Are Vestibular Function or Visuospatial Perception Affected in Individuals with Idiopathic Scoliosis?
Year 2025,
Volume: 9 Issue: 1, 66 - 75, 31.01.2025
Havva Adlı
,
Engin Ramazanoğlu
,
Büşra Candiri
,
Burcu Talu
,
İdris Çoban
,
Okan Aslantürk
,
Mehmet Ceylan
Abstract
Purpose: It was aimed to investigate relationship between characteristics of the curve and balance, vestibular dysfunction, visuospatial perception, navigation performance, and quality of life in idiopathic scoliosis.
Material and Methods: 33 participants with idiopathic scoliosis were included. Radiography, ScolioDetector application, unipedal stance test, Utenberger test (displacement and rotation), Visuospatial Memory Test, triangle completion task, and Scoliosis Research Society-22 evaluation parameters were.
Results: According to the type of curve, a significant difference was found only in the unipedal stance test with the right eyes closed and in the rotation with the eyes open (p<0.05). According to the extent of the curve, there was no difference between the groups (p>0.05), except for the duration of standing on one foot with eyes open on the right soft ground (p=0.009); There was a significant difference in displacement and eyes-open rotation angle (p<0.005). The rotation angle significantly correlated only with the right soft ground eyes-closed unipedal stance test. No significant correlation was found between the Unterberger and Visuospatial Memory tests.
Conclusion: The characteristics of the curve affect balance and vestibular dysfunction. The rotation angle is only related to balance; it was observed that the curve features were not related to visuospatial perception and navigation performance.
Ethical Statement
The authors declare no competing interests.
Supporting Institution
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Thanks
We would like to thank the patients who voluntarily participated in our study.
References
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- de Santiago HA, Reis JG, Gomes MM, da Silva Herrero CF, Defino HL, de Abreu DC. The influence of vision and support base on balance during quiet standing in patients with adolescent idiopathic scoliosis before and after posterior spinal fusion. The spine journal : official journal of the North American Spine Society. 2013;13(11):1470-6.
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- Enslein K, Chan DP. Multiparameter pilot study of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 1987;12(10):978-82.
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- Pinker S. Visual cognition: An introduction. Cognition. 1984;18(1-3):1-63.
- Smith P, Zheng Y. From ear to uncertainty: vestibular contributions to cognitive function. 2013;7(84).
- Bigelow RT, Agrawal Y. Vestibular involvement in cognition: Visuospatial ability, attention, executive function, and memory. Journal of vestibular research : equilibrium & orientation. 2015;25(2):73-89.
- Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. Lancet (London, England). 2008;371(9623):1527-37.
- Le Berre M, Guyot M-A, Agnani O, Bourdeauducq I, Versyp M-C, Donze C, et al. Clinical balance tests, proprioceptive system and adolescent idiopathic scoliosis. European Spine Journal. 2017;26(6):1638-44.
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- Zhang YB, Wang WQ. Reliability of the Fukuda stepping test to determine the side of vestibular dysfunction. J Int Med Res. 2011;39(4):1432-7.
- Gupta RK, Agnihotri S, Telles S, Balkrishna A. Performance in a Corsi Block-tapping Task following High-frequency Yoga Breathing or Breath Awareness. Int J Yoga. 2019;12(3):247-51.
- Xie Y, Bigelow RT, Frankenthaler SF, Studenski SA, Moffat SD, Agrawal Y. Vestibular loss in older adults is associated with impaired spatial navigation: data from the triangle completion task. Frontiers in neurology. 2017;8:173.
- Bottino L, Settino M, Promenzio L, Cannataro M. Scoliosis Management through Apps and Software Tools. International journal of environmental research and public health. 2023;20(8).
- Alanay A, Cil A, Berk H, Acaroglu RE, Yazici M, Akcali O, et al. Reliability and Validity of Adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) Questionnaire. Spine. 2005;30(21):2464-8.
- Tsirikos AI, Wordie SJ. Population-based normative data for the Scoliosis Research Society 22r, EQ-5D, and VAS questionnaires among individuals aged 20 to 69 years. Bone & Joint Open. 2022;3(2):130-4.
