Comparing surface topographic range of motion in pediatric patients with Scheuermann kyphosis to healthy controls.

IF 1.6 Q3 CLINICAL NEUROLOGY

Spine deformity Pub Date : 2025-06-11 DOI:10.1007/s43390-025-01126-8

Jenna L Wisch, Akshitha Adhiyaman, Ankush Thakur, Colson P Zucker, Benjamin N Groisser, Patrick Nian, Amith Umesh, Ram Haddas, M Timothy Hresko, Matthew E Cunningham, John S Blanco, Howard J Hillstrom, Roger F Widmann, Jessica H Heyer

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Abstract

Purpose: This study compares the range of motion (ROM) in all three planes in patients with Scheuermann kyphosis (SK) to healthy controls using surface topographic (ST) scanning.

Methods: SK patients and healthy controls between 11-21 years old were recruited prospectively. Patients underwent ST scanning in maximal forward bend, twist to the right and left, and side-bend to the right and left. Sagittal, axial, and coronal ROM were computed using an automated pathway. An analysis of variance was used to determine significant differences in the ROM (coronal, axial, and sagittal) and asymmetry (coronal and axial) of SK patients versus controls. Scoliosis Research Society (SRS) 22r total, self-image, pain and function, as well as Patient-Reported Outcome Measurement Information System (PROMIS) mobility, physical activity and pain interference scores, and HSS Pedi-FABS were collected for all patients.

Results: 23 patients with SK and 98 controls were analyzed. SK group was 78.3% male with BMI of 24.1 kg/m², average thoracic kyphosis angle of 75.0°. Control group was 55.1% male with a BMI 20.9 kg/m². Compared to controls, patients with SK had 18.0° less sagittal, 12.0° less coronal ROM, and 15.5° less axial ROM. Controlling for age, sex, BMI, HSS Pedi-FABS did not change significance except for axial asymmetry index when controlling for sex. Patients with SK had lower SRS22r pain scores (4.1 vs. 4.4, p = 0.023), SRS22r self-image scores (3.5 vs. 4.5, p < 0.001) and SRS22r total scores (3.9 vs. 4.4, p < 0.001) compared to controls.

Conclusions: Patients with SK have reduced ROM in all three planes measured by ST, compared to controls. The restriction in motion is accompanied by lower SRS22r pain and total scores, indicating that motion may play an important role in a patient's quality of life. This study is limited by the lack of evaluation of extension when assessing sagittal range of motion, which has previously been documented to be compromised by SK.

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比较舒尔曼后凸症患儿与健康对照者的体表运动范围。

目的：本研究使用表面形貌（ST）扫描比较了舒尔曼后凸症（SK）患者与健康对照者在所有三个平面的活动范围（ROM）。方法：前瞻性招募11 ~ 21岁的SK患者和健康对照者。患者在最大前屈、左右扭转、左右侧屈时行ST扫描。矢状面、轴状面和冠状面ROM采用自动路径计算。方差分析用于确定SK患者的ROM（冠状面、轴状面和矢状面）和不对称性（冠状面和轴状面）与对照组的显著差异。收集所有患者脊柱侧凸研究协会（SRS） 22r总分、自我形象、疼痛和功能，以及患者报告结果测量信息系统（PROMIS）的活动能力、身体活动和疼痛干扰评分，以及HSS pedii - fabs。结果：对23例SK患者和98例对照组进行分析。SK组78.3%为男性，BMI为24.1 kg/m2，平均胸后凸角75.0°。对照组55.1%为男性，BMI为20.9 kg/m2。与对照组相比，SK患者矢状面ROM减少18.0°，冠状面ROM减少12.0°，轴向ROM减少15.5°。在控制年龄、性别、BMI的情况下，除轴向不对称指数外，HSS pedia - fabs在控制性别时无显著变化。SK患者的SRS22r疼痛评分较低（4.1比4.4,p = 0.023）， SRS22r自我形象评分较低（3.5比4.5,p）。结论：与对照组相比，SK患者在ST测量的所有三个平面上的ROM均降低。运动受限伴随着较低的SRS22r疼痛和总分，表明运动可能在患者的生活质量中起重要作用。在评估矢状关节活动度时，由于缺乏对伸展的评估，这项研究受到了限制，而矢状关节活动度先前已被证明受到SK的损害。

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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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.