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

The correlation analysis of the severity of adolescent idiopathic scoliosis and the whole spinal mobility

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(P<0.01),但均与站立位前屈及后伸活动度无明显相关性(P>0.05)。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。

Objective： The result of quantitative assessment of the whole spinal flexion, extension, left and right side flexion mobility for adolescent idiopathic scoliosis （AIS） patients with SpinalMouse was used to do the correlation analysis with the Cobb angle of the main curve, apical vertebral rotation and brace use time respectively to determine how to design the medical exercises training. Methods： This study included 48 patients with AIS （8 males, 40 females）, selected from January 2014 to May 2016 in our center. With mean age （13.46±2.00） years old, mean Cobb angle 24.29°±9.48°, mean Risser sign 2.21°±1.80°, mean main apical rotation 1.08°±0.77°, mean brace use time （17.54±21.36） months. Measured the whole spinal flexion, extension, left and right side flexion mobility in four directions for AIS patients with SpinalMouse. Results： It showed negative correlation between Cobb angle, apical vertebral rotation, brace use time and the whole spinal side flexion mobility （P〈0.01）, but there was no significant correlation between Cobb angle, apical vertebral rotation, brace use time and the whole spinal side flexion mobility （P〉0.05）. Conclusion： The severity of Cobb angle, apical vertebral rotation, and long-time use brace influence the whole spinal side flexion mobility. However, it doesn’t influence the whole spinal flexion and extension mobility.