The effect of scoliosis support orthosis bracing on adult spinal deformity patients: evaluation of gait and dynamic balance

2021 ◽  
Author(s):  
R Haddas ◽  
A Satin ◽  
D Mar ◽  
I Lieberman ◽  
A Block ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Dynamic Balance ◽  
Adult Spinal Deformity ◽  
Balance Test ◽  
Functional Balance ◽  
First Line Therapy ◽  
Significant Impairment ◽  
Clinically Significant ◽  
High Level ◽  
Minute Walk

Non-operative treatment is regarded as the first-line therapy for patients with adult spinal deformity (ASD) without neurologic deficits or significant impairment. While there is high-level evidence supporting the use of rigid bracing in adolescent idiopathic scoliosis, there is a paucity of literature pertaining to the use of scoliosis support orthosis (SSO) in ASD patients. To investigate the impact of an SSO on pain, gait parameters, and functional balance measures in symptomatic ASD patients. Thirty ASD patients (26 Females, Age: 72.7, Cobb Angle: 47.1°) were evaluated on 3 different occasions: first day of bracing: baseline (Pre), and 45-min post fitting (Post45m), and after 8-weeks of bracing for 4 hours a day (Post8w). Each patient performed a 6-minute walk (over-ground gait), a dynamic balance test, and completed VAS, ODI, and SRS22r. Significant short- and long-term improvements using SSO were found in the 6-minute walk (Pre: 278.6; Post45m: 322.2; Post8w: 338.8 m, p<0.001), walking speed (Pre: 0.88; Post45m: 0.97; Post8w: 0.97 m/s, p<0.001), head total sway distance during the balance test (Pre: 81.33; Post45m: 68.63; Post8w: 60.72 cm, p=0.048), low-back pain (VAS: Pre: 5.5; Post45m: 3.5; Post8w: 3.3, p<0.001), and for the ODI (Pre: 41.9; Post45m: 32.9; Post8w: 30.1, p=0.005).This study demonstrated clinically significant improvements in PROMs, spatiotemporal gait measures, and functional balance measures after continuous use of a SSO. These improvements were observed immediately following brace-fitting and maintained at an 8-week follow-up. Given these results, it is reasonable to consider a SSO for conservative management of patients with mild symptoms of pain and deformity, and who have not yet progressed to meet surgical indications.

scholarly journals Reliability of Functional Balance Tests and Their Correlation With Selected Anthropometric Parameters in Children Aged 7-10 Years

2020 ◽  
Vol 5 (4) ◽  
pp. 216-227
Author(s):  
Mahboobeh Dehnavi ◽  
◽  
Heidar Sadeghi ◽  
Mehdi Taghva ◽  
◽  
...  
Keyword(s):  
Body Length ◽  
Dynamic Balance ◽  
Static Balance ◽  
Lower Body ◽  
Dynamic Tests ◽  
Anthropometric Parameters ◽  
Balance Test ◽  
Functional Balance ◽  
Balance Tests ◽  
Romberg Test

Objective: The present study aimed to evaluate the reliability of functional balance tests and their correlation with selected anthropometric parameters in children aged 7-10 years. Methods: Participants were 80 students aged 7-10 (40 female and 40 male). Romberg Test and Sharpened Romberg Test were used for assessing static balance, while timed up and go test, tandem walk test, and Y-balance test were used for measuring dynamic balance. Selected anthropometric factors were body height, upper body length, lower body length, Foot length and body mass. Reliability was determined using intra-class correlation coefficient (ICC), and Pearson correlation was used for examining the relationship between balance tests and selected anthropometric parameters at a significance level of P≥0.05. Results: Static balance tests were not reliable, but dynamic tests were reliable. No significant correlation was found between anthropometric parameters and static and dynamic tests (P>0.05); except between lower body length and Y-balance test (r=0.53, P=0.01). Conclusion: It seems that at the age of 7-10 years, static balance tests are affected because the sensory systems related to balance are developing. Therefore, static balance tests, which require weighting of each of these systems with eyes closed and open, are not good criteria for examining the balance of this age group. Hence, it is better to use dynamic balance tests, especially the Y-balance test.

