摘要
目的分析Lenke 1型和Lenke 5型青少年特发性脊柱侧弯(AIS)患者足底压力特征。方法选择连云港市第一人民医院就诊的20例AIS患者作为侧弯组,其中男性6例,女性14例;年龄10~18岁,平均年龄13.60岁;体质量32.70~71.80 kg,平均体质量51.86 kg;身高141.00~174.00 cm,平均身高159.60 cm;身体质量指数(BMI)14.90~24.30 kg/m^(2),平均BMI 20.22 kg/m^(2);Lenke 1型7例,Lenke 5型13例;左侧弯14例,右侧弯6例。选择同时期的20健康人作为对照组,其中男性7例,女性13例;年龄10~18岁,平均年龄14.45岁;体质量45.00~66.80 kg,平均体质量53.94 kg;身高155.00~173.00 cm,平均身高162.30 cm;BMI 16.90~25.40 kg/m^(2),平均BMI 20.48 kg/m^(2)。分别测量AIS患者凹、凸侧和健康人足部峰值压力(PP)、平均压力(MP)、总压力(SMF)和各个分区的压力百分比;计算双足对称性指数(SI);计算Cobb角同足底压力整体指标的相关性。结果侧弯组Lenke 1型和Lenke 5型AIS凹侧足底PP值大于凸侧和对照组[(1.93±0.27)N vs(1.69±0.30)N vs(1.68±0.23)N。P<0.05];凹侧足底的第一、二、三跖骨及足后跟外侧区的压力小于对照组[(10.96±2.50)%vs(14.56±4.51)%、(17.18±4.74)%vs(13.01±2.94)%、(15.00±8.26)%vs(3.84±3.90)%。P<0.05];侧弯组SIPP、SIMP、SISMF均大于对照组(17.88±15.21 vs 9.41±7.55、21.69±7.97 vs 15.72±8.23、23.60±10.83 vs 14.09±8.36。P<0.05)。结论Lenke 1型和Lenke 5型AIS患者足底压力同健康人存在差异,行走时凹侧足底压力大于凸侧;AIS患者局部足底压力分布存在异常,应防止压力性溃疡的发生。AIS患者SIPP、SIMP、SISMF均大于健康人,AIS患者双侧足底压力对称性差异大于健康人。
Objective To analyze the characteristics of plantar pressure in adolescent idiopathic scoliosis(AIS)with Lenke 1 and Lenke 5.Methods A total of 20 AIS patients were enrolled as AIS group,which included 6 males and 14 females,aged 10-18 years old with mean age of 13.60 years old;body mass was 32.70-71.80 kg with mean body mass of 51.86 kg;height was 141.00-174.00 cm with mean height of 159.60 cm;body mass index(BMI)was 14.90-24.30 kg/m^(2) with mean BMI of 20.22 kg/m^(2);7 cases of Lenke 1 and 13 of Lenke 5;14 cases of left bending and 6 of right bending.At the same time,20 healthy adolescent were enrolled as control group,which included 7 males and 13 females,aged 10-18 years old with mean age of 14.45 years old;body mass was 45.00-66.80 kg with mean body mass of 53.94 kg;height was 155.00-173.00 cm with mean height of 162.30 cm;BMI was 16.90-25.40 kg/m^(2) with mean BMI of 20.48 kg/m^(2).The peak pressure(PP),mean pressure(MP),total pressure(SMF)and pressure percentage on concave and convex side of AIS patients and healthy in each zone were measured.The foot symmetry indexes(SI)was measured.The correlation between Cobb angle and overall index of plantar pressure were calculated.Results The plantar PP value of Lenke 1 and Lenke 5 AIS patients at concave side in AIS group was significantly greater than that of convex side and control group[(1.93±0.27)N vs(1.69±0.30)N vs(1.68±0.23)N.P<0.05];The pressure of the first,second and third metatarsal bones and the lateral heel area of concave were significantly lower than that of control group[(10.96±2.50)%vs(14.56±4.51)%,(17.18±4.74)%vs(13.01±2.94)%,(15.00±8.26)%vs(3.84±3.90)%.P<0.05];the SIPP,SIMP and SISMF of AIS group were higher than those of control group(17.88±15.21 vs 9.41±7.55,21.69±7.97 vs 15.72±8.23,23.60±10.83 vs 14.09±8.36.P<0.05).Conclusion It is demonstrated that plantar pressure of AIS pa-tients with Lenke 1 and Lenke 5 is different from that of healthy,the plantar pressure of concave side is greater than that of convex side during walking.The distribution of local plantar pressure in AIS patient is abnormal,and the occurrence of pressure ulcer should be prevented.The SIPP,SIMP and SISMF of AIS patient are larger than those of healthy adolescent,and bilateral plantar pressure symmetry difference of AIS patient is greater than that of healthy adolescent.
作者
黄一鸣
吴茂东
赵秦
苏清伦
丁侨侨
HUANG Yi-ming;WU Mao-dong;ZHAO Qin;SU Qing-lun;DING Qiao-qiao(Jinzhou Medical University,Jinzhou 121000,Liaoning,China;The First People’s Hospital of Lianyungang,Lianyungang 222000,Jiangsu,China)
出处
《生物医学工程与临床》
CAS
2024年第2期193-197,共5页
Biomedical Engineering and Clinical Medicine
基金
连云港市第一人民医院临床研究基金项目(LC29)
连云港市卫生科技项目(202003)。
