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Posture and balance control in patients with acromegaly: Results of a cross-sectional study

机译：肢端肥大症患者的姿势和平衡控制：一项横断面研究的结果

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Acromegaly is a chronic debilitating disease that presents with multiple systemic manifestations, including changes in body composition, joint abnormalities, muscular impairment and visual disturbances. This study aimed to assess posture and body balance in acromegalic patients and to establish the correlation between these measures. Twenty-eight acromegalic patients and a similar number of control subjects matched for sex, age, weight, height and body mass index underwent postural evaluation using the photogrammetry and measurement of balance using the stabilometry in two tasks: feet apart, eyes open and feet together, eyes closed. In comparison with the control group, the acromegalic group presented postural deviations in lateral views in the vertical alignment of the trunk (P= 0.001 for the right side and P= 0.021 for the left), the hip angle (P= 0001 for the right side and P= 0.016 for the left side) and horizontal alignment of the pelvis (P= 0.017 for the right and P<. 0.001 for the left side). Compared with healthy subjects, the acromegalic patients presented displacement of the centre of pressure in both the anterior-posterior direction and the medial-lateral direction in both evaluated tasks. We observed significant correlations between balance measures and the following posture evaluation variables: distance between the lower limbs, horizontal alignment of the head and vertical alignment of the head. Our results suggest that posture and balance need to be evaluated for acromegalic patients in clinical practice, as there are significant postural imbalances and deviations in these patients.
机译：肢端肥大症是一种慢性衰弱性疾病，具有多种全身表现，包括身体成分变化，关节异常，肌肉损伤和视觉障碍。这项研究旨在评估肢端肥大症患者的姿势和身体平衡，并建立这些措施之间的相关性。通过摄影测量法对姿势，性别，年龄，体重，身高和体重指数相匹配的28名肢端肥大症患者和相当数量的对照受试者进行了姿势评估，并使用稳定度法进行了平衡测量，这两项任务分别是：双脚分开，双眼睁开和双脚并拢，闭上眼睛。与对照组相比，肢端肥大症组在躯干垂直方向的侧视图中呈现姿势偏差（右侧为P = 0.001，左侧为P = 0.021），髋部角度（右侧为P = 0001）侧面和P = 0.016（左侧）和骨盆水平对齐（右侧P = 0.017，左侧P <.0.001）。与健康受试者相比，肢端肥大症患者在两个评估任务中均在前后方向和内侧-外侧方向上均出现了压力中心位移。我们观察到平衡测量与以下姿势评估变量之间的显着相关性：下肢之间的距离，头部的水平对齐和头部的垂直对齐。我们的结果表明，在临床实践中，需要对肢端肥大症患者的姿势和平衡进行评估，因为这些患者存在明显的姿势失衡和偏差。

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