Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis

Background Dysfunction of the somatosensory pathways may cause an impaired postural balance when the somatosensory system is challenged, and this impaired balance may play a role in the etiology or development of scoliosis. Angle of scoliosis may affect the somatosensory evoked potentials (SSEPs) a...

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Main Authors: Dalia Mohamed Ezz El Mikkawy, Eman Ahmed Tawfek, Mohja Ahmed El Badawy, Fathy Naeem
Format: Article
Language:English
Published: SpringerOpen 2016-01-01
Series:Egyptian Rheumatology and Rehabilitation
Subjects:
Online Access:http://www.err.eg.net/article.asp?issn=1110-161X;year=2016;volume=43;issue=2;spage=67;epage=72;aulast=El
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author Dalia Mohamed Ezz El Mikkawy
Eman Ahmed Tawfek
Mohja Ahmed El Badawy
Fathy Naeem
author_facet Dalia Mohamed Ezz El Mikkawy
Eman Ahmed Tawfek
Mohja Ahmed El Badawy
Fathy Naeem
author_sort Dalia Mohamed Ezz El Mikkawy
collection DOAJ
description Background Dysfunction of the somatosensory pathways may cause an impaired postural balance when the somatosensory system is challenged, and this impaired balance may play a role in the etiology or development of scoliosis. Angle of scoliosis may affect the somatosensory evoked potentials (SSEPs) and dynamic balance control. Purpose The aim of this study was to investigate possible abnormalities and correlations in SSEPs and dynamic posturography in adolescent idiopathic scoliosis (AIS) patients. Patients and methods This study was conducted on 14 adolescents ranging in age from 10 to 16 years with AIS. Both sexes were included. Measurement of Cobb′s angle, SSEPs of both posterior tibial nerves with cortical recording, dynamic postural assessment including sensory organization test, and motor control test were performed. Results There was a highly significant positive correlation between the angle of scoliosis and right and left SSEP. There was a highly significant negative correlation between the angle of scoliosis and equilibrium score-composite and ratio for sensory analysis-vestibular, and significant negative correlation with motor control-composite. There was a highly significant negative correlation between right SSEP and balance parameters. There was significant negative correlation between left SSEP and equilibrium score-composite and ratio for sensory analysis-vestibular. Conclusion The study demonstrates abnormal somatosensory and postural function in patients with AIS, and a significant inter-relationship between the scoliotic angle, the somatosensory system, and posture. Thus, optimum assessment and treatment of neurological pathway and balance are important in these patients.
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spelling doaj.art-2782ff30351d4809884c1b0a1a8ec1562022-12-21T22:52:08ZengSpringerOpenEgyptian Rheumatology and Rehabilitation1110-161X2090-32352016-01-01432677210.4103/1110-161X.181876Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosisDalia Mohamed Ezz El MikkawyEman Ahmed TawfekMohja Ahmed El BadawyFathy NaeemBackground Dysfunction of the somatosensory pathways may cause an impaired postural balance when the somatosensory system is challenged, and this impaired balance may play a role in the etiology or development of scoliosis. Angle of scoliosis may affect the somatosensory evoked potentials (SSEPs) and dynamic balance control. Purpose The aim of this study was to investigate possible abnormalities and correlations in SSEPs and dynamic posturography in adolescent idiopathic scoliosis (AIS) patients. Patients and methods This study was conducted on 14 adolescents ranging in age from 10 to 16 years with AIS. Both sexes were included. Measurement of Cobb′s angle, SSEPs of both posterior tibial nerves with cortical recording, dynamic postural assessment including sensory organization test, and motor control test were performed. Results There was a highly significant positive correlation between the angle of scoliosis and right and left SSEP. There was a highly significant negative correlation between the angle of scoliosis and equilibrium score-composite and ratio for sensory analysis-vestibular, and significant negative correlation with motor control-composite. There was a highly significant negative correlation between right SSEP and balance parameters. There was significant negative correlation between left SSEP and equilibrium score-composite and ratio for sensory analysis-vestibular. Conclusion The study demonstrates abnormal somatosensory and postural function in patients with AIS, and a significant inter-relationship between the scoliotic angle, the somatosensory system, and posture. Thus, optimum assessment and treatment of neurological pathway and balance are important in these patients.http://www.err.eg.net/article.asp?issn=1110-161X;year=2016;volume=43;issue=2;spage=67;epage=72;aulast=Eladolescent, dynamic balance, evoked potentials, scoliosis
spellingShingle Dalia Mohamed Ezz El Mikkawy
Eman Ahmed Tawfek
Mohja Ahmed El Badawy
Fathy Naeem
Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis
Egyptian Rheumatology and Rehabilitation
adolescent, dynamic balance, evoked potentials, scoliosis
title Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis
title_full Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis
title_fullStr Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis
title_full_unstemmed Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis
title_short Somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis
title_sort somatosensory evoked potentials and dynamic postural assessment in adolescent idiopathic scoliosis
topic adolescent, dynamic balance, evoked potentials, scoliosis
url http://www.err.eg.net/article.asp?issn=1110-161X;year=2016;volume=43;issue=2;spage=67;epage=72;aulast=El
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