Department of Rehabilitation, Physical Medicine and Rheumatology, "Victor Babes" University of Medicine and Pharmacy Timișoara, 300042 Timișoara, Romania.
"Louis Turcanu" Emergency Children's Hospital, 300011 Timișoara, Romania.
Int J Environ Res Public Health. 2020 Mar 24;17(6):2167. doi: 10.3390/ijerph17062167.
(1) Background: Adolescent idiopathic scoliosis (AIS) can be associated with vitamin D deficiency and osteopenia. Plantar pressure and stabilometry offer important information about posture. The objectives of our study were to compare static plantar pressure and stabilometric parameters, serum 25-OH-vitamin D3 and calcium levels, and bone mineral densitometry expressed as z-score in patients with moderate AIS and healthy subjects. (2) Methods: 32 female adolescents (idiopathic S shaped moderate scoliosis, main lumbar curve) and 32 gender and age-matched controls performed: static plantar pressure, stabilometry, serum 25-OH-vitamin D3 and calcium levels, and dual X-ray absorptiometry scans of the spine. (3) Results: In scoliosis patients, significant differences were recorded between right and left foot for total foot, first and fifth metatarsal, and heel loadings. Stabilometry showed a poorer postural control when compared to healthy subjects ( < 0.001). Patients had significantly lower vitamin D, calcium levels, and z-scores. Lumbar Cobb angle was significantly correlated with the z-score (r = -0.39, = 0.02), with right foot fifth metatarsal load (r = -0.35, = 0.04), center of pressure CoP (r = -0.42, = 0.01), CoP displacement (r = 0.35, = 0.04) and 90% confidence ellipse area (r = -0.38, = 0.03). (4) Conclusions: In our study including female adolescents with idiopathic S shaped moderate scoliosis, plantar pressure and stabilometric parameters were influenced by the main scoliotic curve.
(1)背景:青少年特发性脊柱侧凸(AIS)可与维生素 D 缺乏和骨质疏松有关。足底压力和平衡能力测试提供了有关姿势的重要信息。我们研究的目的是比较中度 AIS 患者和健康受试者的静态足底压力和平衡能力测试参数、血清 25-羟维生素 D3 和钙水平以及骨矿物质密度的 z 评分。(2)方法:32 名女性青少年(特发性 S 形中度脊柱侧凸,主要腰椎曲线)和 32 名性别和年龄匹配的对照者进行了以下检查:静态足底压力、平衡能力测试、血清 25-羟维生素 D3 和钙水平以及脊柱双能 X 线吸收仪扫描。(3)结果:在脊柱侧凸患者中,左右脚的总脚、第一和第五跖骨以及脚跟承重均有显著差异。与健康受试者相比,平衡能力测试显示出较差的姿势控制(<0.001)。患者的维生素 D、钙水平和 z 评分明显较低。腰椎 Cobb 角与 z 评分显著相关(r=-0.39, =0.02),与右脚第五跖骨承重(r=-0.35, =0.04)、压力中心 CoP(r=-0.42, =0.01)、CoP 位移(r=0.35, =0.04)和 90%置信椭圆面积(r=-0.38, =0.03)。(4)结论:在我们的研究中,包括患有特发性 S 形中度脊柱侧凸的女性青少年,足底压力和平衡能力测试参数受到主要脊柱侧凸曲线的影响。