标准姿势是一个神话:一个范围审查
1International University of Catalonia, Sant Cugat del Vallès, Barcelona, Spain. mbarra@uic.es.
Journal of rehabilitation medicine
|October 15, 2024
概括
广泛使用的肯德尔手动姿势标准缺乏证据,可能会误诊姿势问题,特别是在老年人中. 它的起源揭示了解剖学的误解和一个不现实的目标,即没有支持的立场.
科学领域:
- 生物力学 生物力学
- 运动学 运动学
- 人类姿势分析分析
背景情况:
- 肯德尔的手动姿势标准是姿势评估的常见参考.
- 它的历史起源和支持证据以前没有被记录下来.
- 这种缺乏证据引发了关于其在临床实践中的有效性的问题.
研究的目的:
- 调查肯德尔手动姿势的原始来源和设计方法.
- 为了将所描述的姿势与当前关于人类对齐的科学文献进行比较.
- 评估使用本标准用于姿势评估的科学基础.
主要方法:
- 根据PRISMA扩展指南进行了范围审查.
- 在PubMed和Scopus中使用关键词进行搜索:"站立姿势"",梅子线"和"重力线".
- 包括英语,法语,德语或西班牙语的出版物,涉及没有病理的成人姿势.
主要成果:
- 分析了六篇文章和三本书,揭示了姿势的起源在19世纪初的工作中.
- 原始作品的目的是不支持静态站立,包含了解剖学误解,并且不现实.
- 肯德尔的"理想对齐"与实际的重力线或自然姿势变化不一致.
结论:
- 肯德尔标准用于姿势评估的使用没有得到当前科学证据的支持.
- 这一标准可能导致在识别姿势缺陷时出现高错误阳性率.
- 由于潜在的不准确性,建议在将此标准应用于老年人群时特别小心.
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