Abstract
Due to balance deficits that accompany adolescent idiopathic scoliosis (AIS), the potential interaction between activities of daily living and active self-correction movements (ASC) on postural control deserves particular attention. Our purpose was to assess the effects of ASC movements with or without a secondary mental task on postural control in twenty-five girls with AIS. It is a quasi-experimental within-subject design with repeated measures ANOVA. They were measured in four 20-s quiet standing trials on a force plate: no task, ASC, Stroop test, and both. Based on the center-of-pressure (COP) recordings, the COP parameters were computed. The ASC alone had no effect on any of the postural sway measures. Stroop test alone decreased COP speed and increased COP entropy. Performing the ASC movements and Stroop test together increased the COP speed and decreased COP entropy as compared to the baseline data. In conclusion, our results indicate that AIS did not interfere with postural control. The effects of the Stroop test accounted for good capacity of subjects with AIS to take advantage of distracting attentional resources from the posture. However, performing both tasks together exhibited some deficits in postural control, which may suggest the need for therapeutic consultation while engaging in more demanding activities.
Highlights
Adolescent idiopathic scoliosis (AIS) has been defined as a three-dimensional deformity of the spine and trunk occurring in healthy pubertal children [1]
The results of analysis of variance (ANOVA) proved the main effect of plane
In spite of the two unfavorable effects caused by performing Stroop test and active self-correction (ASC) together in comparison with the baseline data, there were no differences between postural control with ASC compared with ASC and the Stroop test combined
Summary
Adolescent idiopathic scoliosis (AIS) has been defined as a three-dimensional deformity of the spine and trunk occurring in healthy pubertal children [1]. From our own observations as physiotherapists, we consider that teaching active self-correction (ASC) is one of the most important tasks in the rehabilitation program. This is with the agreement of the International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT). According to Weiss et al [5], the ability to adapt and maintain the properly corrected body posture whilst completing activities of daily living is crucial. It is one of the factors determining the effectiveness of corrective programs concerning the improvement of body posture
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