RESUMEN
This study examines the postural stability of children with idiopathic scoliosis, using experimental data and a model of sway that includes mediolateral (ML) and anterioposterial (AP) components. The experimental data includes center of pressure (COP) measurements calculated from data acquired using two Advanced Medical Technology, Inc. (AMTI) force plates. Sway metrics are computed and compared with the model simulation, which successfully reproduced the clinical data from 16 children with scoliosis and 20 typically-developing children. This study is part of the first phase of a multi-year study designed to systematically assess whether fusing the spine to L4 in children with scoliosis has a significant impact on physical function and quality of life.
Asunto(s)
Modelos Biológicos , Equilibrio Postural/fisiología , Escoliosis/fisiopatología , Adolescente , Fenómenos Biomecánicos , Ingeniería Biomédica , Estudios de Casos y Controles , Niño , Femenino , Humanos , Vértebras Lumbares/cirugía , Masculino , Escoliosis/cirugía , Fusión VertebralRESUMEN
We present a preliminary study of combined anterior posterior (AP) and medial lateral (ML) sway assuming a classic inverted pendulum with included subtalar movement. Based on a feedback control posture model in the sagittal plane as presented by Maurer and Peterka, we have investigated parameters needed to model ML sway components. Center of pressure (COP) data was collected from a population of 8 normal adults (age 18 to 30 years) using a dual AMTI force plate system. Fourteen different sway metrics were calculated. The collected data was successfully compared to numerous simulations of the model where model parameters were varied and the goal was to reproduce both AP and ML components.