青少年特发性脊柱侧弯严重程度与全脊柱活动度的相关性分析

发布时间：2018-01-07 04:20

本文关键词：青少年特发性脊柱侧弯严重程度与全脊柱活动度的相关性分析　出处：《临床与病理杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的:利用脊柱形态测量仪Spinal Mouse对患者全脊柱活动度进行量化测量,将其结果分别与主弯Cobb角、顶椎旋转度和支具佩戴时间进行相关性分析,确定如何设计针对性的医疗体操训练。方法:选取2015年1月至2016年5月于我中心接受康复治疗的48例AIS患者作为研究对象,男性8例、女性40例。平均年龄(13.46±2.00)岁;平均站立位主弯Cobb角24.29°±9.48°;Risser征平均2.21°±1.80°;主弯顶椎旋转度平均1.08°±0.77°;支具佩戴时间平均(17.54±21.36)个月。利用Spinal Mouse为患者进行脊柱前屈、后伸及左右侧屈活动度的测量。结果:主弯Cobb角、主弯顶椎椎体旋转度、支具佩戴时间均与站立位侧屈活动度呈负相关(P0.01),但均与站立位前屈及后伸活动度无明显相关性(P0.05)。结论:主弯Cobb角、椎体旋转度的严重程度以及长时间佩戴支具对患者全脊柱侧屈活动度有影响,而对屈伸活动度无明显影响。
[Abstract]:Objective: to measure the motion of the whole spine by Spinal Mouse, and to compare the results with the Cobb angle of the main curvature. The correlation between the degree of rotation of the top vertebra and the wear time of the brace was analyzed. Methods: from January 2015 to May 2016, 48 patients with AIS received rehabilitation treatment in our center, 8 males. 40 cases were female. The average age was 13.46 卤2.00 years old. The mean Cobb angle of the main bend in standing position was 24.29 掳卤9.48 掳; The mean Risser sign was 2.21 掳卤1.80 掳; The mean degree of rotation was 1.08 掳卤0.77 掳. The average wear time was 17.54 卤21.36 months. Spinal flexion was performed with Spinal Mouse. Results: there was a negative correlation between the Cobb angle of the main curvature, the rotation of the vertebrae of the main curved top vertebra, the time of bearing wear and the lateral flexion activity in the standing position (P 0.01). But there was no significant correlation with the flexion and extension of standing position (P 0.05). Conclusion: the Cobb angle of the main bend. The severity of vertebral body rotation and the long-term wearing of braces had an effect on the total spinal flexion and activity, but had no significant effect on the flexion and extension.
【作者单位】：上海市养志康复医院(上海市阳光康复中心)儿童康复科;
【基金】：上海市残疾人联合会科研项目(K2014035)~~
【分类号】：R726.8
【正文快照】： 青少年特发性脊柱侧凸(adolescent idiopathicscoliosi s,A IS)是指初诊年龄10岁以上的未成年患者,脊柱侧弯同时伴有椎体旋转畸形,排除其他先天性脊柱异常或合并有神经肌肉或骨骼疾病,占特发性脊柱侧弯的80%左右,国内外发病率为2%~4%,女性多见,男女比例大约为1∶4[1]。根据SOS

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