The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis
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 baropodo...
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MDPI AG
2022-10-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/11/1608 |
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| author | Vito Pavone Alessia Caldaci Giulia Rita Agata Mangano Fabrizio Di Maria Flora Maria Chiara Panvini Marco Sapienza Andrea Vescio Federico Roggio Giuseppe Musumeci Gianluca Testa |
| author_facet | Vito Pavone Alessia Caldaci Giulia Rita Agata Mangano Fabrizio Di Maria Flora Maria Chiara Panvini Marco Sapienza Andrea Vescio Federico Roggio Giuseppe Musumeci Gianluca Testa |
| author_sort | Vito Pavone |
| collection | DOAJ |
| description | 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 (<i>p</i> 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, <i>p</i> value = 0.045. Our findings show no statistically significant differences (<i>p</i> > 0.05) in static, postural, and dynamic baropodometric indicators. |
| first_indexed | 2024-03-09T19:10:06Z |
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| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T19:10:06Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-29620e4688f9418690c79831d6d6403c2023-11-24T04:10:54ZengMDPI AGChildren2227-90672022-10-01911160810.3390/children9111608The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic ScoliosisVito Pavone0Alessia Caldaci1Giulia Rita Agata Mangano2Fabrizio Di Maria3Flora Maria Chiara Panvini4Marco Sapienza5Andrea Vescio6Federico Roggio7Giuseppe Musumeci8Gianluca Testa9Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, ItalyDepartment of Biomedical and Biotechnological Sciences, Section of Pharmacology, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, ItalyDepartment of Biomedical and Biotechnological Sciences Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, 95123 Catania, ItalyDepartment of Biomedical and Biotechnological Sciences Anatomy, Histology and Movement Sciences Section, School of Medicine, University of Catania, 95123 Catania, ItalyDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, University Hospital Policlinico “Rodolico-San Marco”, University of Catania, 95123 Catania, ItalyPostural 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 (<i>p</i> 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, <i>p</i> value = 0.045. Our findings show no statistically significant differences (<i>p</i> > 0.05) in static, postural, and dynamic baropodometric indicators.https://www.mdpi.com/2227-9067/9/11/1608adolescent idiopathic scoliosisSforzesco bracebaropodometric analysispostural balanceconservative treatment |
| spellingShingle | Vito Pavone Alessia Caldaci Giulia Rita Agata Mangano Fabrizio Di Maria Flora Maria Chiara Panvini Marco Sapienza Andrea Vescio Federico Roggio Giuseppe Musumeci Gianluca Testa The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis Children adolescent idiopathic scoliosis Sforzesco brace baropodometric analysis postural balance conservative treatment |
| title | The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis |
| title_full | The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis |
| title_fullStr | The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis |
| title_full_unstemmed | The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis |
| title_short | The Incidence of Bracing Treatment on Static and Dynamic Baropodometric Parameters in Adolescent Idiopathic Scoliosis |
| title_sort | incidence of bracing treatment on static and dynamic baropodometric parameters in adolescent idiopathic scoliosis |
| topic | adolescent idiopathic scoliosis Sforzesco brace baropodometric analysis postural balance conservative treatment |
| url | https://www.mdpi.com/2227-9067/9/11/1608 |
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