前进头部姿势评估的两种方法:X射线图与姿势及其临床比较
Paul A Oakley1,2,3, Ibrahim M Moustafa4,5, Jason W Haas1
1CBP Nonprofit (A Spine Research Foundation), Eagle, ID 83616, USA.
Journal of clinical medicine
|April 13, 2024
概括
使用脊角 (CVA) 评估向前的头部姿势 (FHP) 显示,与放射测量 (如C2-C7斜垂直轴 (SVA)) 有很弱的相关性. 建议在患有慢性肌关节疼痛的患者中进行放射测量,以评估宫主角症和斜腰对齐.
科学领域:
- 脊柱生物力学 脊柱生物力学
- 放射学分析 放射学分析
- 姿势评估 姿势评估
背景情况:
- 前进的头姿势 (FHP) 和改变的宫主症是常见的,与部疼痛和残疾有关.
- 现有的FHP评估方法包括放射和姿势测量.
研究的目的:
- 为了研究脊角 (CVA) 与宫斜对齐的放射测量之间的相关性.
- 在患有慢性肌肌关节疼痛 (CMP) 的个体中,将姿势CVA测量与C2-C7斜垂直轴 (SVA) 和绝对旋转角度 (ARA C2-C7) 相比较.
主要方法:
- 120名患有CMP的参与者接受了姿势CVA测量和横向宫放射.
- 放射图被用来测量C2-C7 SVA和ARA C2-C7.
- 线性回归分析 (R2值) 评估了CVA,C2-C7SVA和ARAC2-C7.7之间的相关性.
主要成果:
- 在CVA和C2-C7SVA之间发现了一个弱但具有统计意义的线性匹配 (斯皮尔曼的r = 0.549,R2 = 0.30,p < 0.001).
- 在CVA和主病ARA C2-C7之间观察到非常弱的线性匹配 (斯皮尔曼r = 0.524,R2 = 0.275,p < 0.001).
- 在CVA和C2-C7 SVA测量之间存在相当大的差异.
结论:
- 脊角 (CVA) 和X射线C2-C7SVA的相关性很弱,代表了脊平衡的不同方面.
- CVA不能代替放射测量的宫主症.
- 在患者干预方面,应优先考虑对腰部对齐的放射测量,而不是CVA.
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