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 p0.05 . 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
- Negrini S, Minozzi S, Bettany‐Saltikov J, Zaina F, Chockalingam N, Grivas TB, et al. Braces for idiopathic scoliosis in adolescents. Spine (Phila Pa 1976) 2010;35:1285–93. doi: 10.1097/BRS.0b013e3181dc48f4
- 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 (Phila Pa 1976) 1994;19:236–48.
- 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. doi: 10.1186/1748-7161-3-1
- Upadhyay SS, Nelson IW, Ho EK, Hsu LC, Leong JC. New prognostic factors to predict the final outcome of brace treatment in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 1995;20:537–45.
- Havey RM, Gavin TM, Patwardhan AG. Stability of the Scoliotic Spine: Effect of Scoliosis Braces. Spine (Phila Pa 1976) 2016;41 Suppl 7:S18–9. doi: 10.1097/BRS.0000000000001428
- Schiller JR, Thakur NA, Eberson CP. Brace management in adolescent idiopathic scoliosis. Clin Orthop Relat Res 2010;468:670–8. doi: 10.1007/s11999-009-0884-9
- 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. doi: 10.1016/j. spinee.2013.08.050
- Gefen A, 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.
- Deepashini H, Omar B, Paungmali A, Amaramalar N, Ohnmar H, Leonard J. An insight into the plantar pressure distribution of the foot in clinical practice: Narrative review. Polish Annals of Medicine 2014;21:51–6. doi: 10.1016/j.poamed.2014.03.003
- Mattar R, Diab J, Wehbe S, Merhej C, Abu-Faraj ZO. Normative plantar pressure distribution in asymptomatic adult subjects: A pilot study. Beirut – Lebanon: 2015 International Conference on Advances in Biomedical Engineering (ICABME); 2015. p.230–3.
- Kramers-de Quervain IA, Müller R, Stacoff A, Grob D, Stüssi E. Gait analysis in patients with idiopathic scoliosis. Eur Spine J 2004;13:449– 56. doi: 10.1007/s00586-003-0588-x
- Wong MS, Cheng CY, Ng BK, Lam TP, Sin SW, Lee-Shum LF, et al. The effect of rigid versus flexible spinal orthosis on the gait pattern of patients with adolescent idiopathic scoliosis. Gait Posture 2008;27:189–95. doi: 10.1016/j.gaitpost.2007.03.007
- Paolucci T, Morone G, Di Cesare A, Grasso MR, Fusco A, Paolucci S, et al. Effect of Chêneau brace on postural balance in adolescent idiopathic scoliosis: a pilot study. Eur J Phys Rehab Med 2013;49:649–57.
- King HA, Moe JH, Bradford DS, Winter RB. The selection of fusion levels in thoracic idiopathic scoliosis. J Bone Joint Surg Am 1983;65:1302–13.
Abstract
Amaç: Adolesan idiyopatik skolyozlu AİS bireylerde, spinal ortezin ayak fonksiyonel profiline etkisini incelemek.Hastalar ve Yöntem: Çalışmaya çift eğrisi olan 20° ile 45° arasında 21 AİS’li kız birey alındı. Ayakta duruş ve yürüyüş sırasında baropodometri ve stabilometri değerlendirmeleri, korse öncesi ve korselemeden yedi gün sonra, korse ile tekrarlandı. Plantar kuvvet dağılımı, temas alanı, ayak açısı, ortalama ve maksimum basınçlar, adım uzunluğu, adım genişliği, kadans, yürüyüş hızı, vücut basınç merkezi uzunluğu, salınım hızı ve güven alanı kaydedildi.Bulgular: Korseleme ayakta duruş sırasında, baropometri sonuçlarını etkilemedi p>0,05 . Sağ ayak ile karşılaştırıldığında, yürüyüş sırasında, korseli durumda korsesize göre, sol ayak plantar temas alanı fazlayken, ortalama ve maksimum basınçları azdı p
Keywords
References
- Negrini S, Minozzi S, Bettany‐Saltikov J, Zaina F, Chockalingam N, Grivas TB, et al. Braces for idiopathic scoliosis in adolescents. Spine (Phila Pa 1976) 2010;35:1285–93. doi: 10.1097/BRS.0b013e3181dc48f4
- 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 (Phila Pa 1976) 1994;19:236–48.
- 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. doi: 10.1186/1748-7161-3-1
- Upadhyay SS, Nelson IW, Ho EK, Hsu LC, Leong JC. New prognostic factors to predict the final outcome of brace treatment in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 1995;20:537–45.
- Havey RM, Gavin TM, Patwardhan AG. Stability of the Scoliotic Spine: Effect of Scoliosis Braces. Spine (Phila Pa 1976) 2016;41 Suppl 7:S18–9. doi: 10.1097/BRS.0000000000001428
- Schiller JR, Thakur NA, Eberson CP. Brace management in adolescent idiopathic scoliosis. Clin Orthop Relat Res 2010;468:670–8. doi: 10.1007/s11999-009-0884-9
- 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. doi: 10.1016/j. spinee.2013.08.050
- Gefen A, 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.
- Deepashini H, Omar B, Paungmali A, Amaramalar N, Ohnmar H, Leonard J. An insight into the plantar pressure distribution of the foot in clinical practice: Narrative review. Polish Annals of Medicine 2014;21:51–6. doi: 10.1016/j.poamed.2014.03.003
- Mattar R, Diab J, Wehbe S, Merhej C, Abu-Faraj ZO. Normative plantar pressure distribution in asymptomatic adult subjects: A pilot study. Beirut – Lebanon: 2015 International Conference on Advances in Biomedical Engineering (ICABME); 2015. p.230–3.
- Kramers-de Quervain IA, Müller R, Stacoff A, Grob D, Stüssi E. Gait analysis in patients with idiopathic scoliosis. Eur Spine J 2004;13:449– 56. doi: 10.1007/s00586-003-0588-x
- Wong MS, Cheng CY, Ng BK, Lam TP, Sin SW, Lee-Shum LF, et al. The effect of rigid versus flexible spinal orthosis on the gait pattern of patients with adolescent idiopathic scoliosis. Gait Posture 2008;27:189–95. doi: 10.1016/j.gaitpost.2007.03.007
- Paolucci T, Morone G, Di Cesare A, Grasso MR, Fusco A, Paolucci S, et al. Effect of Chêneau brace on postural balance in adolescent idiopathic scoliosis: a pilot study. Eur J Phys Rehab Med 2013;49:649–57.
- King HA, Moe JH, Bradford DS, Winter RB. The selection of fusion levels in thoracic idiopathic scoliosis. J Bone Joint Surg Am 1983;65:1302–13.
Details
| Primary Language | English |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 1, 2017 |
| Published in Issue | Year 2017Issue: 4 |