Normative Dynamic & Magnetic Spine

Centre d'Investigation Clinique et Technologique 80548 enrolled

Overview

This study aims to describe normal spinal musculoskeletal patterns in healthy adolescents and young adults by using static and dynamic measures. Static informations are obtained from full-spine stereoradiography for skeletal measures and from high-resolution spine muscle MRI for muscular data. Dynamics stability is calculated from 3D gait analysis.

Spinal diseases and deformities in adults (degenerative or traumatic) and children (scoliosis and kyphosis) are major public health issues. Postural imbalance due to spinal deformity is usually measured on static radiographs, using standard X-rays. However, bipedal walk is characteristic from human being and the trunk is the main stabilizer. Pathogenesis of spinal deformities remains undefined. To understand the different mechanisms involved in the pathological field, normal musculoskeletal performances of the spine, in static and dynamic conditions must be identified. Ultra-low doses stereoradiography using the EOS system allows the acquisition of full-spine images in standing position. Furthermore, 3D reconstruction can also be create from both anteroom-posterior and lateral side view. Stereoradiography is used in clinical routine especially in children spinal deformities. High resolution muscular MRI is the only device that can provide a detailed muscular analysis, with detection of abnormalities at an early stage. No mapping of normal paraspinal muscles has been yet realized, particularly regarding to rotatores muscles. Motion analysis is the reference exam to analyse dynamic stability during gait. Several parameters reflecting stability during gait can be collected in different conditions. Recently, the "Dynamic Stability Margin" has been developed but no standard values especially in healthy children has been published.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Healthy Volunteers Dynamic Stability Margin Gait Paraspinal Muscles

Interventions

EOS full-spine, MRI, gait analysisOTHER

full-spine stereoradiography, high-resolution spine muscle MRI and 3D gait analysis will be performed

Eligibility

Sex: ALLMin age: 8 YearsMax age: 40 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Informed consent signed by adult or by the holders of parental authority for the children and adolescents * Child or teenager, male or female, aged from 8 years to 17 years inclusive * Adult, male or female, aged from 18 years to 40 years inclusive * Realization of a preliminary medical examination Exclusion Criteria: * Refuse to participate to the study * Patient under guardianship or curatorship * Inability to cooperate * Pregnant woman * Non affiliation to social security * Subject with spinal and/or lower limbs affection * Subject with antecedent of spinal and/or lower limbs surgery * Subject with contraindication to MRI * Refusal of the parent or the subject to be informed about a fortuitous discovery during the examinations of the exams

Locations (1)

APHP Hopital raymond Poincaré

Garches, Île-de-France Region, France

Outcomes

Primary Outcomes

Normal dynamic stability margin (DSM) in children and adults

DSM= xCoM (extrapolated center of mass)- BoS (Base of Support). Unit = meters Normalized on body height (m)

Time frame: 2 hours

Secondary Outcomes

number of rotatores muscles

counting every rotatore muscle (from MRI data), no unit

Time frame: 2 hours

volume of back muscles

from segmentation of each muscle group, unit = voxel

Time frame: 2 hours

Data from ClinicalTrials.gov

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