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脊柱融合术对脊柱侧弯患者的前庭信息有影响吗?不稳定平衡分析。

Does spinal fusion influence vestibular information in scoliosis patients? Unstable equilibrium analysis.

作者信息

Delpierre Y, Vernet P, Colin D

机构信息

Laboratoire d'Analyse du Mouvement Pôle Régional du Handicap, Centre de l'Arche, 1 bd de Maule, CS 50103, 72650, Saint-Saturnin, France.

出版信息

J Orthop. 2020 May 11;20:280-285. doi: 10.1016/j.jor.2020.05.003. eCollection 2020 Jul-Aug.

DOI:10.1016/j.jor.2020.05.003
PMID:32467656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7240187/
Abstract

BACKGROUND

Idiopathic scoliosis is described as the most common postural deformity to affect adolescents. These patients demonstrate vestibular system perturbations. Scoliosis can be treated through spinal fusion. Does spinal fusion coupled to rehabilitation program present significant effect of dynamic equilibrium?

METHODS

An unstable platform was used to analyze dynamic equilibrium in patients with idiopathic scoliosis (before and one year after spinal fusion) against a population of asymptomatic subjects.

RESULTS

A significant group and condition effect was observed on Center of Mass.

CONCLUSION

In relation to vestibular system, spinal fusion coupled to rehabilitation program is associated to better dynamic equilibrium.

摘要

背景

特发性脊柱侧弯被认为是影响青少年的最常见姿势畸形。这些患者存在前庭系统紊乱。脊柱侧弯可通过脊柱融合术治疗。脊柱融合术结合康复计划对动态平衡是否有显著效果?

方法

使用不稳定平台分析特发性脊柱侧弯患者(脊柱融合术前和术后一年)与无症状受试者群体的动态平衡。

结果

观察到重心有显著的组间和条件效应。

结论

就前庭系统而言,脊柱融合术结合康复计划与更好的动态平衡相关。

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本文引用的文献

1
Postural Stability Variables for Dynamic Equilibrium.动态平衡的姿势稳定性变量
J Nat Sci. 2018 Dec;4(12).
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Postural control of individuals with spinal fusion for adolescent idiopathic scoliosis.青少年特发性脊柱侧弯脊柱融合患者的姿势控制
Clin Biomech (Bristol). 2019 Jan;61:46-51. doi: 10.1016/j.clinbiomech.2018.11.001. Epub 2018 Nov 7.
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Verticality perception reveals a vestibular deficit in adolescents with idiopathic scoliosis.垂直感知揭示了特发性脊柱侧弯青少年的前庭功能缺陷。
Exp Brain Res. 2018 Jun;236(6):1725-1734. doi: 10.1007/s00221-018-5256-9. Epub 2018 Apr 10.
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A method to quantify the "cone of economy".一种量化“经济锥体”的方法。
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The influence of age, anxiety and concern about falling on postural sway when standing at an elevated level.年龄、焦虑以及对在高处站立时跌倒的担忧对姿势摇摆的影响。
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Adolescent idiopathic scoliosis and spinal fusion do not substantially impact on postural balance.青少年特发性脊柱侧弯和脊柱融合术对姿势平衡没有实质性影响。
Scoliosis. 2015 Jun 9;10:18. doi: 10.1186/s13013-015-0042-y. eCollection 2015.
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The influence of vision and support base on balance during quiet standing in patients with adolescent idiopathic scoliosis before and after posterior spinal fusion.后路脊柱融合术前后青少年特发性脊柱侧凸患者静立位时的视力和支撑基础对平衡的影响。
Spine J. 2013 Nov;13(11):1470-6. doi: 10.1016/j.spinee.2013.03.027. Epub 2013 Apr 25.
10
Do adolescent idiopathic scoliosis (AIS) neglect proprioceptive information in sensory integration of postural control?青少年特发性脊柱侧凸(AIS)是否在姿势控制的感觉综合中忽略本体感觉信息?
PLoS One. 2012;7(7):e40646. doi: 10.1371/journal.pone.0040646. Epub 2012 Jul 17.