使用加速度绑带对胸椎后凸患者胸椎部位姿势的影响。

IF 1.4 4区 医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230027
Yaoyao Liu, Minhee Kim
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引用次数: 0

摘要

背景:在现代社会的工作环境中,长时间的不良坐姿可能会导致脊柱排列异常,如胸椎后凸(TK):本研究旨在评估绑带矫正 TK 患者姿势的效果,为临床医生矫正 TK 姿势提供理论和经验指导:研究对象包括 15 名年龄在 30-60 岁之间的受试者,他们的 TK 角度均为⩾ 40∘。受试者需要在三种不同的条件下上、下一组三个台阶(低台阶、高台阶和第二个低台阶):无胶带辅助、胶带辅助伸长 20%、胶带辅助伸长 40%。使用三轴加速度计测量和比较不同条件下胸椎的前后(AP)、垂直(VT)和内侧-外侧(MIL)运动:结果:在无绑带辅助和 20% 拉伸绑带条件下,MIL(P= 0.903)和 AP(P= 0.114)运动无明显差异。然而,在 VT 运动中发现了明显差异(P= 0.017)。将无辅助条件与 40% 拉伸绑带条件进行比较,MIL 运动没有发现显著变化(P= 0.650),但 VT 运动(P= 0.003)和 AP 运动(P= 0.016)有显著差异。在 20% 和 40% 拉伸绑带之间,三项测量结果均无明显差异:结论:绑带是立即改善畸形姿势的有效方法。结论:绑带是立即改善畸形姿势的有效方法,它可以纠正肩胛骨和颈胸线的位置,并对相关肌肉施加被动牵拉,从而缓解躯干失衡。
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Effect of taping on posture of thoracic region in patients with thoracic kyphosis using acceleration.

Background: In the working environment of modern society, a poor sitting posture for a prolonged time may lead to abnormal spinal alignment such as thoracic kyphosis (TK).

Objective: This study aimed to evaluate the efficacy of taping for posture correction of patients with TK, providing theoretical and empirical guidance for clinicians attempting to rectify TK posture.

Methods: The study included 15 subjects aged 30-60 years, all with a TK angle of ⩾ 40∘. Subjects were required to ascend and descend a set of three steps (a low step, high step, and second low step) under three different conditions: without tape assistance, with taping assistance using 20% elongation, and with taping assistance using 40% elongation. A triaxial accelerometer was employed to measure and compare the anterior-posterior (AP), vertical (VT), and medial-lateral (MIL) movements of the thoracic vertebrae in the different conditions.

Results: There were no significant differences in the MIL (P= 0.903) or AP (P= 0.114) movements between the no tape assistance and 20% elongation taping conditions. However, a significant difference was found in the VT movement (P= 0.017). Comparing the no assistance condition to the 40% elongation taping condition, no significant changes were noted in the MIL movement (P= 0.650), but significant differences were detected in both the VT (P= 0.003) and AP movements (P= 0.016). No significant differences were found in any of the three measurements between 20% and 40% elongation taping.

Conclusion: Taping serves as an effective method for immediately improving kyphotic posture. It corrects the position of the scapula and cervicothoracic line and exerts passive retraction on the relevant muscles, thus mitigating trunk imbalance.

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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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