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
{"title":"比较舒尔曼后凸症患儿与健康对照者的体表运动范围。","authors":"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","doi":"10.1007/s43390-025-01126-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>23 patients with SK and 98 controls were analyzed. SK group was 78.3% male with BMI of 24.1 kg/m<sup>2</sup>, average thoracic kyphosis angle of 75.0°. Control group was 55.1% male with a BMI 20.9 kg/m<sup>2</sup>. 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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparing surface topographic range of motion in pediatric patients with Scheuermann kyphosis to healthy controls.\",\"authors\":\"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\",\"doi\":\"10.1007/s43390-025-01126-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>23 patients with SK and 98 controls were analyzed. SK group was 78.3% male with BMI of 24.1 kg/m<sup>2</sup>, average thoracic kyphosis angle of 75.0°. Control group was 55.1% male with a BMI 20.9 kg/m<sup>2</sup>. 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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":21796,\"journal\":{\"name\":\"Spine deformity\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-06-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spine deformity\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s43390-025-01126-8\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spine deformity","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s43390-025-01126-8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Comparing surface topographic range of motion in pediatric patients with Scheuermann kyphosis to healthy controls.
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
