Effect of body morphology on standing balance in adolescent idiopathic scoliosis

被引:44
作者
Allard, P
Chavet, P
Barbier, F
Gatto, L
Labelle, H
Sadeghi, H
机构
[1] Hop St Justine, Mot Res Lab, Res Ctr, Montreal, PQ H3T 1C5, Canada
[2] Hop St Justine, Dept Orthoped Surg, Montreal, PQ H3T 1C5, Canada
[3] Univ Montreal, Dept Kinesiol, Montreal, PQ, Canada
[4] Lab Aerodynam & Biomecan Mouvement, Marseille, France
[5] Univ Valenciennes, Lab Automat Mecan & Informat Ind & Humaines, Valenciennes, France
[6] Tarbiat Moallem Univ, Dept Kinesiol, Minist Sci Res & Technol, Tehran, Iran
关键词
scoliosis; adolescent idiopathic scoliosis; morphologic somatotype; girls; balance; equilibrium;
D O I
10.1097/01.PHM.0000137344.95784.15
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objectives: The objective of this study was to determine the effect of body somatotype on standing balance in girls with adolescent idiopathic scoliosis (AIS) who are under observation but not wearing a body brace. Design: In all, 74 girls participated in this study to form the able-bodied (n = 36) and the AIS (n = 38) groups, having an average age of 13 yrs. Quiet standing balance was tested using a force platform. Afterward, subjects in each group were divided according to their dominant body somatotype, namely endomorphs (fatness), mesomorphs (muscular), or endomorphic ectomorphs (lean). Results: The center of pressure measured in the anteroposterior position was closer to the heels for the AIS ectomorphic group by approximately 14 mm (P = 0.00497). Only the AIS mesomorphic group displayed a statistically significant 12-mm shift to the right in their center of pressure (P = 0.01211) compared with the able-bodied girls of the same morphotype. In the endomorphic group, the sway area was statistically higher for the scoliotic subjects (P = 0.00839). The distances traveled by the AIS subjects were all statistically longer for all three body morphologic somatotypes. Conclusion: Different postural responses seem to be dependent on body somatotypes. The endomorphic AIS girls had a larger sway area than their able-bodied counterparts while maintaining a similar center of pressure position. The AIS ectomorphic girls had a tendency to lean further back than a comparable able-bodied group. This could be emphasizing a hypokyphotic trunk attitude and increasing the risk of spinal deformity progression. The AIS mesomorphic subjects characterized by a large muscular and bony structure had a tendency to position their center of mass more to their right, indicating less postural adaptability and a stiffer trunk.
引用
收藏
页码:689 / 697
页数:9
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