Does static trunk motion analysis reflect its true position during daily activities in adolescent with idiopathic scoliosis?
| Autor: | Jean-Luc Jouve, Vincent Pomero, Benjamin Blondel, Lionel Roscigni, Sébastien Pesenti, Solène Prost, Guillaume Authier, Elke Viehweger |
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| Přispěvatelé: | Institut des Sciences du Mouvement Etienne Jules Marey (ISM), Centre National de la Recherche Scientifique (CNRS)-Aix Marseille Université (AMU), Hôpital de la Timone [CHU - APHM] (TIMONE), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Motion analysis
medicine.medical_specialty Adolescent Radiography Adolescent idiopathic scoliosis 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Kyphosis Prospective Studies Dynamic balance Retrospective Studies Orthodontics 030222 orthopedics [SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics business.industry [SPI.MECA.BIOM]Engineering Sciences [physics]/Mechanics [physics.med-ph]/Biomechanics [physics.med-ph] Spine alignment Trunk Sagittal plane Spine Surgery Position (obstetrics) medicine.anatomical_structure Spinal Fusion Scoliosis Dynamic Static Coronal plane business Tilt (camera) 030217 neurology & neurosurgery Sagittal balance |
| Zdroj: | Orthopaedics and Traumatology-Surgery and Research Orthopaedics and Traumatology-Surgery and Research, Elsevier, 2020, 106 (7), pp.1251-1256. ⟨10.1016/j.otsr.2019.12.023⟩ Orthopaedics & Traumatology: Surgery & Research Orthopaedics & Traumatology: Surgery & Research, 2020, 106 (7), pp.1251-1256. ⟨10.1016/j.otsr.2019.12.023⟩ |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2019.12.023⟩ |
| Popis: | International audience; Introduction: Adolescent idiopathic scoliosis is common condition in pediatric orthopedics that is generally analyzed with standard radiographs. However, the conditions under which the radiographs are made are completely different than the position that patients use during day-today activities. We hypothesized that the trunk's static position differs from its dynamic one. The aim of this study was to determine differences between the trunk's static and dynamic positions using motion analysis in adolescents with idiopathic scoliosis.Patients and methods: This prospective, single-center study enrolled adolescents with idiopathic scoliosis who were scheduled to undergo surgical correction. The day before the surgery, radiographs were made and motion analysis was performed (static and dynamic acquisitions). Various parameters were measured on the radiographs and motion analysis, including the coronal vertical axis (CVA), sagittal vertical axis (SVA) and coronal shoulder tilt. Results: The study enrolled 62 patients with a mean age of 15.5 years. There was a significant correlation between the radiographic measurements and the static motion analysis results for most parameters. Conversely, dynamic measurements of CVA, SVA and coronal shoulder tilt were not correlated to their static measurements (R = 0.229; 0.198 and −0.109 respectively, all p > 0.05). The static coronal shoulder tilt was opposite to the one found during walking (−0.9 • vs. 0.5 • , p = 0.031).Discussion: Our study is the first to compare the trunk's static position with its dynamic position during walking in a cohort of adolescents with idiopathic scoliosis. Motion analysis provides new information about the trunk's dynamic positions. Based on our findings, radiographic analysis only partially captures the spinal alignment and cannot be used to draw reliable conclusions about the trunk's dynamic balance. |
| Databáze: | OpenAIRE |
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