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老年女性胸椎后凸、骨密度与姿势控制之间的关系。

Relationship between thoracic kyphosis, bone mineral density, and postural control in elderly women.

作者信息

Regolin Fabiana, Carvalho Gustavo A

机构信息

Universidade Católica de Brasília, Brasília, DF, Brasil.

出版信息

Rev Bras Fisioter. 2010 Nov-Dec;14(6):464-9.

Abstract

OBJECTIVES

To verify the relationship between the angle of thoracic kyphosis, bone mineral density, and postural control in elderly women.

METHODS

Through a cross-sectional study, 95 elderly participants were subdivided into four groups according to the thoracic kyphosis angle (obtained by the flexicurve method) and to bone densitometry results. On the force platform and through the dynamic test, stabilometric data were obtained. For statistical analysis, we assessed the performance of each group on the force platform by non-parametric tests: between group comparison (Mann-Whitney) and within group comparison according to the condition of the eyes - open or closed (Signed Rank).

RESULTS

On the force platform, the only statistically significant difference was found between groups 1 (loss of bone mass and increased thoracic kyphosis) and 3 (no loss of bone mass or increase in thoracic kyphosis) in the anteroposterior direction (p=0.0124). All groups presented different performances with the eyes open and closed in the mediolateral direction, except for group 3 (p=0.4263), whereas in the anteroposterior direction, we did not observe differences.

CONCLUSION

The results suggest an influence of the angle of thoracic kyphosis and bone mineral density on the postural control of our sample in the anteroposterior direction and in the standing position.

摘要

目的

验证老年女性胸椎后凸角度、骨密度与姿势控制之间的关系。

方法

通过一项横断面研究,根据胸椎后凸角度(采用弯曲测量法获得)和骨密度测量结果,将95名老年参与者分为四组。在测力平台上并通过动态测试获取稳定测量数据。为进行统计分析,我们通过非参数检验评估了每组在测力平台上的表现:组间比较(曼-惠特尼检验)以及根据睁眼或闭眼状态进行的组内比较(符号秩检验)。

结果

在测力平台上,仅在前后方向上发现第1组(骨质流失且胸椎后凸增加)和第3组(无骨质流失或胸椎后凸增加)之间存在统计学显著差异(p = 0.0124)。除第3组外(p = 0.4263),所有组在内外侧方向上睁眼和闭眼时表现不同,而在前后方向上,我们未观察到差异。

结论

结果表明,胸椎后凸角度和骨密度对我们样本在前后方向及站立位的姿势控制有影响。

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