Scoliosis Research Society-22r score is affected by standing whole body sagittal alignment, age, and sex, but not by standing balance or skeletal muscle mass in healthy volunteers,European Spine Journal

当前位置： X-MOL 学术 › Eur. Spine J. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Scoliosis Research Society-22r score is affected by standing whole body sagittal alignment, age, and sex, but not by standing balance or skeletal muscle mass in healthy volunteers
European Spine Journal ( IF 2.6 ) Pub Date : 2022-09-02 , DOI: 10.1007/s00586-022-07360-2
Kazuhiro Hasegawa ₁ , Shun Hatsushikano ₁ , Kei Watanabe ₂ , Masayuki Ohashi ₂ , Jean Dubousset ₃

Affiliation

Purpose

Aging and spinal disease impair standing whole body sagittal alignment (WBS alignment), which leads to stooping. When WBS alignment deteriorates, compensatory mechanisms are activated to maintain standing posture. Increase of the compensation impairs health-related quality of life (HRQOL). The purpose of this research was to determine whether postural factors, age, and sex affect HRQOL.

Methods

This cross-sectional study evaluated the influence of WBS alignment, standing body sway (balance), skeletal muscle mass (SMM), aging, and sex on HRQOL in healthy volunteers (n = 150; mean age 40.9 years [20–76], 96 women). Age, sex, weight, height, and body mass index (BMI) were obtained. HRQOL was assessed with Scoliosis Research Society-22 (SRS-22r). WBS alignment and balance were measured by EOS imaging with simultaneous force plate measurement. SMM was measured using a medical body composition analyzer. Based on the bivariate analysis between the SRS-22r subtotal and all parameters, selected ten parameters were used for multivariate logistic regression analysis to identify affecting factors to SRS-22r.

Results

Men had significantly higher weight, height, BMI, and SRS-22r score in all domains. The L4-S1 lumbar lordosis angle was greater in men, and pelvic tilt and knee hyperextension were greater in women. Women had a more stable standing posture, whereas men had significantly higher SMM values. Multivariate logistic regression analysis revealed that age, sex, and TPA were identified as significant factors affecting SRS-22r.

Conclusions

In healthy volunteers, SRS-22r is affected by aging, sex (woman had a lower score), and sagittal malalignment. Neither Standing balance nor SMM, however, affect SRS-22r.4

中文翻译：

脊柱侧弯研究协会-22r 评分受站立全身矢状位、年龄和性别的影响，但不受健康志愿者的站立平衡或骨骼肌质量的影响

目的

衰老和脊柱疾病会影响站立的全身矢状位对齐（WBS 对齐），从而导致弯腰。当 WBS 对齐恶化时，补偿机制被激活以保持站立姿势。补偿的增加会损害与健康相关的生活质量 (HRQOL)。本研究的目的是确定姿势因素、年龄和性别是否影响 HRQOL。

方法

这项横断面研究评估了 WBS 对齐、站立身体摇摆（平衡）、骨骼肌质量 (SMM)、衰老和性别对健康志愿者 HRQOL 的影响（n = 150；平均年龄 40.9 岁 [20–76]， 96 名女性）。获得了年龄、性别、体重、身高和体重指数 (BMI)。HRQOL 由 Scoliosis Research Society-22 (SRS-22r) 评估。WBS 对齐和平衡通过 EOS 成像和同时测力板测量来测量。SMM 是使用医学身体成分分析仪测量的。基于SRS-22r小计和所有参数之间的双变量分析，选择十个参数用于多变量逻辑回归分析以确定对SRS-22r的影响因素。