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在动态个体脊柱刺激与控制装置(DISC4SPINE,D4S)中进行主动驼背加深练习时,对作用于脊柱的矫正和旋转力扭矩变化动态的评估。

The Assessment of the Dynamics of Changes in the Torques of Redressing and Derotating Forces Acting on the Spine During Active Kyphosis-Deepening Exercises in the Dynamic Individual Stimulation and Control for Spine Device (DISC4SPINE, D4S).

作者信息

Szurmik Tomasz, Bibrowicz Karol, Romaniszyn-Kania Patrycja, Kania Damian, Ogrodzka-Ciechanowicz Katarzyna, Kurzeja Piotr, Mitas Andrzej W

机构信息

Faculty of Arts and Educational Science, University of Silesia, 41-400 Cieszyn, Poland.

Cavalry Captain Witold Pilecki State University of Małopolska in Oświęcim, 32-600 Oświęcim, Poland.

出版信息

J Clin Med. 2024 Dec 18;13(24):7746. doi: 10.3390/jcm13247746.

Abstract

: The study aimed to assess the dynamics of changes in the torques of derotating and redressing forces acting on the apexes of deformation curvature arches during active, kyphosis-inducing exercises using the D4S device. : The study group included 12 girls aged 9 to 10 years (age X = 9.36, SD = 1.52; weight X = 31.34 kg, SD = 3.28; height X = 134.23 cm, SD = 8.25). The study was carried out using the D4S interactive spine and posture rehabilitation system with dynamic, personalised stimulation. Measurements were taken during six successive therapeutic visits of each patient, each containing five repeated sets. A single set involved applying pressure on the device heads 20 times for 8 s. For each patient, the resistance head was in the right top (RT) setting, individually adjusted for patient needs. : The results showed that the values of the measured moments of the derotating-redressing forces acting on the curvature peak vertebrae ranged from 24.1 N/cm to 39.9 N/cm. The analysis of the differences in the values of the pressure of the derotating head on the spine in subsequent measurements, accounting for all measurements taken in subsequent cycles of the study, indicates significant variation in pressure values (K-W = 31.0660, = 0.00029 *). Similar dynamics of changes and variation in the results were noted for the values of the pressure applied with the derotating head in subsequent cycles of the study. In this case, the variation in the results was also statistically significant (K-W = 24.4747, = 0.00018 *). : The values of forces increase slightly with the subsequent series of exercises. The assessment of the value of forces may be an element of optimal and more effective training plans in the therapy discussed.

摘要

该研究旨在评估在使用D4S设备进行诱发脊柱后凸的主动运动时,作用于变形曲率弓顶点的去旋转和矫正力的扭矩变化动态。研究组包括12名9至10岁的女孩(年龄X = 9.36,标准差 = 1.52;体重X = 31.34千克,标准差 = 3.28;身高X = 134.23厘米,标准差 = 8.25)。该研究使用具有动态、个性化刺激的D4S交互式脊柱和姿势康复系统进行。在每位患者连续的六次治疗就诊期间进行测量,每次就诊包含五组重复测量。一组包括在设备头部施加压力20次,每次8秒。对于每位患者,阻力头设置在右上(RT)位置,并根据患者需求进行单独调整。结果显示,作用于曲率峰值椎体的去旋转 - 矫正力的测量力矩值范围为24.1牛/厘米至39.9牛/厘米。对后续测量中去旋转头对脊柱压力值差异的分析,考虑到研究后续周期中的所有测量,表明压力值存在显著变化(K - W = 31.0660,P = 0.00029 *)。在研究的后续周期中,去旋转头施加压力值的变化和结果变化具有相似的动态。在这种情况下,结果的变化在统计学上也具有显著意义(K - W = 24.4747,P = 0.00018 *)。随着后续一系列运动,力的值略有增加。力值的评估可能是所讨论治疗中最佳且更有效训练计划的一个要素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f75/11677666/90cc49d53881/jcm-13-07746-g001.jpg

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