Stępień Agnieszka, Pałdyna Beata
Department of Rehabilitation, Józef Piłsudski University of Physical Education, 00-968 Warsaw, Poland.
ORTHOS Functional Rehabilitation Centre, 02-793 Warsaw, Poland.
J Clin Med. 2022 Feb 19;11(4):1115. doi: 10.3390/jcm11041115.
Knowledge about neurodynamic functions of the nervous system (NS) in patients with idiopathic scoliosis (IS) is limited. This study aimed to assess the mechanosensitivity of the NS structures (MNS) in adolescents with IS. The study included 69 adolescents with IS and 57 healthy peers aged 10-15 years. The Upper Limb Neurodynamic Test 1 (ULNT1), straight leg raise (SLR) test, and slump test (SLUMP) were used to assess MNS. The spinal curvatures in the sagittal plane and selected ranges of motion were measured. The data were analysed using the Mann-Whitney U test and Spearman's rank correlation. Increased MNS assessed by ULNT1 and SLUMP tests was observed in participants with IS. Values of the neurodynamic tests correlated significantly with the sagittal profile of the spine and the mobility of the spine and lower limbs in both groups. In conclusion, increased MNS occurs in adolescents with IS. Therefore, the examination of adolescents with IS should include an assessment of MNS with the neurodynamic tests. Future studies should investigate this issue to better understand the mechanisms that coexist with IS.
关于特发性脊柱侧凸(IS)患者神经系统(NS)神经动力学功能的知识有限。本研究旨在评估IS青少年中神经结构(MNS)的机械敏感性。该研究纳入了69名患有IS的青少年和57名年龄在10 - 15岁的健康同龄人。采用上肢神经动力学测试1(ULNT1)、直腿抬高(SLR)试验和弯腰试验(SLUMP)来评估MNS。测量矢状面脊柱曲度和选定的活动范围。使用曼 - 惠特尼U检验和斯皮尔曼等级相关性分析数据。在IS参与者中观察到通过ULNT1和SLUMP试验评估的MNS增加。神经动力学测试值与两组脊柱的矢状位轮廓以及脊柱和下肢的活动度显著相关。总之,IS青少年中存在MNS增加的情况。因此,对IS青少年的检查应包括用神经动力学测试评估MNS。未来的研究应调查此问题,以更好地理解与IS共存的机制。