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Influence of clinical features of the spine on Gait Analysis in adolescent with idiopathic scoliosis

机译:脊柱的临床特征对青少年特发性脊柱侧弯步态分析的影响

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Adolescent Idiopathic Scoliosis is a three dimensional spinal deformity, that may lead to the development of a pathological gait pattern. Since the last three decades, Gait Analysis has been evolved, providing new dynamic data. Several studies have shown differing gait patterns in scoliotic patients, compared to healthy peers; however, a lack of consistent evidence of the effect of scoliosis on temporal spatial and kinematic parameters still remains.The present work aims at providing the features of gait pattern via three-dimensional motion analysis of level walking in patients with different AIS and exploring the relationship between gait pathology and degree of scoliotic deformity. Twelve females with idiopathic scoliosis, aged between 11 and 17, participated in the study. They were not treated previously, neither surgically, nor conservatively. They underwent objective gait analysis with an optoelectronic system (BTS SpA, Italy). Data for the following parameters were analysed: gait speed, cadence, step length, shoulder, pelvic, hip, knee and ankle range of motion. Additionally, a Global Gait Asymmetry index was calculated. Informed consent has been signed by parents or legal representatives. Before attending the gait analysis, all patients underwent a clinical examination, an X-ray, clinical tests and anthropometric measurements.The comparison of the gait variables with healthy controls revealed that shoulder, pelvis and hip range of motion were significantly different, in line with previous studies, even though no significant differences were found between the concave and convex sides in terms of range of motion. In line with previous findings, our results also indicate that single curve type presented increased angular range of motion both in the sagittal and coronal plane when compared to multiple curve type.
机译:青少年特发性脊柱侧弯是三维脊柱畸形,可能导致病理性步态模式的发展。从最近的三十年开始,步态分析得到了发展,提供了新的动态数据。几项研究表明,与健康的同龄人相比,脊柱侧弯患者的步态模式有所不同。然而,仍然缺乏关于脊柱侧弯对时空和运动学参数影响的一致证据。本研究旨在通过对不同AIS患者的水平行走进行三维运动分析并提供其关系,从而提供步态模式的特征。步态病理与脊柱侧弯畸形程度之间的关系。十二名患有特发性脊柱侧弯的女性,年龄在11至17岁之间,参与了这项研究。他们以前没有经过手术,保守治疗。他们使用光电系统(意大利BTS SpA)进行了客观步态分析。分析以下参数的数据:步态速度,节奏,步长,肩膀,骨盆,臀部,膝盖和脚踝的运动范围。另外,计算了整体步态不对称指数。父母或法定代表人已签署知情同意书。在进行步态分析之前,所有患者均接受了临床检查,X线检查,临床测试和人体测量学测量。步态变量与健康对照组的比较显示,肩膀,骨盆和臀部的运动范围存在显着差异,符合以前的研究,即使在凹面和凸面之间在运动范围方面没有发现显着差异。与以前的研究结果一致,我们的结果还表明,与多曲线类型相比,单曲线类型在矢状和冠状面的运动角度范围均增加。

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