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[健康和脊柱侧弯患者姿势几何学的立体视频评估]

[Stereovideographic evaluation of the postural geometry of healthy and scoliotic patients].

作者信息

De la Huerta F, Leroux M A, Zabjek K F, Coillard C, Rivard C H

机构信息

Service de Chirurgie, Faculté de Médecine, Université de Montréal, Hôpital Sainte-Justine, Québec, Canada.

出版信息

Ann Chir. 1998;52(8):776-83.

PMID:9846428
Abstract

Idiopathic scoliosis principally characterised by a deformation of the vertebral column can also be associated to postural abnormalities. The validity and reliability of current quantitative postural evaluations has not been thoroughly documented, frequently limited by a two dimensional view of the patient, and do not include the whole posture of the patient. The purpose of this study is to 1) quantify within and between-session reliability of a stereovideographic Postural Geometry (PG) evaluation and 2) to investigate the sensitivity of this technique for the postural evaluation of scoliosis patients. The PG of 14 control subjects and 9 untreated scoliosis patients were evaluated with 5 repeat trials, on two occasions. Postural geometry parameters that describe the position and orientation of the pelvis, trunk, scapular girdle and head were calculated based on the 3-dimensional co-ordinates of anatomical landmarks. The mean between and within-session variability across all parameters were 12.5 mm, 2.8 degrees and 5.4 mm and 1.4 degrees respectively. The patient group was heterogeneous with some noted pathological characteristics. This global stereovideographic postural geometry evaluation appears to demonstrate sufficient reliability and sensitivity to follow-up on the posture of scoliosis patients.

摘要

特发性脊柱侧弯主要表现为脊柱变形,也可能与姿势异常有关。目前定量姿势评估的有效性和可靠性尚未得到充分记录,常常受限于对患者的二维观察,且未涵盖患者的整体姿势。本研究的目的是:1)量化立体摄像姿势几何学(PG)评估在不同时段内及不同时段间的可靠性;2)研究该技术对脊柱侧弯患者姿势评估的敏感性。对14名对照受试者和9名未经治疗的脊柱侧弯患者的PG进行了两次评估,每次评估进行5次重复试验。基于解剖标志点的三维坐标计算出描述骨盆、躯干、肩胛带和头部位置及方向的姿势几何学参数。所有参数在不同时段间和不同时段内的平均变异性分别为12.5毫米、2.8度以及5.4毫米和1.4度。患者组具有异质性,存在一些明显的病理特征。这种整体立体摄像姿势几何学评估似乎显示出足够的可靠性和敏感性,可用于对脊柱侧弯患者的姿势进行随访。

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