Kastrinis Alexandros, Strimpakos Nikolaos, Koumantakis George A, Tzatzaliaris Dionysios, Oikonomaki Marianna, Theodosopoulos Evangelos, Skaftourou Evangelia, Tsekoura Maria, Kanellopoulos Asimakis K, Nomikou Eleni, Dimitriadis Zacharias
Health Assessment and Quality of Life Research Laboratory, Department of Physiotherapy, Faculty of Health Sciences, University of Thessaly, 35132 Lamia, Greece.
Research Laboratory of Advanced Physiotherapy, Department of Physiotherapy, University of Western Attica, 12243 Athens, Greece.
Muscles. 2024 Nov 15;3(4):376-392. doi: 10.3390/muscles3040032.
BACKGROUND: The presence of sensorimotor control deficits in adolescent idiopathic scoliosis compared to typically developed adolescents is supported by the literature but lacks reliability studies for assessment in this population. This study aimed to assess the reliability of eight sensorimotor control tests, in terms of static and dynamic balance, joint position sense (JPS) tests of the extremities and the spine, and a functional upper extremity proprioceptive test in adolescent idiopathic scoliosis subjects. METHODS: Sixty adolescent idiopathic scoliosis subjects were divided into four groups. Each group underwent two tests by the same examiner, repeated at 15 min intervals. Reliability was measured using the intraclass correlation coefficient (ICC), standard error of measurement (SEM), and smallest detectable difference (SDD). RESULTS: The results showed high reliability for the upper extremity functional proprioception test, for the dynamic and static balance test, and for the spinal lateral flexion joint position sense test in both directions. On the other hand, the shoulder external rotation, knee extension, elbow flexion, and spinal flexion joint position sense tests demonstrated poor reliability in adolescent idiopathic scoliosis subjects. CONCLUSIONS: Therapists are recommended to use the functional upper extremity proprioception test, the Fukuda test, the static balance test using a force footplate, and the spinal lateral flexion joint position sense test for assessing treatment progress in this population.
背景:与正常发育的青少年相比,青少年特发性脊柱侧凸患者存在感觉运动控制缺陷,这一观点得到了文献支持,但缺乏针对该人群评估的可靠性研究。本研究旨在评估八项感觉运动控制测试的可靠性,这些测试包括静态和动态平衡、四肢及脊柱的关节位置觉(JPS)测试,以及青少年特发性脊柱侧凸患者的上肢功能性本体感觉测试。 方法:60名青少年特发性脊柱侧凸患者被分为四组。每组由同一名检查者进行两次测试,间隔15分钟重复进行。使用组内相关系数(ICC)、测量标准误差(SEM)和最小可检测差异(SDD)来测量可靠性。 结果:结果显示,上肢功能性本体感觉测试、动态和静态平衡测试以及脊柱两侧的侧屈关节位置觉测试具有较高的可靠性。另一方面,青少年特发性脊柱侧凸患者的肩部外旋、膝关节伸展、肘关节屈曲和脊柱前屈关节位置觉测试显示出较差的可靠性。 结论:建议治疗师使用上肢功能性本体感觉测试、福田测试、使用测力踏板的静态平衡测试以及脊柱侧屈关节位置觉测试来评估该人群的治疗进展。
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