Department of Orthopaedic Surgery, University Hospital UCL Mont-Godinne, 5530, Yvoir, Belgium.
INSERM, Meudon, France.
Eur Spine J. 2017 Nov;26(11):2828-2833. doi: 10.1007/s00586-017-4961-6. Epub 2017 Jan 31.
To evaluate the influence of the position of the arms on the location of the body's gravity line.
The sagittal balance of the pelvi-spinal unit is organized so that the gravity line is localized in a way that limits the mechanical loads and the muscle efforts. This position of the gravity line was analyzed in vivo, in standing position, the arms dangling, by the barycentremeter, a gamma rays scanner. Then, several teams had the same purpose but using a force platform combined with radiographies. Their results differed significantly among themselves and with the data of the barycentremetry. However, in these studies, the positions of the arms varied noticeably, either slightly bent forwards on a support, or the fingers on the clavicles or on the cheeks.
We estimated, for each varied posture of the arms, the sagittal coordinates of the masses of the upper limbs and their influence on the anatomical position of the gravity line of the whole body.
Using a simple equation and the data of the barycentremeter, we observed that the variations in the location of the gravity line were proportionally connected to the changes of the sagittal position of the mass of the upper limbs induced by the various positions of the arms.
We conclude in a validation of the data of the barycentremeter, as well as of the data obtained by the force platforms as long as the artifact of the position of the arms is taken into account.
评估手臂位置对身体重力线位置的影响。
骨盆脊柱单位的矢状平衡组织方式使重力线定位在限制机械负荷和肌肉用力的方式上。通过伽马射线扫描仪的重心计,在站立位、手臂悬垂的情况下,对重力线的位置进行了活体分析。然后,有几个团队出于同样的目的,但使用了力台和射线照相术。他们的结果彼此之间以及与重心计的数据有很大的差异。然而,在这些研究中,手臂的位置变化明显,要么在支撑物上略微向前弯曲,要么手指放在锁骨或脸颊上。
我们估计了手臂各种姿势下上肢质量的矢状坐标及其对上半身重力线解剖位置的影响。
使用一个简单的方程和重心计的数据,我们观察到重力线位置的变化与手臂各种位置引起的上肢质量矢状位置的变化成正比。
我们得出结论,即验证了重心计的数据,以及力台获得的数据,只要考虑到手臂位置的人为因素。