目的:这项研究旨在比较脊柱姿势,移动性,青少年漏斗胸(PE)的位置感和位置感,Carinatum(PC),健康控制(HC)。
方法:22与PE,22与PC,21HC纳入研究。脊柱姿势(胸椎后凸,腰椎前凸,骨盆倾斜,胸廓,腰椎,骨盆侧向倾角)和活动性(胸椎,腰椎,髋/骶骨,总的来说,在矢状面和额面)与脊髓小鼠,和脊柱位置感觉(复位误差)的倾斜计进行评估。
结果:PE和PC的胸椎后凸角度高于HC(p<0.001;p=0.001)。PE和PC矢状面的髋/骶骨活动度低于对照组,分别(p<0.001;p<0.001)。PC的总体矢状脊柱活动度(p:0.007)和额平面的髋/骶骨活动度(p:0.002)低于HC。PE和PC的总体额叶脊柱活动度低于HC(p:0.002;p:0.014)。PE和PC复位误差较高(p<0.001;p:0.014)。
结论:研究发现,患有PE和PC的青少年脊柱活动能力下降,脊柱排列障碍,脊柱位置感下降。在对胸壁畸形的青少年进行身体检查时,重要的是不要忽视脊柱。在临床实践中,我们建议有胸部畸形的青少年应接受脊柱评估,并接受物理治疗以治疗脊柱疾病。
OBJECTIVE: The study aimed to compare spinal posture, mobility, and position sense in adolescents with pectus excavatum (PE), pectus carinatum (PC), and healthy control (HC).
METHODS: 22 with PE, 22 with PC, and 21 HC were included in the study. The spinal posture (thoracic kyphosis, lumbar lordosis, pelvic tilt, thoracic, lumbar, pelvic lateral tilt angles) and mobility (thoracic, lumbar, hip/sacral, and overall, in the sagittal and frontal plane) with the spinal mouse, and spinal position sense (repositing errors) with the inclinometer were assessed.
RESULTS: The thoracic kyphosis angle of PE and PC was higher than in HC (p < 0.001; p = 0.001). Hip/sacral mobility in the sagittal plane was lower in the PE and PC than control, respectively (p < 0.001; p < 0.001). Overall sagittal spinal mobility (p:0.007) and hip/sacral mobility in the frontal plane (p:0.002) were lower in the PC than in HC. Overall frontal spinal mobility was lower in the PE and PC than in HC (p:0.002; p:0.014). The PE and PC repositing errors were higher (p < 0.001; p:0.014).
CONCLUSIONS: The study found that adolescents with PE and PC had decreased spinal mobility, spinal alignment disorders, and a decline in spinal position sense. It is important not to overlook the spine during physical examinations of adolescents with chest wall deformities. In clinical practice, we suggest that adolescents with chest deformities should undergo a spine evaluation and be referred for physical therapy to manage spinal disorders.