School of Physical Therapy and Rehabilitation Department, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Department of Orthopaedics and Traumatology Ankara, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Spine Deform. 2020 Dec;8(6):1175-1183. doi: 10.1007/s43390-020-00148-8. Epub 2020 May 30.
Cross-sectional and clinical measurement.
To evaluate upper extremity function and its relation to the curve pattern in idiopathic scoliosis. Postural alterations and trunk distortions-caused by three-dimensional deformity itself in idiopathic scoliosis-may lead to functional changes in the upper extremity of subjects.
Handgrip, pulp and lateral pinch strengths, hand dexterity, hand reaction time, coordination of upper extremity, upper extremity performance, throwing accuracy, and self-reported upper extremity disability were evaluated in 96 subjects. These subjects were divided into 3 groups: 47 with main thoracic curve pattern scoliosis (Lenke type 1), 31 with thoracolumbar/lumbar curve pattern scoliosis (Lenke type 5), and 18 unaffected (healthy control). Comparisons were performed between these three groups.
The thoracic scoliosis group showed a significant decrease in concave lateral pinch strength, concave hand dexterity of turning, coordination of the upper extremities, and concave hand reaction time than the thoracolumbar/lumbar scoliosis group (p < 0.05). Bilateral handgrip strengths decreased in thoracic scoliosis group when compared to healthy controls. Healthy individuals demonstrated greater throwing accuracy than individuals with scoliosis.
Upper extremity function was found to be affected based on the curve pattern. Individuals with main thoracic curves are likely to have deteriorated upper extremity function, especially for hand-specific motor skills, on the concave side, when compared to lumbar curves and healthy controls.
Level III.
横断面和临床测量。
评估特发性脊柱侧凸患者上肢功能及其与曲线类型的关系。特发性脊柱侧凸本身的三维畸形会导致姿势改变和躯干扭曲，从而导致患者上肢功能发生变化。
评估了 96 名受试者的手握力、指腹和侧捏力、手灵活性、手反应时间、上肢协调性、上肢表现、投掷准确性和上肢残疾自我报告。这些受试者分为 3 组：47 名主胸弯型脊柱侧凸（Lenke 1 型）、31 名胸腰/腰椎弯型脊柱侧凸（Lenke 5 型）和 18 名无影响（健康对照组）。对这三组进行了比较。
与胸腰/腰椎侧凸组相比，胸弯组的凹侧侧捏力、凹侧手转灵活性、上肢协调性和凹侧手反应时间明显下降（p<0.05）。与健康对照组相比，胸弯组双侧手握力下降。健康个体的投掷准确性大于脊柱侧凸个体。
根据曲线类型发现上肢功能受到影响。与腰椎曲线和健康对照组相比，主胸弯患者的上肢功能，尤其是手特定运动技能，可能会恶化。
III 级。
