Abstract
Giriş: Torasik hiperkifoz, yaşlılarda denge ve yürüme bozukluklarına neden olan yaygın problemlerden biridir. Spinomed ortezi hiperkifozun önlenmesinde kullanılan etkili bir tedavi yaklaşımıdır, ancak ne yazıkki torasik hiperkifozlu yaşlılarda denge ve yürüme parametreleri üzerine etkisini gösteren çok az kanıt bulunmaktadır.
Amaç: Bu çalışma, Spinomed ortezinin denge ve yürüme parametreleri üzerindeki etkisini kapsamlı bir şekilde araştırmak için planlandı.
Yöntem: Çalışmaya torasik kifozu 40°'den fazla olan 34 gönüllü yaşlı birey dahil edildi. Tüm katılımcılardan Spinomed ortezine alışmaları için 1,5 saat boyunca ortezi takmaları istendi. Postural stabilite, stabilite limiti ve modifiye-duyu organizasyonu klinik testi Biodex Balance System kullanılarak, yürüme parametreleri ise G-Walk yürüme sistemi kullanılarak değerlendirildi.
Bulgular: Spinomed ortezi kullanımı sonrası yapılan değerlendirmelerde tüm denge parametrelerinde anlamlı iyileşmeler oldu (p<0.05). Ek olarak, hız, kadans, dominant olmayan taraf yan yürüme döngü süresi ve çift destek fazında (p<0.05) pozitif yönde anlamlı gelişmeler oldu. Ancak diğer yürüme parametrelerinde anlamlı bir gelişme olmadı (p>0.05).
Sonuçlar: Çalışma sonuçları, torasik hiperkifozlu yaşlı bireylerde Spinomed ortezi kullanımının denge ve yürümenin bazı parametrelerini iyileştirmede etkili bir yöntem olabileceğini göstermiştir. Bu nedenle Spinomed ortez kullanımı, etkili bir ameliyatsız tedavi seçeneği olarak düşünülebilir.
Supporting Institution
Yoktur
Project Number
Yoktur
Thanks
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References
- Hosseinabadi M, Kamyab M, Azadinia F, Sarrafzadeh J. Effect of a Spinomed orthosis on balance performance, spinal alignment, joint position sense and back muscle endurance in elderly people with hyperkyphotic posture: A randomized controlled trial. Prosthet Orthot Int. 2020 Aug;44(4):234-44.
- Namdar N, Arazpour M, Ahmadi Bani M. Comparison of the immediate efficacy of the Spinomed® back orthosis and posture training support on walking ability in elderly people with thoracic kyphosis. Disabil Rehabil Assist Technol. 2019 Apr;14(3):217-20.
The Effects of Spinomed Orthosis on Balance and Walking Performance in Elderly People with Thoracic Hyperkyphosis
Abstract
Background: Thoracic hyperkyphosis is one of the common conditions that cause balance and walking impairments in the elderly. The use of Spinomed orthosis is an effective treatment approach for hyperkyphosis, but unfortunately, there is little evidence to support its effect on the balance and walking parameters of elderly people with thoracic hyperkyphosis.
Aim: This study was planned to investigate the effect of the Spinomed orthosis on balance and walking parameters comprehensively.
Method: Thirty-four volunteer elderly people with thoracic kyphosis greater than 40° were recruited for this study. All participants were asked to wear the Spinomed orthosis for 1.5 h to get used to them. Postural stability, limits of stability, and modified-Clinical Test of Sensory Organization were assessed using Biodex Balance System while walking parameters were assessed using the G-Walk system with and without orthosis.
Results: There was a significant improvement in all balance parameters with Spinomed orthosis (p<0.05). Additionally, the Spinomed orthosis had a significant positive effect on speed, cadence, non-dominant side gait cycle duration, and first double support phase (p<0.05) but not other walking parameters (p>0.05).
Conclusion: The results showed that Spinomed orthosis may be an effective treatment approach to improve balance and walking parameters in elderly people with thoracic hyperkyphosis. Therefore, the use of Spinomed orthosis may consider an efficacious non-operative treatment option.
Project Number
Yoktur
References
- Hosseinabadi M, Kamyab M, Azadinia F, Sarrafzadeh J. Effect of a Spinomed orthosis on balance performance, spinal alignment, joint position sense and back muscle endurance in elderly people with hyperkyphotic posture: A randomized controlled trial. Prosthet Orthot Int. 2020 Aug;44(4):234-44.
- Namdar N, Arazpour M, Ahmadi Bani M. Comparison of the immediate efficacy of the Spinomed® back orthosis and posture training support on walking ability in elderly people with thoracic kyphosis. Disabil Rehabil Assist Technol. 2019 Apr;14(3):217-20.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Makaleler |
| Authors | |
| Project Number | Yoktur |
| Early Pub Date | December 23, 2022 |
| Publication Date | December 23, 2022 |
| Submission Date | November 5, 2022 |
| Acceptance Date | December 1, 2022 |
| Published in Issue | Year 2022 Volume: 7 Issue: 3 |
