脊柱补偿模式下降的头部综合征根据倾斜位置的宫延伸性能
Hiroki Sano1, Kenji Endo2, Tsukasa Ooka1
1Department of Rehabilitation Center, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
Gait & posture
|November 5, 2025
概括
在掉头综合征中宫延伸肌肉的软弱显著影响脊柱对齐. 严重的软弱导致骨盆倾斜,弥补了头部不平衡,与较轻微的病例不同.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 神经肌肉疾病 神经肌肉疾病
背景情况:
- 掉头综合症 (DHS) 是由于部延伸肌肉 (CEM) 疲弱造成的,导致全球失衡.
- 在DHS中,CEM弱度和斜腰脊柱对齐之间的确切联系尚未完全理解.
研究的目的:
- 调查DHS患者中CEM弱度和全球脊柱姿势之间的相关性.
- 为了澄清不同程度的CEM弱势如何影响脊柱对齐参数.
主要方法:
- 分析了159名DHS患者的队列.
- 通过宫延伸性能来评估CEM强度,将患者分为轻度 (MMT≥3) 和重度 (MMT<3) DHS.
- 站立的全身放射被用来测量斜腰脊柱对齐.
主要成果:
- 轻度和重度DHS组都显示了下巴 - 眉毛垂直角 (CBVA),宫斜腰垂直轴 (C-SVA) 和胸部形 (TK) 之间的正相关性.
- 在轻度DHS中,T1斜率 (T1S) 与TK正相关,但与骨盆倾斜 (PT) 不相关.
- 在严重的DHS中,T1S与TK和PT正相关.
结论:
- 在DHS中,CEM的弱点显然会影响全球的斜腰脊柱姿势.
- 在严重的CEM弱点 (MMT<3) 中,补偿机制从胸椎腰部段转移到骨盆后侧倾斜,以管理头部不平衡.
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