青少年特发性脊柱侧弯的运动与动力学研究进展
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上海中医药大学附属曙光医院推拿科

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上海市卫生健康委员会卫生行业临床研究专项(202340157),曙光医院“揭榜挂帅”项目(SGYYJBGS-001),上海市筋骨病中医推拿技术重点实验室(24dz2260200),国家自然科学基金(82374607),上海市“科技创新行动计划”医学创新研究专项(23Y11920600),上海市创新医疗器械应用示范项目“表面肌电图仪应用示范”(23SHS05400),2023年度上海市东方英才


Research Progress on Kinematic and Dynamic Characteristics in Adolescent Idiopathic Scoliosis
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Department of Tuina,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine

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    摘要:

    青少年特发性脊柱侧弯(Adolescent Idiopathic Scoliosis, AIS)是一种病因尚不明确的脊柱三维结构异常疾病,除外观畸形外,常伴随运动模式紊乱、步态功能受限及神经肌肉控制异常等功能性改变。近年来,三维运动捕捉、表面肌电图及足底压力分析等研究揭示了AIS患者在步态时空参数、脊柱-骨盆活动度、姿势稳定性、下肢动力学及肌电协同模式等方面的异常特征。本文拟从多维功能视角出发,系统梳理AIS患者在自然状态与任务状态下的运动与动力学异常特征,旨在揭示其功能障碍模式及关键影响因素,为AIS功能障碍模式识别与多维度评估体系的构建提供生物力学依据。

    Abstract:

    Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional spinal deformity of unknown etiology, characterized not only by postural deformity but also by functional impairments including disordered movement patterns, gait dysfunction, and neuromuscular control abnormalities. Recent advancements in three-dimensional motion capture, surface electromyography, and plantar pressure analysis have revealed abnormal features in AIS patients across multiple functional dimensions, including spatiotemporal gait parameters, spine-pelvis mobility, postural stability, lower limb kinetics, and muscle synergy patterns. This review systematically examines the kinematic and kinetic characteristics of AIS individuals under both natural and task-specific conditions from a multidimensional functional perspective. The analysis aims to elucidate the primary manifestations of functional impairments and their key influencing factors, thereby providing biomechanical evidence for establishing a comprehensive framework for AIS dysfunction pattern recognition and multidimensional functional assessment.

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  • 收稿日期:2025-06-24
  • 最后修改日期:2025-07-12
  • 录用日期:2025-07-15
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