A comparison of foot posture and walking performance in patients with mild, moderate, and severe adolescent idiopathic scoliosis

Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis. However, the underlying mechanisms linking spinal curvature in AIS to foot characteristics and walking performance remain unclear. This study aimed to compare walking performance between adolescents with mild, moderate, and...

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Bibliographic Details
Published in:PloS one 2021-05, Vol.16 (5), p.e0251592-e0251592
Main Authors: Zhu, Feilong, Hong, Qianqin, Guo, Xiaoqi, Wang, Dan, Chen, Jie, Zhu, Qian, Zhang, Chong, Chen, Wei, Zhang, Ming
Format: Article
Language:English
Subjects:
Adolescents
Biology and Life Sciences
Bone surgery
Complications and side effects
Computer and Information Sciences
Demographic aspects
Editing
Electronic mail
Ethics
Feet
Gait
Health aspects
Hospitals
Medical personnel
Medicine
Medicine and Health Sciences
Mental disorders
Methodology
Morphology
Nervous system
Patients
Physical Sciences
Physiological aspects
Posture
Pressure distribution
Radiography
Rehabilitation
Research and Analysis Methods
Scoliosis
Spine
Spine (lumbar)
Teenagers
Thorax
Visualization
Walking
Youth
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Summary:Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis. However, the underlying mechanisms linking spinal curvature in AIS to foot characteristics and walking performance remain unclear. This study aimed to compare walking performance between adolescents with mild, moderate, and severe scoliosis and matched healthy peers with foot posture as covariates. This cross-sectional study of 96 adolescents was conducted between April 2020 to October 2020 in China, with 32 healthy peers in the control group and 64 patients in the AIS group. Foot posture and morphology, plantar pressure distribution, and gait characteristics were analyzed. One-way analysis of variance with Bonferroni correction and a post hoc comparison of the mean differences between the different groups was performed. Multiple analyses of covariance adjusted for age, sex, body mass index, foot posture index (FPI), arch index (AI), and walking speed were performed. Of the 64 adolescents with scoliosis, 18 had mild AIS, 32 had moderate AIS, and 14 had severe AIS. The AI and FPI were much higher in the moderate and severe AIS groups (p = 0.018) and the severe AIS group (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0251592