Does the Chêneau brace affect gait pattern and body balance of adolescents with idiopathic scoliosis?

Acta of bioengineering and biomechanics Pub Date : 2025-01-28 Print Date: 2024-06-01 DOI:10.37190/abb-02442-2024-02
Mariusz Drużbicki, Anna Puchalska-Sarna, Olga Wolińska, Magdalena Szczepanik, Joanna Majewska
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Abstract

Purpose: This study evaluated changes in selected spatiotemporal and kinematic gait parameters and balance in girls with Adolescent idiopathic scoliosis (AIS) with and without the Chêneau brace. Methods: 15 subjects with scoliosis wearing the Chêneau brace and an equal comparative control group underwent objective gait analysis with the 3D BTS motion caption system. Balance assessment was done with the Kistler platform. The analysis was performed at comparison of gait and balance parameters in patients with scoliosis in two conditions: with and without the Chêneau brace during the study. Results: Statistically significant differences occurred in many spatiotemporal and kinematic parameters both for the AIS group with and without the Chêneau brace and in the AIS group with and without the Chêneau brace as compared to the control group. When comparing adolescents with AIS with and without the Chêneau brace, statistically significant differences were noted in the COP-X amplitude and in the path length in trials with closed eyes. Compared to the control group the following differences were statistically significant: the value of the COP-Y amplitude during the trial with closed eyes, both with and without the Chêneau brace, and the Equivalent area of the COP during the trial with closed eyes with the Chêneau brace. Conclusions: The Chêneau brace in patients with juvenile idiopathic scoliosis affects the level of selected balance and gait parameters.

Chêneau支具是否影响青少年特发性脊柱侧凸的步态模式和身体平衡?
目的:本研究评估了青少年特发性脊柱侧凸(AIS)女孩在使用和不使用Chêneau支具时所选择的时空和运动学步态参数和平衡的变化。方法:使用3D BTS运动字幕系统对15例脊柱侧凸患者进行客观的步态分析,并将其佩戴Chêneau支具。平衡评估是在Kistler平台上完成的。分析比较了两种情况下脊柱侧凸患者的步态和平衡参数:研究期间使用和不使用Chêneau支具。结果:与对照组相比,使用和不使用Chêneau支具的AIS组以及使用和不使用Chêneau支具的AIS组在许多时空和运动学参数上都发生了统计学上的显著差异。当比较有和没有Chêneau支架的AIS青少年时,在闭眼试验中,COP-X振幅和路径长度有统计学显著差异。与对照组相比,以下差异具有统计学意义:闭上眼睛试验期间COP- y振幅值,无论是否使用Chêneau支架,以及使用Chêneau支架闭眼试验期间COP的等效面积。结论:Chêneau支具对青少年特发性脊柱侧凸患者的选择平衡和步态参数水平有影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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