Effects of a Spinal Brace On The Functional Profile of The Feet In Adolescent Idiopathic Scoliosis

Number: 3 September 1, 2018
  • Gözde Gür
  • Yavuz Yakut
EN TR

Effects of a Spinal Brace On The Functional Profile of The Feet In Adolescent Idiopathic Scoliosis

Abstract

Purpose: To assess the impact of a spinal brace on the functional profile of the feet in patients with adolescent idiopathic scoliosis AIS .Patients and Methods: The subjects were 21 female AIS patients with double curves range: 20°–45° . Baropodometry and stabilometry analysis during standing and walking and were performed without bracing and after 7 days of bracing. Plantar force distribution, contact area, foot angle, mean and peak foot pressures, step length, step width, cadence, and gait speed, center of pressure path length and sway velocities and confidence ellipse area were recorded.Results: Bracing did not affect baropodometry parameters during standing p > 0.05 . However, left foot plantar contact area was greater, mean pressure and peak pressures on the left foot were lower with bracing compared to without bracing p < 0.05 during walking. Cadence decreased with bracing. There was no change in stabilometry results p > 0.05 .Conclusion:spinal bracing created more symmetrical plantar pressure distribution between the feet during gait. However, bracing tends to alter temporal-spatial walking parameters and disrupt gait in patients with double curve scoliosis

Keywords

References

  1. Negrini S, Minozzi S, Bettany‐Saltikov J, Chockalingam N, Grivas TB, Kotwicki T, et al. Braces for idiopathic scoliosis in adolescents. Spine (Phila Pa 1976). 2016;41:1813-25. [CrossRef]
  2. Stokes IA. Three-Dimensional Terminology of Spinal Deformity: A Report Presented to the Scoliosis Research Society by The Scoliosis Research Society Working Group on 3-D Terminology of Spinal Deformity. Spine. 1994;19:236-48.
  3. Kotwicki T, Walczak A, Szulc A. Trunk rotation and hip joint range of rotation in adolescent girls with idiopathic scoliosis: does the” dinner plate” turn asymmetrically? Scoliosis. 2008;3:1. [CrossRef]
  4. Upadhyay S, Nelson I, Leong J. New prognostic factors to predict the final outcome of brace treatment in adolescent idiopathic scoliosis. Spine. 1995;20:537-45.
  5. Havey RM, Gavin TM, Patwardhan AG. Stability of the Scoliotic Spine: Effect of Scoliosis Braces. Spine. 2016;41:S18-S9. [CrossRef]
  6. Schiller JR, Thakur NA, Eberson CP. Brace management in adolescent idiopathic scoliosis. Clin Orthop Relat Res. 2010;468:670-8. [CrossRef]
  7. Mahaudens P, Raison M, Banse X, Mousny M, Detrembleur C. Effect of long-term orthotic treatment on gait biomechanics in adolescent idiopathic scoliosis. Spine J. 2014;14:1510-9. [CrossRef]
  8. Megido-Ravid M, Itzchak Y, Arcan M. Biomechanical analysis of the three-dimensional foot structure during gait: a basic tool for clinical applications. J Biomech Eng. 2000;122:630-9.

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Gözde Gür

Yavuz Yakut

Publication Date

September 1, 2018

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2018 Number: 3

EndNote
Gür G, Yakut Y (September 1, 2018) Effects of a Spinal Brace On The Functional Profile of The Feet In Adolescent Idiopathic Scoliosis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 282–288.