Does Vertical Ground Reaction Force of the Hip, Knee, and Ankle Joints Change in Patients with Adolescent Idiopathic Scoliosis after Spinal Fusion?

Asian Spine Journal

卷:12

Prema Sivalingarajah¹  Mohd Imran Yusof¹  Shazlin Shaharudin² 

[1] Department of Orthopaedics, Universiti Sains Malaysia, Kubang Kerian, Malaysia.;

[2] Department of Sport Medicine, Universiti Sains Malaysia, Kubang Kerian, Malaysia.;

关键词: Gait;    Lower extremity;    Joints;    Scoliosis;    Spinal fusion;   

DOI  :  10.4184/asj.2018.12.2.349

来源: DOAJ

【 摘 要 】

Study DesignComparative cross-sectional study.PurposeWe measured the vertical ground reaction force (vGRF) of the hip, knee, and ankle joints during normal gait in normal patients, adolescent idiopathic scoliosis (AIS) patients with a Cobb angle <40° and in AIS patients with spinal fusion. We aimed to investigate whether vGRF in the aforementioned joints is altered in these three groups of patients.Overview of LiteraturevGRF of the lower limb joints may be altered in these groups of patients. Although it is known that excessive force in the joints may induce early arthritis, there is limited relevant information in the literatures.MethodsWe measured vGRF of the hip, knee, and ankle joints during heel strike, early stance, mid stance, and toe-off phases in normal subjects (group 1, n=14), AIS patients with Cobb angle <40° (group 2, n=14), and AIS patients with spinal fusion (group 3, n=13) using a gait analysis platform. Fifteen auto-reflective tracking markers were attached to standard anatomical landmarks in both the lower limbs. The captured motion images were used to define the orientations of the body segments and force exerted on the force plate using computer software. Statistical analysis was performed using independent t-test and analysis of variance to examine differences between the right and left sides as well as those among the different subject groups.ResultsThe measurements during the four gait phases in all the groups did not show any significant difference (p>0.05). In addition, no significant difference was found in the vGRF measurements of all the joints among the three groups (p>0.05).ConclusionsA Cobb angle <40° and spinal fusion did not significantly create imbalance or alter vGRF of the lower limb joints in AIS patients.

【 授权许可】

Unknown