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头部运动分析在异常学脊椎病:一个病例对照研究研究

Xiaopeng Gan¹, Rongbin Zhang¹, Chenguang Qiu¹

¹Department of Rehabilitation Medicine, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.

Journal of orthopaedic surgery and research

|December 8, 2025

概括

患有特异性脊椎病 (IS) 的患者在静态平衡时头部摇摆增加,但在动态任务时头部运动减少,这表明对感觉运动缺陷的补偿策略. 这些发现强调了头部运动控制在IS康复中的重要性.

科学领域:

神经学神经学
整形外科整形外科整形外科
生物力学生物力学

背景情况:

异常性脊柱脊椎病 (IS) 是一种复杂的脊柱形,影响感觉运动整合和姿势控制.
在IS中头部姿势稳定的具体作用在很大程度上仍未被定义.

研究的目的:

在静态和动态活动期间调查IS患者头部姿势稳定性控制策略.
探索IS中头部稳定性参数和脊柱放射测量之间的关联.

主要方法:

30名IS患者和30名健康对照进行静态 (坚固/泡表面,单腿姿势) 和动态 (走路,爬楼梯/下楼) 任务.
用三轴加速度计测量了头部加速度,并计算了11个姿势稳定参数.
统计分析比较组和相关的稳定性测量与脊柱放射图.

主要成果:

在静态任务中,IS患者表现出明显更大的头部摆动 (例如,RMS,RANGE,APD),特别是在闭眼的情况下.
在动态任务中,IS患者在行走和爬楼梯时表现出减少的头部加速波动 (前后方向).
头部摇摆 (APD) 与C2-C7 SVA正相关,而前后加速测量与骨盆发病率和胸部形相对负相关.

结论:

IS患者使用不同的头部姿势控制策略:在静态条件下过度摇摆,在动态活动中限制运动.
这些模式可能代表了对潜在的感觉运动障碍的补偿机制.
应将头部运动控制纳入IS的个性化康复计划.

关键词:

加速度计的速度计.异常学脊椎病症是一种异常学脊椎病症.运动分析运动分析.姿势控制姿势控制可穿戴式传感器

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