Department of Industrial Engineering, Alma Mater Studiorum - Università di Bologna, Bologna, Italy.
National Centre for Spinal Disorders, Budapest, Hungary.
BMC Musculoskelet Disord. 2022 Dec 12;23(1):1080. doi: 10.1186/s12891-022-05925-2.
Spine disorders are becoming more prevalent in today's ageing society. Motion abnormalities have been linked to the prevalence and recurrence of these disorders. Various protocols exist to measure thoracolumbar spine motion, but a standard multi-segmental approach is still missing. This study aims to systematically evaluate the literature on stereophotogrammetric motion analysis approaches to quantify thoracolumbar spine kinematics in terms of measurement reliability, suitability of protocols for clinical application and clinical significance of the resulting functional assessment.
Electronic databases (PubMed, Scopus and ScienceDirect) were searched until February 2022. Studies published in English, investigating the intersegmental kinematics of the thoracolumbar spine using stereophotogrammetric motion analysis were identified. All information relating to measurement reliability; measurement suitability and clinical significance was extracted from the studies identified.
Seventy-four studies met the inclusion criteria. 33% of the studies reported on the repeatability of their measurement. In terms of suitability, only 35% of protocols were deemed suitable for clinical application. The spinous processes of C7, T3, T6, T12, L1, L3 and L5 were the most widely used landmarks. The spine segment definitions were, however, found to be inconsistent among studies. Activities of daily living were the main tasks performed. Comparable results between protocols are however still missing.
The literature to date offers various stereophotogrammetric protocols to quantify the multi-segmental motion of the thoracolumbar spine, without a standard guideline being followed. From a clinical point of view, the approaches are still limited. Further research is needed to define a precise motion analysis protocol in terms of segment definition and clinical relevance.
在当今老龄化社会中，脊柱疾病越来越普遍。运动异常与这些疾病的患病率和复发率有关。存在各种测量胸腰椎运动的方案，但仍缺乏标准的多节段方法。本研究旨在系统评估脊柱运动摄影分析方法测量胸腰椎运动的文献，以评估测量可靠性、方案对临床应用的适宜性以及功能评估的临床意义。
电子数据库（PubMed、Scopus 和 ScienceDirect）检索至 2022 年 2 月。筛选出使用脊柱运动摄影分析研究胸腰椎节段运动的英文研究。从鉴定的研究中提取与测量可靠性、测量适宜性和临床意义相关的所有信息。
符合纳入标准的研究有 74 项。其中 33%的研究报告了其测量的可重复性。在适宜性方面，只有 35%的方案被认为适合临床应用。最常使用的标志点是 C7、T3、T6、T12、L1、L3 和 L5 的棘突。然而，研究之间的脊柱节段定义不一致。日常活动是主要进行的任务。但不同方案之间仍然缺乏可比的结果。
迄今为止的文献提供了各种脊柱运动摄影分析方案来量化胸腰椎的多节段运动，但没有遵循标准指南。从临床角度来看，这些方法仍然有限。需要进一步研究，以定义一个精确的运动分析方案，包括节段定义和临床相关性。
