背景:脊柱矫形器应用是青少年特发性脊柱侧凸保守治疗的首选,并建议采用整体生物力学方法。
方法:这是单盲的,prospective,随机化,对照研究。它包括42名患者(29名女性/13名男性),年龄10-18岁的青少年特发性脊柱侧弯,Cobb角20°-45°,他们被认为适合使用脊柱矫形器。患者随机分为两组:对照组,脊柱矫形器组(n=21),鞋垫和脊柱矫形器组(n=21)。所有参与者使用脊柱矫形器3个月。这项研究评估了功能能力,生活质量,balance,和参与者的足底压力。1周后重复评估,脊柱矫形器应用后3个月。
结果:在Cobb角上观察到统计学上的显着差异和积极作用(分别为p=0.008;p=0.878),右总数(分别为p=0.037;p=0.193),左总数(分别为p=0.037;p=0.193),左后脚(分别为p=0.002;p=0.708),与对照组相比,鞋垫和脊柱矫形器组的参与者的右前足足底压力(分别为p=0.001;p=0.739)。在摆动长度(分别为p=0.001;p=0.053)和功能能力(分别为p=0.005;p=0.220)方面观察到统计学上的显着差异和积极影响,它们是与姿势平衡有关的参数。两组患者的生活质量无明显变化(p>0.05)。
结论:鞋垫可能对功能能力产生积极影响,balance,脊柱侧凸患者长期随访期间的足底压力。因此,建议评估脊柱侧凸患者的足底压力,个性化鞋垫可能是一个有益的选择。
Spinal orthosis applications are preferred for conservative treatment of adolescent idiopathic scoliosis, and holistic biomechanical approaches are recommended.
This was single-blind, prospective, randomized, controlled study. It included 42 patients (29 females/13 males) aged 10-18 years with adolescent idiopathic scoliosis, Cobb angle of 20°-45°, who were deemed suitable for spinal orthosis use. Patients were randomly divided into two groups: control, spinal orthosis group (n = 21), and insoles and spinal orthosis group (n = 21). All participants used spinal orthoses for 3 months. This study evaluated the functional capacities, quality of life, balance, and plantar pressures of the participants. The evaluations were repeated after 1 week, and 3 months following spinal orthosis application.
Statistically significant difference and positive effect were observed in Cobb angle (p = 0.008; p = 0.878, respectively), right total (p = 0.037; p = 0.193, respectively), left total (p = 0.037; p = 0.193, respectively), left rearfoot (p = 0.002; p = 0.708, respectively), and right forefoot plantar pressure (p = 0.001; p = 0.739, respectively) in participants in insoles and spinal orthosis group compared with those in the control group. Statistically significant differences and positive effects were observed in swing length (p = 0.001; p = 0.053, respectively) and functional capacity (p = 0.005; p = 0.220, respectively), which are parameters related to postural balance. No change was found in quality of life of either group (p > 0.05).
Insoles may have positive impact on functional capacity, balance, and plantar pressure during long-term follow-up in individuals with scoliosis. Therefore, the evaluation of foot plantar pressure in individuals with scoliosis is recommended, and personalized insoles may be a beneficial option.