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What is the influence of surgical treatment of adolescent idiopathic scoliosis on postural control ?

PURPOSE: To evaluate the effect of surgical treatment on the control of upright
balance in adolescent idiopathic scoliosis (AIS). METHODS: Thirty adolescents
were divided into two groups: Group C (n=15) consisted of individuals without
scoliosis (control), and Group S (n=15) consisted of individuals with scoliosis.
The mean amplitude and velocity of the center of pressure (COP) evaluations in
the anterior-posterior and medial-lateral directions were obtained before surgery
and at 7, 30, 60 and 90-days after surgery, in an upright position, using a force
platform. RESULTS: Group S showed larger oscillation than Group C before surgery.
The COP oscillation in Group S after surgery was larger than that in the
pre-surgery period. The oscillation diminished over the post-surgery period, but
individuals in the 90-day post-surgery period still had larger oscillation
compared with the oscillation in the pre-surgery period. CONCLUSION: Group S had
larger AP and ML mean amplitude and mean velocity before and after surgery
compared with Group C, which suggests that a sensorimotor impairment or sensory
integration problem could explain the balance control alterations more than
biomechanical factors in the AIS.
CI - Copyright (c) 2012 Elsevier B.V. All rights reserved.

Langue : ANGLAIS

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