中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2013年
7期
537-541
,共5页
游国鹏%杜青%陈楠%周璇%陈佩杰%励建安%赵黎%伍勰%梅钊
遊國鵬%杜青%陳楠%週璇%陳珮傑%勵建安%趙黎%伍勰%梅釗
유국붕%두청%진남%주선%진패걸%려건안%조려%오협%매쇠
青少年特发性脊柱侧凸%步态%足底压力
青少年特髮性脊柱側凸%步態%足底壓力
청소년특발성척주측철%보태%족저압력
Scoliosis%Gait%Foot pressure
目的 探讨青少年特发性脊柱侧凸(AIS)是否对患者跑台运动过程中步态运动学及足底压力分布产生影响.方法 共选取18例青少年特发性脊柱侧凸患者纳入AIS组,同时选取18例脊柱发育正常的同龄青少年纳入正常组.采用三维运动捕捉系统及足底压力鞋垫系统采集2组对象在不同跑台速度(包括6 km/h、8 km/h及10km/h)下的步态运动学及足底压力分布数据.结果 AIS患者在三种速度跑台运动中,其两侧下肢关节在矢状面内的运动及躯干在额状面及横截面内的运动均未出现左右不对称现象.与正常组不同,AIS组患者在运动中其足底压力表现出双侧不平衡现象,以主弯凹侧下肢支撑时的足底最大压力[以6 km/h运动时为(0.128±0.01) N/cm2·kg,以8 km/h运动时为(0.168±0.02)N/cm2·kg,以10 km/h运动时为(0.190±0.03) N/cm2·kg]明显高于以主弯凸侧下肢支撑时的足底最大压力[以6 km/h运动时为(0.115±0.01) N/cm2·kg,以8 km/h运动时为(0.152±0.02) N/cm2·kg,以10 km/h运动时为(0.181±0.03)N/cm2·kg](P＜0.05).结论 与步态运动学指标比较,足底压力指标对于评估AIS患者运动对称性具有更佳敏感性.
目的 探討青少年特髮性脊柱側凸(AIS)是否對患者跑檯運動過程中步態運動學及足底壓力分佈產生影響.方法 共選取18例青少年特髮性脊柱側凸患者納入AIS組,同時選取18例脊柱髮育正常的同齡青少年納入正常組.採用三維運動捕捉繫統及足底壓力鞋墊繫統採集2組對象在不同跑檯速度(包括6 km/h、8 km/h及10km/h)下的步態運動學及足底壓力分佈數據.結果 AIS患者在三種速度跑檯運動中,其兩側下肢關節在矢狀麵內的運動及軀榦在額狀麵及橫截麵內的運動均未齣現左右不對稱現象.與正常組不同,AIS組患者在運動中其足底壓力錶現齣雙側不平衡現象,以主彎凹側下肢支撐時的足底最大壓力[以6 km/h運動時為(0.128±0.01) N/cm2·kg,以8 km/h運動時為(0.168±0.02)N/cm2·kg,以10 km/h運動時為(0.190±0.03) N/cm2·kg]明顯高于以主彎凸側下肢支撐時的足底最大壓力[以6 km/h運動時為(0.115±0.01) N/cm2·kg,以8 km/h運動時為(0.152±0.02) N/cm2·kg,以10 km/h運動時為(0.181±0.03)N/cm2·kg](P＜0.05).結論 與步態運動學指標比較,足底壓力指標對于評估AIS患者運動對稱性具有更佳敏感性.
목적 탐토청소년특발성척주측철(AIS)시부대환자포태운동과정중보태운동학급족저압력분포산생영향.방법 공선취18례청소년특발성척주측철환자납입AIS조,동시선취18례척주발육정상적동령청소년납입정상조.채용삼유운동포착계통급족저압력혜점계통채집2조대상재불동포태속도(포괄6 km/h、8 km/h급10km/h)하적보태운동학급족저압력분포수거.결과 AIS환자재삼충속도포태운동중,기량측하지관절재시상면내적운동급구간재액상면급횡절면내적운동균미출현좌우불대칭현상.여정상조불동,AIS조환자재운동중기족저압력표현출쌍측불평형현상,이주만요측하지지탱시적족저최대압력[이6 km/h운동시위(0.128±0.01) N/cm2·kg,이8 km/h운동시위(0.168±0.02)N/cm2·kg,이10 km/h운동시위(0.190±0.03) N/cm2·kg]명현고우이주만철측하지지탱시적족저최대압력[이6 km/h운동시위(0.115±0.01) N/cm2·kg,이8 km/h운동시위(0.152±0.02) N/cm2·kg,이10 km/h운동시위(0.181±0.03)N/cm2·kg](P＜0.05).결론 여보태운동학지표비교,족저압력지표대우평고AIS환자운동대칭성구유경가민감성.
Objective To investigate the impact of spinal deformity on the gait characteristics and foot pressure distribution of patients with adolescent idiopathic soliosis (AIS) during walking and slow running on the treadmill.Methods Eighteen AIS patients and eighteen age-matched normal adolescents were studied.They walked at 6 km/h and ran slowly at 8 and 10 km/h on a treadmill.Gait kinematics and foot pressure data were collected with a VICON motion capture system and a Medilogic system simultaneously.Results There were no significant bilateral asymmetries in the sagittal lower extremity kinematics of the AIS patients,nor was there abnormal frontal or transverse trunk motion while walking or running.Asymmetries in maximum foot pressure were observed for the AIS patients,with foot pressure values for the convex side significantly less than those observed on the concave side.Conclusion Foot pressure asymmetries are stronger predictors than gait kinematics for AIS patients.
