| 赵廷虎,王玲,牛军杰,陈汉鑫,柳鑫,刘创宇,王金武,李军.青少年特发性脊柱侧弯矢、冠状面平衡与下肢关节角度、足部特征的相关性[J].中国康复,2026,41(6):337-341 |
| 青少年特发性脊柱侧弯矢、冠状面平衡与下肢关节角度、足部特征的相关性 |
| Correlation between sagittal and coronal spinal balance and lower limb joint angles and foot characteristics in adolescent idiopathic scoliosis |
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| DOI：10.3870/zgkf.2026.06.003 |
| 中文关键词: 特发性脊柱侧弯 冠状面平衡 生物力学 足弓高度 |
| 英文关键词: adolescent idiopathic scoliosis coronal balance biomechanics arch height |
| 基金项目:贵州省科技支撑计划，黔科合支撑（【2023】一般196）；深圳市坪山区卫健局（20231315）；上海交通大学医学院附属第九人民医院临床研究型MDT项目（201914） |
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| 中文摘要: |
| 目的：探讨特发性脊柱侧弯(AIS)患者脊柱矢状面与冠状面指标与下肢关节角度、足部特征的关系。方法：选取42例AIS患者，采集脊柱矢状面指标，包括脊柱倾斜度、胸椎后凸角和腰椎前凸角，脊柱冠状面指标包括冠状不平衡、肩部斜度、骨盆倾斜和躯干不平衡。同时收集步行时下肢关节在矢状面和冠状面的最大角度，以及足弓高度、足弓指数和足后跟角等足部特征。采用Pearson相关分析和多因素线性回归，探讨脊柱与下肢及足部指标的相关性。结果：AIS患者足弓高度和足弓指数(P<0.001)、足后跟角度(P=0.002)，骨盆倾斜和膝屈曲最大角度(P=0.043)，肩部斜度和足弓高度(P=0.045)均呈负相关。而冠状不平衡和躯干不平衡(P<0.001)，足弓指数与足后跟角(P=0.044)，膝内翻/外翻最大角度和足后跟角(P=0.014)均呈正相关关系。调整年龄和BMI后，足弓指数与足后跟角(P=0.079)，肩部斜度和足弓高度(P=0.07)不再显著。结论：AIS患者脊柱参数与下肢角度、足部特征存在相关性，其中矢状面参数与下肢角度关联稳定，而冠状面参数与足部特征的相关性受到混杂因素影响。表明AIS的发生可能与下肢和足部改变存在潜在关联，下肢生物力学和足部特征监测应被纳入AIS管理策略中。 |
| 英文摘要: |
| Objective: Research indicates that patients with adolescent idiopathic scoliosis (AIS) may exhibit changes in lower limb biomechanics and foot characteristics; however, the relationship between these factors remains unclear. This study employed correlation analysis to investigate the relationships between sagittal and coronal spinal parameters and lower limb joint angles and foot characteristics. Methods: Totally, 42 AIS patients were selected, and sagittal spinal parameters, including spinal inclination, thoracic kyphosis, and lumbar lordosis, were collected. Coronal spinal parameters, including coronal imbalance, shoulder slope, pelvic tilt, and trunk imbalance, were also recorded. In addition, the maximum angles of lower limb joints in the sagittal and coronal planes during walking, as well as foot characteristics such as arch height, arch index, and calcaneal angle, were measured. Pearson correlation analysis and multivariable linear regression were used to explore the relationships between spinal and lower limb/foot parameters. Results: Arch height and arch index (P<0.001), calcaneal angle (P=0.002), pelvic tilt and maximum knee flexion angle (P=0.043), and shoulder slope and arch height (P=0.045) all showed significant negative correlations. Coronal imbalance and trunk imbalance (P<0.001), arch index and calcaneal angle (P=0.044), as well as the maximum knee varus/valgus angle and calcaneal angle (P=0.014), exhibited positive correlations. The associations between arch index and calcaneal angle (P=0.079) and between shoulder slope and arch height (P=0.07) had no statistically significant difference after adjusting for age and BMI. Conclusion: Spinal pa-rameters are associated with lower limb angles and foot characteristics, with sagittal plane parameters showing stable associations with lower limb angles, while correlations between coronal plane parameters and foot characteristics are influenced by confounding factors. This suggests a potential association between the occurrence of AIS and changes in the lower limbs and feet; Monitoring of lower limb biomechanics and foot characteris-tics should be incorporated into AIS management strategies. |
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