Öz
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
Anahtar Kelimeler
Kaynakça
- 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]
- 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.
- 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]
- 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.
- Havey RM, Gavin TM, Patwardhan AG. Stability of the Scoliotic Spine: Effect of Scoliosis Braces. Spine. 2016;41:S18-S9. [CrossRef]
- Schiller JR, Thakur NA, Eberson CP. Brace management in adolescent idiopathic scoliosis. Clin Orthop Relat Res. 2010;468:670-8. [CrossRef]
- 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]
- 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. [CrossRef]
- Mattar R, Diab J, Wehbe S, Merhej C, Abu-Faraj ZO. Normative plantar pressure distribution in asymptomatic adult subjects: A pilot study. Advances in Biomedical Engineering (ICABME), 2015 International Conference on: IEEE; 2015. p. 222-5. [CrossRef]
- 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. [CrossRef]
- Wong M, Cheng C, Ng B, Lam T, Sin S, Lee-Shum L, 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. [CrossRef] adolescents with double curve pattern scoliosis. However, bracing tends to alter temporal-spatial walking parame- ters as seen by the decreased cadence.
Öz
Amaç: Adolesan idiyopatik skolyozlu AİS bireylerde, spinal ortezin ayak fonksiyonel profiline etkisini incelemekti. Hastalar ve Yöntem:Ç alışmaya 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 7 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 < 0.05 . Kadans korseleme ile azaldı. Stabilometri sonuçlarında ise değişiklik gözlenmedi.sonuç: Spinal ortezleme yürüyüş sırasında plantar basınç dağılımında simetri yarattı. Ancak bununla birlikte ortezleme, çift eğri paternli skolyozlarda, yürüyüşün zaman-mesafe karakteristiklerini değiştirerek yürüyüşü bozma eğilimindedir
Anahtar Kelimeler
Kaynakça
- 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]
- 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.
- 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]
- 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.
- Havey RM, Gavin TM, Patwardhan AG. Stability of the Scoliotic Spine: Effect of Scoliosis Braces. Spine. 2016;41:S18-S9. [CrossRef]
- Schiller JR, Thakur NA, Eberson CP. Brace management in adolescent idiopathic scoliosis. Clin Orthop Relat Res. 2010;468:670-8. [CrossRef]
- 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]
- 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. [CrossRef]
- Mattar R, Diab J, Wehbe S, Merhej C, Abu-Faraj ZO. Normative plantar pressure distribution in asymptomatic adult subjects: A pilot study. Advances in Biomedical Engineering (ICABME), 2015 International Conference on: IEEE; 2015. p. 222-5. [CrossRef]
- 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. [CrossRef]
- Wong M, Cheng C, Ng B, Lam T, Sin S, Lee-Shum L, 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. [CrossRef] adolescents with double curve pattern scoliosis. However, bracing tends to alter temporal-spatial walking parame- ters as seen by the decreased cadence.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2018 |
| Yayımlandığı Sayı | Yıl 2018Sayı: 3 |