Postural Stability and Dynamic Balance in Adult Spinal Deformity: Prospective Pilot Study

2020 ◽  
Vol 141 ◽  
pp. e783-e791 ◽  
Author(s):  
Jakub Godzik ◽  
Christopher W. Frames ◽  
Victoria Smith Hussain ◽  
Markey C. Olson ◽  
U. Kumar Kakarla ◽  
...  
Keyword(s):  
Pilot Study ◽  
Spinal Deformity ◽  
Postural Stability ◽  
Dynamic Balance ◽  
Adult Spinal Deformity ◽  
Prospective Pilot Study

EFFECTIVENESS OF STANDING PILATES ON DYNAMIC BALANCE AND LOWER LIMB MUSCULAR ENDURANCE IN BADMINTON PLAYERS: AN EXPERIMENTAL STUDY

2021 ◽  
pp. 70-72
Author(s):  
Priyal Vora ◽  
Jahnvi Panwar
Keyword(s):  
Lower Limb ◽  
Dynamic Balance ◽  
Control Group ◽  
Muscular Endurance ◽  
Balance Test ◽  
Group A ◽  
Group B ◽  
High Level ◽  
Experimental Group ◽  
Control Group Group

Badminton is a very challenging sport which demands high intensity, swift, precise and continuous movements that require a high level of dynamic balance and muscular endurance. Standing Pilates is a form of training developed to improve core strength, balance and endurance. Thirty badminton players between 18-25 years were included and divided into two groups. Experimental group (Group A) received standing Pilates and conventional training whereas control group (Group B) was given only conventional training. All players were assessed for dynamic balance and lower limb muscular endurance with Star Excursion Balance Test and Squat Test respectively. Student t-test was used in the analysis of the data collected for all variables at the beginning and at the end of 4 weeks. Comparing post SEBT and squat test values of Group A and Group B showed that standing Pilates has signicant effect on dynamic balance and lower limb muscular endurance in badminton players

scholarly journals Postural control in male ten-pin bowlers of different level of competitiveness

2020 ◽  
Vol 9 (1) ◽  
pp. 16-25
Author(s):  
Vasilis Stefopoulos ◽  
Katerina Iatridou ◽  
Dimitris Karagiannakis ◽  
Dimitris Mandalidis
Keyword(s):  
Dynamic Balance ◽  
Recreational Activity ◽  
Foot Pressure ◽  
Balance Test ◽  
Balance Testing ◽  
Head Extension ◽  
Single Leg Stance ◽  
Balance Ability ◽  
Center Of Foot Pressure ◽  
High Level

Ten-pin bowling is considered a highly skilled recreational activity with players demonstrating various anthropometric and physiological characteristics. The purpose of the current study was to assess both static and dynamic body balance, in ten-pin bowlers of different level of competitiveness. Thirty four ten-pin bowlers who competed at a high (Level-A, n=17) and a lower level (Level-B, n=17) as well as eighteen individuals without experience in ten-pin bowling (Non-bowlers) participated in the study. Static balance was determined based on the anteroposterior (APd) and mediolateral displacement (MLd) of the center-of-foot-pressure (CoP) that was recorded during single-leg-stance with open and close eyes as well as with open eyes and head extension. Dynamic balance was determined based on the APd and MLd of CoP as well as the normalized distances reached during execution of the Star Excursion Balance Test (SEBT) in the posterior, posterolateral and lateral directions. Significantly better dynamic balance, in terms of the distances reached during SEBT execution, was demonstrated by Level-A bowlers compared to Level-B bowlers and Non-bowlers. The differences between groups regarding APd and MLd, during both static and dynamic balance testing, were in general not significant. Our findings revealed that ten-pin bowlers who compete at a higher level demonstrate better dynamic balance ability. Sports scientists and coaches should be aware of these differences to optimize performance or distinguish ten-pin bowlers with different level of competitiveness.

P80. The effect of scoliosis support orthosis bracing on adult spinal deformity patients: Evaluation of gait and dynamic balance

2021 ◽  
Vol 21 (9) ◽  
pp. S178-S179
Author(s):  
Ram Haddas ◽  
Alexander M. Satin ◽  
Damon E. Mar ◽  
Isador H. Lieberman ◽  
Andrew R. Block ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Dynamic Balance ◽  
Adult Spinal Deformity

Perioperative outcomes associated with thoracolumbar 3-column osteotomies for adult spinal deformity patients with rheumatoid arthritis

2019 ◽  
Vol 30 (6) ◽  
pp. 822-832
Author(s):  
Cecilia L. Dalle Ore ◽  
Christopher P. Ames ◽  
Vedat Deviren ◽  
Darryl Lau
Keyword(s):  
Rheumatoid Arthritis ◽  
Spinal Deformity ◽  
Perioperative Complications ◽  
Adult Spinal Deformity ◽  
Vena Cava ◽  
Deformity Correction ◽  
Perioperative Outcomes ◽  
Medical Complications ◽  
Filter Placement ◽  
Estimated Blood Loss

