The Effect of the Direction of Primary Lateral Spinal Curvature on Postural Stability in Children with Scoliosis

The purpose of the present study was to determine the impact of the direction and magnitude of primary lateral spinal curvature in children with scoliosis. Ninety-six children diagnosed with scoliosis were included in the study group, and fifty healthy peers were included in the control group. Postu...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-03, Vol.13 (6), p.1690
Main Authors: Siwiec, Andrzej, Domagalska-Szopa, Małgorzata, Kwiecień-Czerwieniec, Ilona, Szopa, Andrzej
Format: Article
Language:English
Subjects:
Abnormalities
Asymmetry
Body weight
Care and treatment
Equilibrium (Physiology)
Guardians
Health aspects
Pediatric research
Scoliosis
Sensitivity analysis
Spine
Statistical analysis
Symmetry
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Summary:The purpose of the present study was to determine the impact of the direction and magnitude of primary lateral spinal curvature in children with scoliosis. Ninety-six children diagnosed with scoliosis were included in the study group, and fifty healthy peers were included in the control group. Posturographic measurements of body weight distribution and posturometric tests with eyes open and closed were performed. Based on the symmetry index values, the study group was divided into children with symmetrical and asymmetrical body weight distributions on the basis of support. Then, taking into account the direction of the primary curvature, children with asymmetrical body weight distributions were divided into: (1) children with left-sided or right-sided scoliosis with overload on the same side of the body; and (2) children with left-sided or right-sided scoliosis with overload on the opposite side of the body. According to both posturometric tests, increased CoP spatial displacement was observed in the children with scoliosis compared to the healthy controls. The obtained results showed that increased asymmetry index and Cobb angle values significantly increase medial-lateral postural instability in children with scoliosis. These findings suggest that treatment to restore symmetric body weight distribution may prevent the progression of postural instability; however, this requires confirmation through further investigation.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13061690