44. doi: 10.1007/s00586-008-0831-6. Epub 2008 Dec 6.
5
The influence of adolescent idiopathic scoliosis on the dynamic adaptive behaviour.
Neurosci Lett. 2008 Dec 12;447(2-3):158-63. doi: 10.1016/j.neulet.2008.10.007. Epub 2008 Oct 7.
6
Effects of trunk exertion force and direction on postural control of the trunk during unstable sitting.
Clin Biomech (Bristol). 2008 Jun;23(5):505-9. doi: 10.1016/j.clinbiomech.2008.01.003. Epub 2008 Feb 20.
7
Effects of seated whole-body vibration on postural control of the trunk during unstable seated balance.
Clin Biomech (Bristol). 2008 May;23(4):381-6. doi: 10.1016/j.clinbiomech.2007.11.006. Epub 2008 Feb 21.
8
Reproducibility of postural control measurement during unstable sitting in low back pain patients.
BMC Musculoskelet Disord. 2007 May 22;8:44. doi: 10.1186/1471-2474-8-44.
9
Locomotor skills and balance strategies in adolescents idiopathic scoliosis.
Spine (Phila Pa 1976). 2007 Jan 1;32(1):E14-22. doi: 10.1097/01.brs.0000251069.58498.eb.
10
Assessment of seated postural control in children: comparison of a force platform versus a pressure mapping system.
Arch Phys Med Rehabil. 2006 Dec;87(12):1623-9. doi: 10.1016/j.apmr.2006.08.344.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验