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Introduction <p>Adolescent Idiopathic Scoliosis (AIS) is classically evaluated through static X-rays and health-related quality of life questionnaires that do not reflect the functional limitations of patients during daily life activities, such as walking. The aim was to investigate kinematic strategies in non-operated AIS with different types of curvature during walking using 3D gait analysis.</p> Methods <p>13 AIS with Lenke 5 (major Cobb: 23 ± 8°), 30 AIS with Lenke 1 (major Cobb: 40 ± 14°) in addition to 24 controls underwent biplanar X-rays followed by 3D gait analysis. The kinematic parameters of the head, trunk, spinal segments, pelvis and lower limbs were compared between groups.</p> Results <p>AIS Lenke 5 had a lumbar segment bending while walking (T12L3-L3L5: 5 ± 7° vs. -3 ± 7° in controls) to the concave side of the scoliosis. They walked with an increased pelvic frontal mobility (12 ± 3° vs. 9 ± 3°) and internal rotation of the right foot (-2 ± 6° vs. -11 ± 8°; all <i>p</i> &lt; 0.05). AIS Lenke 1 increased their thoracic &amp; lumbar segment bending to the concave and to the opposite side respectively (T6T9-T9T12: -4 ± 9° vs. 1 ± 4°; T12L3-L3L5: 8 ± 12° vs. -2 ± 7°). However, they tended to reduce their lumbo-pelvic mobility (7 ± 5° vs. 12 ± 5°; all <i>p</i> &lt; 0.05).</p> Conclusion <p>In response to their inherent lumbar stiffness and bending, AIS Lenke 5 patients tended to increase their pelvic frontal mobility and to develop a homolateral internal foot rotation, ensuring a dynamic alignment during gait. AIS Lenke 1, by producing opposite bending movement at the thoracic and lumbar segments, tended to reduce their lumbo-pelvic mobility and ensure coronal dynamic alignment.</p>

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Different kinematic strategies are adopted by AIS patients during walking depending on their Lenke type

  • 期刊论文

  • 发表日期：

    2025年11月7日

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  • Maria R Karam,
  • Maria Asmar,
  • Rami Rachkidi,
  • Emmanuelle Wakim,
  • Abir Massaad,
  • Mohamad Karam,
  • Georges El Haddad,
  • Marc Boutros,
  • Marc Mrad,
  • Ibrahim Hamati,
  • Gilles Prince,
  • Moustapha Rteil,
  • Guy Awad,
  • Joe Azar,
  • Maria Rassam,
  • Karim Hoyek,
  • Rony El Hayek,
  • Elio Mekhael,
  • Nabil Nassim,
  • Claudio Vergari,
  • Hélène Pillet,
  • Ismat Ghanem,
  • Ayman Assi

摘要

Introduction

Adolescent Idiopathic Scoliosis (AIS) is classically evaluated through static X-rays and health-related quality of life questionnaires that do not reflect the functional limitations of patients during daily life activities, such as walking. The aim was to investigate kinematic strategies in non-operated AIS with different types of curvature during walking using 3D gait analysis.

Methods

13 AIS with Lenke 5 (major Cobb: 23 ± 8°), 30 AIS with Lenke 1 (major Cobb: 40 ± 14°) in addition to 24 controls underwent biplanar X-rays followed by 3D gait analysis. The kinematic parameters of the head, trunk, spinal segments, pelvis and lower limbs were compared between groups.

Results

AIS Lenke 5 had a lumbar segment bending while walking (T12L3-L3L5: 5 ± 7° vs. -3 ± 7° in controls) to the concave side of the scoliosis. They walked with an increased pelvic frontal mobility (12 ± 3° vs. 9 ± 3°) and internal rotation of the right foot (-2 ± 6° vs. -11 ± 8°; all p < 0.05). AIS Lenke 1 increased their thoracic & lumbar segment bending to the concave and to the opposite side respectively (T6T9-T9T12: -4 ± 9° vs. 1 ± 4°; T12L3-L3L5: 8 ± 12° vs. -2 ± 7°). However, they tended to reduce their lumbo-pelvic mobility (7 ± 5° vs. 12 ± 5°; all p < 0.05).

Conclusion

In response to their inherent lumbar stiffness and bending, AIS Lenke 5 patients tended to increase their pelvic frontal mobility and to develop a homolateral internal foot rotation, ensuring a dynamic alignment during gait. AIS Lenke 1, by producing opposite bending movement at the thoracic and lumbar segments, tended to reduce their lumbo-pelvic mobility and ensure coronal dynamic alignment.