OBJECTIVESpinal deformity causing spinal imbalance is directly correlated to pain and disability. Prior studies suggest adult spinal deformity (ASD) patients with rheumatoid arthritis (RA) have more complex deformities and are at higher risk for complications. In this study the authors compared outcomes of ASD patients with RA following thoracolumbar 3-column osteotomies to outcomes of a matched control cohort.METHODSAll patients with RA who underwent 3-column osteotomy for thoracolumbar deformity correction performed by the senior author from 2006 to 2016 were identified retrospectively. A cohort of patients without RA who underwent 3-column osteotomies for deformity correction was matched based on multiple clinical factors. Data regarding demographics and surgical approach, along with endpoints including perioperative outcomes, reoperations, and incidence of proximal junctional kyphosis (PJK) were reviewed. Univariate analyses were used to compare patients with RA to matched controls.RESULTSEighteen ASD patients with RA were identified, and a matched cohort of 217 patients was generated. With regard to patients with RA, 11.1% were male and the mean age was 68.1 years. Vertebral column resection (VCR) was performed in 22.2% and pedicle subtraction osteotomy (PSO) in 77.8% of patients. Mean case length was 324.4 minutes and estimated blood loss (EBL) was 2053.6 ml. Complications were observed in 38.9% of patients with RA and 29.0% of patients without RA (p = 0.380), with a trend toward increased medical complications (38.9% vs 21.2%, p = 0.084). Patients with RA had a significantly higher incidence of deep vein thrombosis (DVT)/pulmonary embolism (PE) (11.1% vs 1.8%, p = 0.017) and wound infections (16.7% vs 5.1%, p = 0.046). PJK occurred in 16.7% of patients with RA, and 33.3% of RA patients underwent reoperation. Incidence rates of PJK and reoperation in matched controls were 12.9% and 25.3%, respectively (p = 0.373, p = 0.458). At follow-up, mean sagittal vertical axis (SVA) was 6.1 cm in patients with RA and 4.5 cm in matched controls (p = 0.206).CONCLUSIONSFindings from this study suggest that RA patients experience a higher incidence of medical complications, specifically DVT/PE. Preoperative lower-extremity ultrasounds, inferior vena cava (IVC) filter placement, and/or early initiation of DVT prophylaxis in RA patients may be indicated. Perioperative complications, morbidity, and long-term outcomes are otherwise similar to non-RA patients.

Development and validation of risk stratification models for adult spinal deformity surgery

2019 ◽  
Vol 31 (4) ◽  
pp. 587-599 ◽  
Author(s):  
Ferran Pellisé ◽  
Miquel Serra-Burriel ◽  
Justin S. Smith ◽  
Sleiman Haddad ◽  
Michael P. Kelly ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
The United States ◽  
Adverse Outcomes ◽  
High Rate ◽  
Prognostic Models ◽  
Time To Event ◽  
European Continent ◽  
Event Risk ◽  
Risk Estimates

OBJECTIVEAdult spinal deformity (ASD) surgery has a high rate of major complications (MCs). Public information about adverse outcomes is currently limited to registry average estimates. The object of this study was to assess the incidence of adverse events after ASD surgery, and to develop and validate a prognostic tool for the time-to-event risk of MC, hospital readmission (RA), and unplanned reoperation (RO).METHODSTwo models per outcome, created with a random survival forest algorithm, were trained in an 80% random split and tested in the remaining 20%. Two independent prospective multicenter ASD databases, originating from the European continent and the United States, were queried, merged, and analyzed. ASD patients surgically treated by 57 surgeons at 23 sites in 5 countries in the period from 2008 to 2016 were included in the analysis.RESULTSThe final sample consisted of 1612 ASD patients: mean (standard deviation) age 56.7 (17.4) years, 76.6% women, 10.4 (4.3) fused vertebral levels, 55.1% of patients with pelvic fixation, 2047.9 observation-years. Kaplan-Meier estimates showed that 12.1% of patients had at least one MC at 10 days after surgery; 21.5%, at 90 days; and 36%, at 2 years. Discrimination, measured as the concordance statistic, was up to 71.7% (95% CI 68%–75%) in the development sample for the postoperative complications model. Surgical invasiveness, age, magnitude of deformity, and frailty were the strongest predictors of MCs. Individual cumulative risk estimates at 2 years ranged from 3.9% to 74.1% for MCs, from 3.17% to 44.2% for RAs, and from 2.67% to 51.9% for ROs.CONCLUSIONSThe creation of accurate prognostic models for the occurrence and timing of MCs, RAs, and ROs following ASD surgery is possible. The presented variability in patient risk profiles alongside the discrimination and calibration of the models highlights the potential benefits of obtaining time-to-event risk estimates for patients and clinicians.

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