脊柱侧弯患者的静止稳定性和稳定极限

doi:10.3969/j.issn.1006-9771.2021.11.018

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (11): 1351-1355.doi: 10.3969/j.issn.1006-9771.2021.11.018

脊柱侧弯患者的静止稳定性和稳定极限

孟繁媛,赵云欣,袁殷,陈茉弦,刘巍,保文莉()

昆明医科大学康复学院,云南昆明市 650500

收稿日期:2021-06-08 修回日期:2021-08-06 出版日期:2021-11-25 发布日期:2021-12-03
通讯作者: 保文莉 E-mail:904770062@qq.com
作者简介:孟繁媛(1989-),女,汉族,云南曲靖市人,硕士,主管治疗师,主要研究方向：康复教育、骨骼肌肉疾病康复;|赵云欣(1996-),女,汉族,山西运城市人,硕士研究生,主要研究方向：骨骼肌肉疾病康复。
基金资助:
1.云南省教育厅科学研究基金项目(2021J0216);2.云南省科技厅-昆明医科大学应用基础研究联合专项资金面上项目(2019FE001-188)

Static Stability and Stability Limit for Patients with Scoliosis

MENG Fan-yuan,ZHAO Yun-xin,YUAN Yin,CHEN Mo-xian,LIU Wei,BAO Wen-li()

Rehabilitation School of Kunming Medical University, Kunming, Yunnan 650500, China

Received:2021-06-08 Revised:2021-08-06 Published:2021-11-25 Online:2021-12-03
Contact: BAO Wen-li E-mail:904770062@qq.com
Supported by:
Yunnan Department of Education Scientific Research Fund(2021J0216);Yunnan Department of Science and Technology/Kunming Medical University Applied Basic Research Joint Special Fund (General)(2019FE001-188)

摘要/Abstract

摘要：

目的研究年轻脊柱侧弯患者的平衡功能。方法 2020年6月至12月昆明医科大学校医院康复门诊脊柱侧弯大学生患者30例为试验组,健康同龄人30例为对照组,采用Pro-Kin平衡测试系统进行睁/闭眼双足静止稳定性测试,以及双足静态和动态稳定极限测。结果试验组睁/闭眼压力中心前后移动距离大于对照组(t > 2.022, P < 0.05)。试验组双足静态和动态稳定极限平均值均明显小于对照组(t > 3.365, P < 0.01);其中,除左前和正后方外,其他方向上的静态稳定极限均小于对照组(t > 2.410, P < 0.05);而前、左、右、左前方的动态稳定极限均小于对照组(t > 2.446, P < 0.05)。结论脊柱侧弯患者前后方向静态平衡以及静态和动态稳定极限下降,存在跌倒风险。

关键词: 脊柱侧弯, 静态平衡, 动态平衡

Abstract:

Objective To investigate the balance in young adult with scoliosis.Methods From June to December, 2020, 30 college students with scoliosis in the outpatient department of Rehabilitation Department of Kunming Medical University Hospital were as the patients, and 30 normal peers were as the controls. They were measured with Pro-Kin balance test system to assess the static stability of both feet standing with eyes opened and closed, and the static and dynamic limit of stability (LOS) of both feet standing.Results The moving distance of center of pressure (COP) on the Y-axis was longer in the patients than in the controls with both eye-opened and eye-closed (t > 2.022, P < 0.05). The static and dynamic LOS was less in the patients than in the controls (t > 3.365, P < 0.01). For static LOS, it was less in all the directions except left-forward and backward (t > 2.410, P < 0.05); for dynamic LOS, it was less in the directions of forward, right, left and left-forward (t > 2.446, P < 0.05).Conclusion Both static and dynamic balance is deficient for yong adults with scoliosis, which may result in risk of fall.

Key words: scoliosis, static balance, dynamic balance

孟繁媛,赵云欣,袁殷,陈茉弦,刘巍,保文莉. 脊柱侧弯患者的静止稳定性和稳定极限[J]. 《中国康复理论与实践》, 2021, 27(11): 1351-1355.

MENG Fan-yuan,ZHAO Yun-xin,YUAN Yin,CHEN Mo-xian,LIU Wei,BAO Wen-li. Static Stability and Stability Limit for Patients with Scoliosis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1351-1355.

图/表 4

表1

两组一般资料比较"

组别	n	性别(男/女, n)	年龄(岁)	身高(m)	体质量(kg)	体质量指数(kg/m²)
对照组	30	14/16	19.43 $±$ 1.14	1.65 $±$ 0.07	55.95 $±$ 7.25	20.52 $±$ 2.34
试验组	30	17/13	19.57 $±$ 1.26	1.64 $±$ 0.05	54.81 $±$ 6.61	20.37 $±$ 2.08
χ²/t值		0.601	-0.451	0.827	0.636	0.262
P值		0.438	0.653	0.412	0.527	0.794

表1

表2

表3

表4

参考文献 26

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参数	对照组(n = 30)	试验组(n = 30)	t值	P值
睁眼COP-X (mm)	-2.3±5.6	-0.27±5.4	-1.413	0.163
睁眼COP-Y (mm)	3.5±14.4	-4.4±14.6	2.125	0.038
闭眼COP-X (mm)	-1.2±6.8	1.2±7.3	-1.318	0.193
闭眼COP-Y (mm)	-3.2±13.9	4.4±15.3	2.022	0.048
Romberg率(面积, %)	202.3±116.7	230.1±155.5	0.784	0.436
Romberg率(长度, %)	134.9±28.2	139.0±28.0	-0.571	0.570

方向	对照组(n = 30)	试验组(n = 30)	t值	P值
右	71.2±10.2	60.3±13.8	3.513	0.001
右前	84.4±10.9	69.2±17.4	4.079	< 0.001
前	67.9±11.7	52.5±20.1	3.628	0.001
左前	75.7±31.4	66.4±20.0	1.376	0.174
左	68.4±11.1	55.6±16.0	3.626	0.001
左后	95.6±7.9	79.1±25.3	3.426	0.002
后	88.6±11.6	84.1±15.3	1.306	0.197
右后	97.2±6.7	90.4±13.9	2.410	0.020
平均	81.2±6.3	69.4±6.8	6.982	< 0.001

方向	对照组(n = 30)	试验组(n = 30)	t值	P值
右	75.7±14.5	67.1±12.6	2.446	0.018
右前	83.8±21.7	75.5±15.4	1.690	0.096
前	74.3±17.5	62.9±15.8	2.652	0.010
左前	84.6±14.8	74.7±13.3	2.722	0.009
左	73.9±13.6	61.6±15.4	3.274	0.002
左后	97.6±5.3	94.7±8.6	1.591	0.118
后	95.0±10.7	94.3±10.6	0.243	0.809
右后	98.4±2.5	96.7±5.9	1.492	0.144
平均	85.2±7.5	78.4±8.1	3.365	0.001

脊柱侧弯患者的静止稳定性和稳定极限

Static Stability and Stability Limit for Patients with Scoliosis

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