- Kuklo TR. Radiographic evaluation of spinal deformity. Neurosurg Clin N Am. 2007;18(2):215-22.
- Yilmaz K, Akkoyun Sert O, Bagcaci S, Kimyongok O. The effect of brace use on balance in individuals with adolescent idiopathic scoliosis. Prosthet Orthot Int. 2023.
- Kubat O, Ovadia D. Frontal and sagittal imbalance in patients with adolescent idiopathic deformity. Ann Transl Med. 2020;8(2):29.
- Gauchard GC, Lascombes P, Kuhnast M, Perrin PP. Influence of different types of progressive idiopathic scoliosis on static and dynamic postural control. Spine (Phila Pa 1976). 2001;26(9):1052-8.
- Simoneau M, Richer N, Mercier P, Allard P, Teasdale N. Sensory deprivation and balance control in idiopathic scoliosis adolescent. Experimental brain research. 2006;170(4):576-82.
- Luo HJ, Lin SX, Wu SK, Tsai MW, Lee SJ. Comparison of segmental spinal movement control in adolescents with and without idiopathic scoliosis using modified pressure biofeedback unit. PLoS One. 2017;12(7):e0181915.
- Nault ML, Allard P, Hinse S, Le Blanc R, Caron O, Labelle H, et al. Relations between standing stability and body posture parameters in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2002;27(17):1911-7.
- Allard P, Chavet P, Barbier F, Gatto L, Labelle H, Sadeghi H. Effect of body morphology on standing balance in adolescent idiopathic scoliosis. Am J Phys Med Rehabil. 2004;83(9):689-97.
- Dalleau G, Damavandi M, Leroyer P, Verkindt C, Rivard CH, Allard P. Horizontal body and trunk center of mass offset and standing balance in scoliotic girls. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2011;20(1):123-8.
- Arienti C, Buraschi R, Donzelli S, Zaina F, Pollet J, Negrini S. Trunk asymmetry is associated with dominance preference: results from a cross-sectional study of 1029 children. Brazilian journal of physical therapy. 2019;23(4):324-8.
- Goldberg CJ, Moore DP, Fogarty EE, Dowling FE. Handedness and spinal deformity. Stud Health Technol Inform. 2006;123:442-8.
- Şahin F, Urak Ö, Akkaya N. Evaluation of balance in young adults with idiopathic scoliosis. Turk J Phys Med Rehabil. 2019;65(3):236-43.
- Simoneau M, Lamothe V, Hutin E, Mercier P, Teasdale N, Blouin J. Evidence for cognitive vestibular integration impairment in idiopathic scoliosis patients. BMC Neurosci. 2009;10:102.
- Guo X, Chau WW, Hui-Chan CW, Cheung CS, Tsang WW, Cheng JC. Balance control in adolescents with idiopathic scoliosis and disturbed somatosensory function. Spine (Phila Pa 1976). 2006;31(14):E437-40.
- Binns M. Joint laxity in idiopathic adolescent scoliosis. J Bone Joint Surg Br. 1988;70(3):420-2.
- Gum JL, Asher MA, Burton DC, Lai SM, Lambart LM. Transverse plane pelvic rotation in adolescent idiopathic scoliosis: primary or compensatory? European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2007;16(10):1579-86.
- Sahlstrand T, Petruson B, Ortengren R. Vestibulospinal reflex activity in patients with adolescent idiopathic scoliosis. Postural effects during caloric labyrinthine stimulation recorded by stabilometry. Acta orthopaedica Scandinavica. 1979;50(3):275-81.
Are Vestibular Function or Visuospatial Perception Affected in Individuals with Idiopathic Scoliosis?
Year 2025,
Volume: 9 Issue: 1, 66 - 75, 31.01.2025
Havva Adlı
,
Engin Ramazanoğlu
,
Büşra Candiri
,
Burcu Talu
,
İdris Çoban
,
Okan Aslantürk
,
Mehmet Ceylan
References
- Freeman BJCCsooSL, MO: Mosby Inc. Scoliosis and kyphosis. Canale ST, editor. 2003:1751-851.
