The effect of spinal bracing on stability in patients with adolescent idiopathic scoliosis

Kavyani, Mahsa; Nasiri, Elham; Karimi, Mohammad Taghi; Fatoye, Francis

doi:10.3233/bmr-170908

Cited by 5 publications

(8 citation statements)

References 24 publications

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“…Moreover, the authors also found a significant correlation between the AIS subjects’ trunk inclination and several standing balance descriptors (i.e., anteroposterior COP mean position, mediolateral COP range, anteroposterior and mediolateral COP speed). Interestingly, Kavyani et al [ 34 ] found no significant difference in postural balance between healthy controls and subjects with AIS.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Three studies [ 34 , 37 , 47 ] investigated the effect of scoliosis treatments on balance control. Pavone et al and Kavyani et al [ 34 , 47 ] investigated the short-term effects of wearing a brace on postural control in a quiet standing position. The results showed that braces did not improve balance in subjects with AIS, but rather increased the sway speed of the COP [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

“…The results showed that braces did not improve balance in subjects with AIS, but rather increased the sway speed of the COP [ 47 ]. Kavyani et al [ 34 ] showed that wearing a brace was only effective in reducing the mediolateral sway of the COP while standing upright on a force platform. Additionally, Khanal et al [ 37 ] reported that after four months of wearing a brace, subjects with AIS showed a decrease in the mediolateral COP sway, while the anteroposterior COP sway and its path length significantly increased.…”

Section: Resultsmentioning

confidence: 99%

“…This review provided quantitative insights into the effectiveness of AIS treatments. Bracing emerged as an effective intervention in subjects with AIS, demonstrating improvements in static balance (i.e., decrease in mediolateral COP sway) [ 34 , 37 ]. Its effects were not necessarily directed toward normalization of gait and balance parameters.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review

Paramento,

Passarotto,

Maccarone

et al. 2024

PLoS ONE

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Background Adolescent idiopathic scoliosis (AIS) is a spinal deformity that affects approximately 4% of the world’s population. Several hypotheses regarding the etiology of AIS have been investigated. In the last decades, impaired visual-spatial perception, alterations in spatial body orientation and sensory integration deficits have been documented. Objective We aimed to summarize the neurophysiological, balance, and motion evidence related to AIS published in the last fifteen years, between January 2008 and April 2023. Both observational and interventional studies were considered. Only studies using quantitative assessment methods, such as electroencephalography (EEG), electromyography (EMG), magnetic resonance imaging (MRI), somatosensory evoked potentials, force platform, or motion capture, were included. Methods 1250 eligible records identified from online database searching were filtered by duplicate removal, title and abstract screening, and qualitative analysis. 61 articles met the inclusion criteria (i.e., Cobb range 10°-35°, age range 10-18 years) and were summarized. Results We found significant evidence of impaired standing balance in individuals with AIS who greatly rely on visual and proprioceptive information to stay upright. EMG studies frequently reported an increased activity on the convex side of the intrinsic spinae muscles. EEG data show increased delta and theta power, higher alpha peak frequencies, and significant suppression in the alpha and beta bands in subjects with AIS during standing tasks. MRI studies report changes in white matter structures, differences in the vestibular system, and abnormal cortical activations over motor-related areas in subjects with AIS. Bracing appears to be an effective treatment for AIS, leading to improvements in static balance and gait. Methodological issues prevent reliable conclusions about the effects of other treatment options. Conclusions This review underscores the importance of quantitative assessment methods to explore the etiology and pathophysiology of AIS. Further research is needed to measure the impact of physical therapy and orthotic treatments on the neurophysiological mechanisms of the disease.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review

Paramento,

Passarotto,

Maccarone

et al. 2024

PLoS ONE

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Effect of short-term spinal orthosis and insoles application on cobb angle, plantar pressure and balance in individuals with adolescent idiopathic scoliosis

Arslan,

Görgü

2023

Clinical Biomechanics

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Investigation of Static Balance Differences between Adolescents with Idiopathic Scoliosis and Healthy Age-matched Adolescents: A Cross-sectional Study

Larni

Mohsenifar

Ghandhari

et al. 2023

JIMC

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Background: The aim of this study was to compare postural control between Adolescents with Idiopathic Scoliosis (AIS) and healthy adolescents. Methods: In this cross-sectional study, 20 AIS adolescents with a right thoracic curvature between 10 and 45 degrees and 20 healthy adolescents were matched to compare postural control. Postural control assessments included Center of Pressure (COP) range and COP velocity in the Anteroposterior (AP) and Mediolateral (ML) directions, and the COP sway area in the standing position with opened eyes and closed eyes by the force plate. Results: This study showed that the postural control variables in AIS adolescents and healthy adolescents in terms of COP range, COP velocity, and COP sway area in standing positions with open and closed eyes were significantly different with those of AIS adolescents being worse than those of healthy adolescents (all p<0.001). The interaction between Group and Condition (eyes open and eyes closed) was not significant for all variables (all p>0.05). Conclusion: Differences in the postural control measures indicate postural instability in adolescents with AIS compared to healthy adolescents.

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The effect of spinal bracing on stability in patients with adolescent idiopathic scoliosis

Cited by 5 publications

References 24 publications

Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review

Neurophysiological, balance and motion evidence in adolescent idiopathic scoliosis: A systematic review

Effect of short-term spinal orthosis and insoles application on cobb angle, plantar pressure and balance in individuals with adolescent idiopathic scoliosis

Investigation of Static Balance Differences between Adolescents with Idiopathic Scoliosis and Healthy Age-matched Adolescents: A Cross-sectional Study

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