摘要：目的 探讨不同弯型青少年特发性脊柱侧凸（Adolescent idiopathic scoliosis，AIS）患者静立位及行走时脊柱、骨盆运动学特征，为康复形体训练提供可参考建议。方法 使用Diers 4D motion模块测量45名单弯和45名双弯AIS患者及27名健康青少年静立位及行走状态下的脊柱生理曲度和骨盆参数。结果 静立位健康组胸曲角和腰曲角角度最大，步行时双弯组胸曲增大角度最大，健康组胸曲增大角度最小；静立位下单弯组的骨盆倾斜方向与主弯同向。结论 相对于静立位，步行时三组胸曲角运动趋势主要以减少为主，且受到侧弯类型的影响，腰曲角则在所有人群中均表现为减少；两侧弯组静立位骨盆三维形态受腰椎代偿弯影响，且步行时骨盆旋转功能与腰椎代偿弯和骨盆初始位置有关。
Abstract:Objective Exploring the spine and pelvic kinematics characteristics of adolescent idiopathic scoliosis (AIS) patients with different curves during standing and walking, and providing reference suggestions for rehabilitation body training. Methods The physiological curvature of spine and pelvic parameters of 45 patients with single curve and 45 patients with double curve and 27 healthy adolescents were measured in standing and walking state using Diers 4D motion module. Results The thoracic angle and lumbar angle in the healthy group in static standing position is the largest, the thoracic enlargement angle in the double curve group is the largest, and the thoracic curve enlargement angle in the healthy group is the smallest; the rotation direction of the pelvis in the scoliosis group is the same as that of the main curve, and the inclination direction of the pelvis in the single curve group is the same as that of the main curve. Conclusion Compared with the standing position, the movement trend of thoracic angle in the three groups during walking is mainly reduced, and affected by the scoliosis curve;The lumbar angle decreased in all groups; The three-dimensional shape of the pelvis in the static standing position of the scoliosis groups is affected by the lumbar compensatory, and the dynamic rotation function of the pelvis during walking is related to the lumbar compensatory and the initial position of the pelvis.