- de Santiago HA, Reis JG, Gomes MM, da Silva Herrero CF, Defino HL, de Abreu DC. The influence of vision and support base on balance during quiet standing in patients with adolescent idiopathic scoliosis before and after posterior spinal fusion. The spine journal : official journal of the North American Spine Society. 2013;13(11):1470-6.
- Chu W, Shi L, Wang D, Paus T, Burwell R, Man G, et al. Variations of semicircular canals orientation and left-right asymmetry in adolescent idiopathic scoliosis (AIS) comparing with normal controls: MR morphometry study using advanced image computation techniques. Research into Spinal Deformities 6: IOS Press; 2008. p. 333-3.
- Shi L, Wang D, Chu W, Burwell R, Freeman B, Heng P, et al. Volume-based morphometry of brain MR images in adolescent idiopathic scoliosis and healthy control subjects. American Journal of Neuroradiology. 2009;30(7):1302-7.
- Shi L, Wang D, Chu WC, Cheng JCJAR. Response to article: Adolescent idiopathic scoliosis may not be associated with brain abnormalities. Acta Radiologica. 2010;51(6):711-.
- Liu T, Chu WC, Young G, Li K, Yeung BH, Guo L, et al. MR analysis of regional brain volume in adolescent idiopathic scoliosis: neurological manifestation of a systemic disease. Journal of Magnetic Resonance Imaging: An Official Journal of the International Society for Magnetic Resonance in Medicine. 2008;27(4):732-6.
- Sahlstrand T, Lidström JJCo, research r. Equilibrium factors as predictors of the prognosis in adolescent idiopathic scoliosis. Clinical Orthopaedics and Related Research®. 1980(152):232-6.
- Hitier M, Hamon M, Denise P, Lacoudre J, Thenint M-A, Mallet J-F, et al. Lateral semicircular canal asymmetry in idiopathic scoliosis: an early link between biomechanical, hormonal and neurosensory theories? PloS one. 2015;10(7):e0131120.
- De la Huerta F, Leroux M, Zabjek K, Coillard C, Rivard C, editors. Stereovideographic evaluation of the postural geometry of healthy and scoliotic patients. Annales de chirurgie; 1998; 52 (8):776-83.
- Woo EJ, Siegmund GP, Reilly CW, Blouin J-S. Asymmetric Unilateral Vestibular Perception in Adolescents With Idiopathic Scoliosis. 2019;10(1270).
- Enslein K, Chan DP. Multiparameter pilot study of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 1987;12(10):978-82.
- Goldberg CJ, Dowling FE, Fogarty EE, Moore DP. Adolescent idiopathic scoliosis and cerebral asymmetry. An examination of a nonspinal perceptual system. Spine (Phila Pa 1976). 1995;20(15):1685-91.
- Pinker S. Visual cognition: An introduction. Cognition. 1984;18(1-3):1-63.
- Smith P, Zheng Y. From ear to uncertainty: vestibular contributions to cognitive function. 2013;7(84).
- Bigelow RT, Agrawal Y. Vestibular involvement in cognition: Visuospatial ability, attention, executive function, and memory. Journal of vestibular research : equilibrium & orientation. 2015;25(2):73-89.
- Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. Lancet (London, England). 2008;371(9623):1527-37.
- Le Berre M, Guyot M-A, Agnani O, Bourdeauducq I, Versyp M-C, Donze C, et al. Clinical balance tests, proprioceptive system and adolescent idiopathic scoliosis. European Spine Journal. 2017;26(6):1638-44.
- Bonanni M, Newton R. Test-retest reliability of the Fukuda Stepping Test. Physiother Res Int. 1998;3(1):58-68.
- Zhang YB, Wang WQ. Reliability of the Fukuda stepping test to determine the side of vestibular dysfunction. J Int Med Res. 2011;39(4):1432-7.
- Gupta RK, Agnihotri S, Telles S, Balkrishna A. Performance in a Corsi Block-tapping Task following High-frequency Yoga Breathing or Breath Awareness. Int J Yoga. 2019;12(3):247-51.
- Xie Y, Bigelow RT, Frankenthaler SF, Studenski SA, Moffat SD, Agrawal Y. Vestibular loss in older adults is associated with impaired spatial navigation: data from the triangle completion task. Frontiers in neurology. 2017;8:173.
