Displacement of Centre of Pressure during Rehabilitation Exercise in Adolescent Idiopathic Scoliosis Patients.

Luca Marin,Adam Kawczyński,Matteo Vandoni,Dario Silvestri,Luisella Pedrotti,Vittoria Carnevale Pellino,Massimiliano Febbi,Nicola Lovecchio

doi:10.3390/jcm10132837

Abstract

Background. Adolescent idiopathic scoliosis (AIS) is included into the category of pathologies that could affect postural control. Rarely AIS shows symptoms but often compromises the normal positioning of the head, trunk and, more generally, of the limbs in the space. We used a stabilometric platform to evaluate the motor control outcomes during a self-elongation in girls with AIS. Methods. In 10 girls with AIS, we evaluated the center of pressure (COP) modifications on a baropodometric platform in a standing position and after a self-elongation correction. Results. All the outcomes (except the eccentricity) showed an increasement during the self-elongation exercise even if the significant differences were not found. Conclusion. SE correction contributes to ameliorate the COP symmetry with a better repercussion on the balance management. This highlights the importance of repetitions during all activities of daily life.

Highlights

Scoliosis is a three-dimensional spine deviation that is clinically recognized when the deviation on the coronal plane exceeds 10◦ Cobb
Adolescent idiopathic scoliosis (AIS) is included into the category of pathologies that could affect postural control and balance as well and indirectly modifies the center of mass (COM) displacement [6]
Our results showed a small increment in Sway-X, Sway-Y, Sway Area and Speed Sway that could be interpreted as a negative outcome from an early evaluation

Summary

Introduction

Scoliosis is a three-dimensional spine deviation that is clinically recognized when the deviation on the coronal plane exceeds 10◦ Cobb. The common spatial position of the body segment, especially the head and trunk, can be modified by scoliosis [7], or by the involuntary arrangement of the subjects [8] who alter posture to counteract scoliosis [9], because of the spontaneous correction of the control system to keep the eyes aligned with the horizontal line. For these reasons, spinal alignment falls further altering scoliotic curves. This highlights the importance of repetitions during all activities of daily life

Objectives

Methods

Discussion

Conclusion