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脊柱支具对青少年特发性脊柱侧凸患者稳定性的影响。

The effect of spinal bracing on stability in patients with adolescent idiopathic scoliosis.

作者信息

Kavyani Mahsa, Nasiri Elham, Karimi Mohammad Taghi, Fatoye Francis

机构信息

Musculoskeletal Research Center, Rehabilitation Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.

Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Back Musculoskelet Rehabil. 2020;33(1):139-143. doi: 10.3233/BMR-170908.

DOI:10.3233/BMR-170908
PMID:31127752
Abstract

BACKGROUND

Adolescent idiopathic scoliosis (AIS) may change the physical orientation of body segments and affect balance in individuals. Spinal/trunk brace is commonly used for the management of idiopathic scoliosis. The aim of this study was to compare the standing stability of AIS patients with and without a brace, and to compare them with healthy subjects.

METHOD

Twenty subjects (10 healthy subjects and 10 AIS with thoracolumbar/lumbar curve) were recruited for the study. Stability of the scoliotic subjects was evaluated while standing with and without orthosis. A Kistler force plate was employed to estimate the mediolateral and anteroposterior displacements of center of pressure.

RESULTS

The results of this study indicated that there was no significant difference between center of pressure variables in healthy subjects and scoliotic patients. Moreover, trunk bracing only influenced the center of pressure (CoP) excursion in mediolateral direction (p< 0.05).

CONCLUSION

Although further research studies are needed, results showed that there was no difference between stability of scoliotic and normal subjects. Moreover, the use of orthosis did not improve their standing stability.

摘要

背景

青少年特发性脊柱侧凸(AIS)可能会改变身体各节段的身体朝向,并影响个体的平衡。脊柱/躯干支具常用于治疗特发性脊柱侧凸。本研究的目的是比较佩戴支具和未佩戴支具的AIS患者的站立稳定性,并将他们与健康受试者进行比较。

方法

招募了20名受试者(10名健康受试者和10名患有胸腰段/腰段侧弯的AIS患者)参与本研究。在佩戴和不佩戴矫形器站立时评估脊柱侧凸受试者的稳定性。使用奇石乐测力板来估计压力中心的内外侧和前后位移。

结果

本研究结果表明,健康受试者和脊柱侧凸患者的压力中心变量之间没有显著差异。此外,躯干支具仅影响压力中心(CoP)在内外侧方向的偏移(p<0.05)。

结论

尽管需要进一步的研究,但结果表明脊柱侧凸患者和正常受试者的稳定性没有差异。此外,使用矫形器并没有改善他们的站立稳定性。

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引用本文的文献

1
Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review.神经生理学、平衡和运动证据在青少年特发性脊柱侧凸中的应用:系统综述。
PLoS One. 2024 May 22;19(5):e0303086. doi: 10.1371/journal.pone.0303086. eCollection 2024.