- Bottino L, Settino M, Promenzio L, Cannataro M. Scoliosis Management through Apps and Software Tools. International journal of environmental research and public health. 2023;20(8).
- Alanay A, Cil A, Berk H, Acaroglu RE, Yazici M, Akcali O, et al. Reliability and Validity of Adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) Questionnaire. Spine. 2005;30(21):2464-8.
- Tsirikos AI, Wordie SJ. Population-based normative data for the Scoliosis Research Society 22r, EQ-5D, and VAS questionnaires among individuals aged 20 to 69 years. Bone & Joint Open. 2022;3(2):130-4.
- Kuklo TR. Radiographic evaluation of spinal deformity. Neurosurg Clin N Am. 2007;18(2):215-22.
- Yilmaz K, Akkoyun Sert O, Bagcaci S, Kimyongok O. The effect of brace use on balance in individuals with adolescent idiopathic scoliosis. Prosthet Orthot Int. 2023.
- Kubat O, Ovadia D. Frontal and sagittal imbalance in patients with adolescent idiopathic deformity. Ann Transl Med. 2020;8(2):29.
- Gauchard GC, Lascombes P, Kuhnast M, Perrin PP. Influence of different types of progressive idiopathic scoliosis on static and dynamic postural control. Spine (Phila Pa 1976). 2001;26(9):1052-8.
- Simoneau M, Richer N, Mercier P, Allard P, Teasdale N. Sensory deprivation and balance control in idiopathic scoliosis adolescent. Experimental brain research. 2006;170(4):576-82.
- Luo HJ, Lin SX, Wu SK, Tsai MW, Lee SJ. Comparison of segmental spinal movement control in adolescents with and without idiopathic scoliosis using modified pressure biofeedback unit. PLoS One. 2017;12(7):e0181915.
- Nault ML, Allard P, Hinse S, Le Blanc R, Caron O, Labelle H, et al. Relations between standing stability and body posture parameters in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2002;27(17):1911-7.
- Allard P, Chavet P, Barbier F, Gatto L, Labelle H, Sadeghi H. Effect of body morphology on standing balance in adolescent idiopathic scoliosis. Am J Phys Med Rehabil. 2004;83(9):689-97.
- Dalleau G, Damavandi M, Leroyer P, Verkindt C, Rivard CH, Allard P. Horizontal body and trunk center of mass offset and standing balance in scoliotic girls. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2011;20(1):123-8.
- Arienti C, Buraschi R, Donzelli S, Zaina F, Pollet J, Negrini S. Trunk asymmetry is associated with dominance preference: results from a cross-sectional study of 1029 children. Brazilian journal of physical therapy. 2019;23(4):324-8.
- Goldberg CJ, Moore DP, Fogarty EE, Dowling FE. Handedness and spinal deformity. Stud Health Technol Inform. 2006;123:442-8.
- Şahin F, Urak Ö, Akkaya N. Evaluation of balance in young adults with idiopathic scoliosis. Turk J Phys Med Rehabil. 2019;65(3):236-43.
- Simoneau M, Lamothe V, Hutin E, Mercier P, Teasdale N, Blouin J. Evidence for cognitive vestibular integration impairment in idiopathic scoliosis patients. BMC Neurosci. 2009;10:102.
- Guo X, Chau WW, Hui-Chan CW, Cheung CS, Tsang WW, Cheng JC. Balance control in adolescents with idiopathic scoliosis and disturbed somatosensory function. Spine (Phila Pa 1976). 2006;31(14):E437-40.
- Binns M. Joint laxity in idiopathic adolescent scoliosis. J Bone Joint Surg Br. 1988;70(3):420-2.
- Gum JL, Asher MA, Burton DC, Lai SM, Lambart LM. Transverse plane pelvic rotation in adolescent idiopathic scoliosis: primary or compensatory? European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2007;16(10):1579-86.
- Sahlstrand T, Petruson B, Ortengren R. Vestibulospinal reflex activity in patients with adolescent idiopathic scoliosis. Postural effects during caloric labyrinthine stimulation recorded by stabilometry. Acta orthopaedica Scandinavica. 1979;50(3):275-81.