Some possibilities of correction and compensation in body posture regulation among children and youth with low degree scoliosis

Nowotny, Janusz; Brzęk, Anna; Nowotny-Czupryna, Olga; Czupryna, Krzysztof; Płaszewski, Maciej

doi:10.1186/1748-7161-7-s1-o64

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…The other reason might be that the AIS subjects recruited in this study were all characterized by double curves of S shape. The adverse effects of the thoracic curve on postural stability might be compensated by the lumbar curve (Kuo et al, 2010 ; Nowotny et al, 2012 ). The posture in AIS subjects observed in this study was not as unstable as expected.…”

Section: Discussionmentioning

confidence: 99%

Effect of Postural Control Demands on Early Visual Evoked Potentials during a Subjective Visual Vertical Perception Task in Adolescents with Idiopathic Scoliosis

Chang

Meng

Chang

et al. 2017

Front. Hum. Neurosci.

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Subjective visual vertical (SVV) judgment and standing stability were separately investigated among patients with adolescent idiopathic scoliosis (AIS). Although, one study has investigated the central mechanism of stability control in the AIS population, the relationships between SVV, decreased standing stability, and AIS have never been investigated. Through event-related potentials (ERPs), the present study examined the effect of postural control demands (PDs) on AIS central mechanisms related to SVV judgment and standing stability to elucidate the time-serial stability control process. Thirteen AIS subjects (AIS group) and 13 age-matched adolescents (control group) aged 12–18 years were recruited. Each subject had to complete an SVV task (i.e., the modified rod-and-frame [mRAF] test) as a stimulus, with online electroencephalogram recording being performed in the following three standing postures: feet shoulder-width apart standing, feet together standing, and tandem standing. The behavioral performance in terms of postural stability (center of pressure excursion), SVV (accuracy and reaction time), and mRAF-locked ERPs (mean amplitude and peak latency of the P1, N1, and P2 components) was then compared between the AIS and control groups. In the behavioral domain, the results revealed that only the AIS group demonstrated a significantly accelerated SVV reaction time as the PDs increased. In the cerebral domain, significantly larger P2 mean amplitudes were observed during both feet shoulder-width-apart standing and feet together standing postures compared with during tandem standing. No group differences were noted in the cerebral domain. The results indicated that (1) during the dual-task paradigm, a differential behavioral strategy of accelerated SVV reaction time was observed in the AIS group only when the PDs increased and (2) the decrease in P2 mean amplitudes with the increase in the PD levels might be direct evidence of the competition for central processing attentional resources under the dual-task postural control paradigm.

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Section: Discussionmentioning

confidence: 99%

Effect of Postural Control Demands on Early Visual Evoked Potentials during a Subjective Visual Vertical Perception Task in Adolescents with Idiopathic Scoliosis

Chang

Meng

Chang

et al. 2017

Front. Hum. Neurosci.

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“…Progression of rotation of the vertebras in the transversal plane increases the deformation of scoliosis in the coronal and sagittal planes and has an impact on general decompensation of the spine [16,17]. …”

Section: Discussionmentioning

confidence: 99%

“…Therefore, body alignment is an active compensatory process in which the head is located symmetrically over the shoulders, the shoulders are symmetrically over the pelvis, and trunk weight is distributed evenly along the vertical axis crossing the center of the sacrum in the coronal and sagittal plane. The effect of gravity and central neuromuscular coordination are generally essential for trunk alignment (balance of forces and moments of force, and the superior role of the central nervous system) [14–16]. …”

Section: Introductionmentioning

confidence: 99%

Spinal alignment in surgical, multisegmental, transpedicular correction of adolescent idiopathic scoliosis

et al. 2012

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SummaryThe objective of this study was to discuss the variables influencing alignment mechanisms of the spine, with particular consideration of post-surgical alignment in adolescent idiopathic scoliosis. The analysis is based on information currently available in the literature, and on the authors’ own experience, which includes surgical material from over 2200 cases of idiopathic scoliosis.Over 50% of cases of adolescent idiopathic scoliosis are decompensated before surgical treatment. Spinal alignment is most significantly influenced by the position of the pelvis. Surgical restoration of lumbar lordosis is more important than attempting to restore thoracic kyphosis in the sagittal plane. The sagittal profile has an essential impact on spinal alignment. The same curves in the coronal plane can have various 3-dimensional configurations. Clinical difficulties in the assessment of thoracic kyphosis and lumbar lordosis result from the fact that they undergo constant change with age. Thoracic hypokyphosis diagnosed before surgery is a very frequent symptom of curve progression. The presence of proximal (thoraco-thoracic) and distal (thoraco-lumbar) junctional kyphosis is very important for planning the scope of spondylodesis.The natural tendency of the spine for alignment (compensation) after surgery nowadays occurs more naturally by applying derotational forces through pedicle screws, compared to the distraction devices (eg, Harrington rod) used in the past.

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Medical rehabilitation for children with scoliosis

Khan¹,

Погонченкова²,

Vybornov³

et al. 2022

Vopr. kurortol. fizioter. lech. fiz. kul't.

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Some possibilities of correction and compensation in body posture regulation among children and youth with low degree scoliosis

Cited by 4 publications

References 3 publications

Effect of Postural Control Demands on Early Visual Evoked Potentials during a Subjective Visual Vertical Perception Task in Adolescents with Idiopathic Scoliosis

Effect of Postural Control Demands on Early Visual Evoked Potentials during a Subjective Visual Vertical Perception Task in Adolescents with Idiopathic Scoliosis

Spinal alignment in surgical, multisegmental, transpedicular correction of adolescent idiopathic scoliosis

Medical rehabilitation for children with scoliosis

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