Acta Orthop Belg. 2023 Dec;89(4):727-734. doi: 10.52628/89.4.11444.
Arm swing and energy consumption play an important role in the realization of an effective gait. However, research on arm swing and energy consumption during gait in individuals with adolescent idiopathic scoliosis (AIS) is limited. The aim of this study was to investigate the spatiotemporal characteristics of gait, arm swing angles in the sagittal plane, energy consumption in individuals with AIS, to compare them with their healthy peers in this regard. 26 diagnosed with AIS and 21 healthy were included in this study. Evaluation measures were based on the Cobb angle, axial trunk rotation, trunk symmetry, sagittal curve measurements, spatiotemporal characteristics of gait with the GAITRite electronic walkway, sagittal plane arm swing with two video-camera recordings, and energy consumption. There were a decrease in right- sided sagittal arm swing, an increase in energy consumption, in left-side step time and right-side double support time in the scoliosis group compared to the control group. The other spatiotemporal characteristics of the gait were similar in both groups. The evaluation of arm swing, energy consumption, and gait of individuals with AIS may contribute to the development of rehabilitation programs by better identifying the deficiencies of individuals with AIS.
手臂摆动和能量消耗在实现有效步态中起着重要作用。然而,对于青少年特发性脊柱侧凸(AIS)患者步态中的手臂摆动和能量消耗的研究有限。本研究旨在探讨 AIS 患者步态的时空特征、矢状面手臂摆动角度以及能量消耗,并与健康同龄人进行比较。本研究纳入了 26 名确诊为 AIS 的患者和 21 名健康对照者。评估指标基于 Cobb 角、轴向躯干旋转、躯干对称性、矢状曲线测量、GAITRite 电子步态分析、两个摄像记录的矢状面手臂摆动以及能量消耗。与对照组相比,AIS 组的右侧矢状面手臂摆动减少,左侧步时和右侧双支撑时增加,能量消耗增加。两组的其他步态时空特征相似。评估 AIS 患者的手臂摆动、能量消耗和步态可能有助于通过更好地识别 AIS 患者的缺陷来制定康复计划。