The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis

Abstract

Postural balance is an important but not well-studied concept in the treatment of adolescent scoliosis. The aim of this study was to assess whether conservative treatment with Sforzesco bracing induced negative perturbations on postural stability, as related to static, postural, and dynamic baropodometric indicators. Twelve subjects (12 females, aged 11–16) with moderate AIS, were selected among a group of 97 patients. Inclusion criteria were: (1) confirmed diagnosis of moderate AIS (Cobb angle of 21° to 35° for the primary curve); (2) thoracic or thoracolumbar primary curve; (3) skeletal immaturity with growth cartilage visible on pretreatment radiographs (Risser < 5); (4) chronological age between 11 and 16 years; and (5) Sforzesco bracing treatment. All patients underwent a physical examination and radiological measurements with anteroposterior and lateral scans. Static, postural, and dynamic assessments were performed twice by barefoot patients, with and without Sforzesco bracing. Comparison between demographic, anthropometric, and clinical data highlighted a homogeneity of the sample. We evaluated the point of maximum pressure with and without bracing and found no statistically significant differences (p value = 0.22). In postural measurements, the laterolateral oscillations, anteroposterior oscillations, and average speed of oscillations were evaluated, comparing measurements with and without bracing. There were no statistically significant differences, except for the mean rate of oscillation, which was slightly increased in the recordings with a brace compared to those without a brace, p value = 0.045. Our findings show no statistically significant differences (p > 0.05) in static, postural, and dynamic baropodometric indicators.

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

“…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.…”

“…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 ].…”

“…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 ]. 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.…”

A Rare Complication of Thoracic Spine Surgery: Pediatric Horner’s Syndrome after Posterior Vertebral Column Resection—A Case Report

“…The treatment of pediatric spinal deformities depends on their etiology. The gold standard in the treatment of idiopathic scoliosis is rehabilitation and corset treatment, and in the case of curvature progression despite the treatment above of over 50 degrees, Cobbsurgical treatment [15,16]. In the case of congenital scoliosis with vertebral segmentation disorders, conservative treatment and a brace do not tend to have a significant impact on the development of curvature, and surgical treatment is recommended [17].…”

Metabolic Imbalances and Bone Remodeling Agents in Adolescent Idiopathic Scoliosis: A Study in Postmenarcheal Girls

“…In mild spinal curves, treatment is based on rehabilitation with physical therapy. In moderate cases, spinal bracing is the standard method and the most widely used approach to correct spinal deformity and prevent the progression of the scoliosis [2][3][4]. Patients with a Cobb angle greater than 40 degrees often require surgical treatment, and various surgical systems may be applied to correct the spinal deformity [5][6][7][8].…”