青少年特发性脊柱侧凸患者使用支具对上肢功能的急性影响:一项横断面研究

IF 0.9 4区 医学 Q4 NEUROSCIENCES
Motor Control Pub Date : 2023-10-24 Print Date: 2024-01-01 DOI:10.1123/mc.2023-0040
Kamil Yilmaz, Fatih Celik, Bayram Sonmez Unuvar
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引用次数: 0

摘要

众所周知,脊柱侧弯会对上肢功能产生不利影响。然而,广泛用于脊柱侧弯保守治疗的刚性支架对上肢功能的急性影响尚不清楚。本研究的目的是研究青少年特发性脊柱侧弯(AIS)患者使用刚性胸腰骶支架对上肢功能的急性影响。38名被诊断为AIS的患者参与了这项横断面研究,平均年龄为14.55±1.90岁,年龄范围为10-18岁。使用九孔钉测试和握力评估上肢功能,在支架内(使用自己的支架)和支架外条件下进行评估。非优势侧AIS患者的九孔桩测试持续时间在支架内条件下显著低于支架外条件(p=0.049,效应大小=0.136)。非优势侧的握力在支架内情况下显著高于支架外条件下(p=0.025,效应大小=0.365)。发现弱负相关在支架内条件下,弯曲度和优势侧的握力之间(r=-0.323,p=.048)。得出的结论是,支架通过缩短九孔桩试验持续时间和增加握力对非优势侧的上肢功能有积极影响。在AIS患者中,支架可以通过改善非优势肢体的功能对日常生活产生积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute Effect of Brace Use on Upper-Extremity Functionality in Adolescent Individuals With Idiopathic Scoliosis: A Cross-Sectional Study.

It is well known that scoliosis adversely affects the functions of the upper extremities. However, the acute effect of rigid braces, which are widely used in the conservative treatment of scoliosis, on upper-extremity functionality remains unknown. The aim of this study was to investigate the acute effect of a rigid thoracolumbosacral brace use on upper-extremity functionality in individuals with adolescent idiopathic scoliosis (AIS). Thirty-eight individuals diagnosed with AIS participated in this cross-sectional study, with a mean age of 14.55 ± 1.90 years and a range of 10-18 years. The upper-extremity functionality was assessed using the Nine-Hole Peg Test and handgrip strength, with assessments conducted under both in-brace (with their own braces) and out-of-brace conditions. Nine-Hole Peg Test durations of the AIS patients for the nondominant side were significantly lower for in-brace conditions compared with out-of-brace conditions (p = .049, effect size = 0.136). The grip strength of the nondominant side was significantly higher for in-brace conditions compared with out-of-brace conditions (p = .025, effect size = 0.365). A weak negative correlation was found between the degree of curvature and the grip strength of the dominant side for in-brace conditions (r = -.323, p = .048). It was concluded that the brace had a positive effect on upper-extremity functionality on the nondominant side by both shortening the Nine-Hole Peg Test duration and increasing grip strength. In AIS patients, the brace may positively affect daily living by improving the functionality of the nondominant extremity.

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来源期刊
Motor Control
Motor Control 医学-神经科学
CiteScore
1.80
自引率
9.10%
发文量
48
审稿时长
>12 weeks
期刊介绍: Motor Control (MC), a peer-reviewed journal, provides a multidisciplinary examination of human movement across the lifespan. To keep you abreast of current developments in the field of motor control, it offers timely coverage of important topics, including issues related to motor disorders. This international journal publishes many types of research papers, from clinical experimental to modeling and theoretical studies. These papers come from such varied disciplines as biomechanics, kinesiology, neurophysiology, neuroscience, psychology, physical medicine, and rehabilitation. Motor Control, the official journal of the International Society of Motor Control, is designed to provide a multidisciplinary forum for the exchange of scientific information on the control of human movement across the lifespan, including issues related to motor disorders. Motor Control encourages submission of papers from a variety of disciplines including, but not limited to, biomechanics, kinesiology, neurophysiology, neuroscience, psychology, physical medicine, and rehabilitation. This peer-reviewed journal publishes a wide variety of types of research papers including clinical experimental, modeling, and theoretical studies. To be considered for publication, papers should clearly demonstrate a contribution to the understanding of control of movement. In addition to publishing research papers, Motor Control publishes review articles, quick communications, commentaries, target articles, and book reviews. When warranted, an entire issue may be devoted to a specific topic within the area of motor control.
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