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对使用Chêneau支具的双弯型青少年特发性脊柱侧凸患者的界面压力分析。

Analysis of the interface pressure exerted by the Chêneau brace in patients with double-curve adolescent idiopathic scoliosis.

作者信息

Ahmad Asliza, Abu Osman N A, Mokhtar Halim, Mehmood Waqas, Kadri Nahrizul Adib

机构信息

1 Centre for Applied Biomechanics, Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia.

2 University of Malaysia Terengganu, Terengganu, Malaysia.

出版信息

Proc Inst Mech Eng H. 2019 Sep;233(9):901-908. doi: 10.1177/0954411919856144. Epub 2019 Jun 27.

Abstract

The Chêneau brace has proven its effectiveness in treating the adolescent idiopathic scoliosis patients. However, no studies reported on the analysis of interface pressure in double-curve adolescent idiopathic scoliosis patients. In this study, we evaluated the interface pressure of the Chêneau brace action in double-curve adolescent idiopathic scoliosis patient treatment. A total of 72 (60 girls and 12 boys) patients aged 10 years and above participated in the study. The F-Socket transducers (9811E) were used to evaluate the pressure on the right thoracic and left thoracolumbar curves between normal and maximum strap tension and variation in these interface pressures with other tasks. Each patient was asked to do nine different tasks corresponding to daily activities, and the interface pressures for each activity were recorded for both normal and maximum tension. The resultant mean peak pressure in double-curve adolescent idiopathic scoliosis was higher for right thoracic curves than left thoracolumbar curves in all tasks. The pressure significantly increased at the task of maximal inspiration ( < 0.0001) for both types of curves for normal and maximum tension. The degrees of correction for the thoracic and thoracolumbar curves were 23.2% and 34.5%, respectively, after 6 months of brace use (23 h per day). Hence, we could not find any substantial correlation between mean peak pressure in the standing position and degree of scoliosis correction for two curves having  = 0.158,  = 0.356 and  = 0.024,  = 0.889 values.

摘要

Chêneau支具已在治疗青少年特发性脊柱侧凸患者中证明了其有效性。然而,尚无关于双弯青少年特发性脊柱侧凸患者界面压力分析的研究报道。在本研究中,我们评估了Chêneau支具在双弯青少年特发性脊柱侧凸患者治疗中的界面压力。共有72名(60名女孩和12名男孩)10岁及以上的患者参与了该研究。使用F-Socket传感器(9811E)评估正常和最大束带张力之间右胸弯和左胸腰弯的压力,以及这些界面压力随其他任务的变化。要求每位患者进行九项与日常活动相对应的不同任务,并记录正常和最大张力下每项活动的界面压力。在所有任务中,双弯青少年特发性脊柱侧凸患者右胸弯的平均峰值压力高于左胸腰弯。对于正常和最大张力,两种类型的曲线在最大吸气任务时压力均显著增加(<0.0001)。每天佩戴支具23小时,6个月后胸弯和胸腰弯的矫正度数分别为23.2%和34.5%。因此,对于两条曲线,我们未发现站立位平均峰值压力与脊柱侧凸矫正度数之间存在显著相关性,其相关系数分别为=0.158,=0.356以及=0.024,=0.889。

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