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支具或手术治疗对特发性脊柱侧弯平衡控制的影响:三例病例研究

Effect of bracing or surgical treatments on balance control in idiopathic scoliosis: three case studies.

作者信息

Pialasse Jean-Philippe, Simoneau Martin

机构信息

Faculté de médecine, Département de kinésiologie, Université Laval, 2300 Rue de la Terrasse, Québec, Québec, Canada G1V 0A6 ; Centre de recherche du CHU de Québec, Québec, Québec, Canada.

出版信息

J Can Chiropr Assoc. 2014 Jun;58(2):131-40.

Abstract

Scoliosis is the most frequent spinal deformity among adolescents. In 80 % of cases, it is defined as idiopathic as no individual cause has been identified. However, several factors linked to Adolescent Idiopathic Scoliosis (AIS) have been identified and are under investigation. One of these factors is neurological dysfunction. Increase in body sway has been observed either during or following sensory manipulation in AIS patients. It is believed that impairment in sensory processing could be related to scoliosis onset. Impairment in sensory processing could induce a body schema distortion. The aim of this case series was to evaluate if conventional orthopaedic treatments could improve balance control thus implying a better body representation. Although, no strong conclusion can be drawn from a case series, results suggest that alteration in body representation should be investigated in future studies.

摘要

脊柱侧弯是青少年中最常见的脊柱畸形。在80%的病例中,由于未发现个体病因,被定义为特发性。然而,已经确定了几个与青少年特发性脊柱侧弯(AIS)相关的因素,并且正在进行研究。其中一个因素是神经功能障碍。在AIS患者进行感觉操纵期间或之后,观察到身体摇摆增加。人们认为感觉处理受损可能与脊柱侧弯的发病有关。感觉处理受损可能会导致身体图式扭曲。本病例系列的目的是评估传统的骨科治疗是否可以改善平衡控制,从而意味着更好的身体表征。尽管从病例系列中无法得出强有力的结论,但结果表明,未来的研究应该调查身体表征的改变。

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