Trunk balance, head posture and plantar pressure in adolescent idiopathic scoliosis

作者：Jin-Xu Wen, Hui-Hui Yang, Shu-Man Han, Lei Cao, Hui-Zhao Wu, Chen Yang, Han Li, Linlin Chen, Nuan-Nuan Li, Bao-Hai Yu, Bu‐Lang Gao, Wenjuan Wu · 发表于：Frontiers in Pediatrics · 年份：2022 · DOI：10.3389/fped.2022.979816 · 被引用次数：27 · 研究领域：Scoliosis diagnosis and treatment、Spinal Fractures and Fixation Techniques、Spine and Intervertebral Disc Pathology

Background The relationship of trunk balance with head posture and plantar pressure is unknown in patients with adolescent idiopathic scoliosis (AIS). Objective To investigate the relationship of trunk balance with head posture and plantar pressure by analyzing the imaging data of patients with AIS. Materials and methods This retrospective study was performed on 80 AIS patients who had whole spine frontal and lateral radiographs, and the imaging parameters were measured and analyzed. Results The coronal trunk imbalance rate was 67.5%, the trunk offset direction was towards left in 65 cases and right in 15 cases, and the head offset direction was towards left in 66 cases and right in 14 cases. The sagittal trunk imbalance rate was 57.25%. The distance of apical vertebrae and head offset in the coronal trunk balance group was significantly ( P < 0.05) smaller than that in the imbalance group. The apical vertebrae offset distance and head offset distance were positively correlated with the tilt angle of trunk ( r = 0.484 and 0.642, respectively, P < 0.05). The difference in the percentage of pressure load on the left and right foot was significantly ( P < 0.05) greater in the coronal imbalance group than that in the balance group.The center of pressure (COP) sway area was significantly ( P < 0.05) larger in the overall trunk imbalance group (both coronal and sagittal imbalance) than in the balanced group. Conclusion Most AIS patients have trunk imbala...