Adolescent Idiopathic Scoliosis (AIS) is a rotational deformity of the spine that could be seen 2-3% of population. Conservative treatment of AIS with 20-45 degree lateral flexion angle (Cobb) includes brace and therapeutic exercises. Some gait abnormalities were defined like decreased torsional movements of spine, increased muscular work and energy expenditure in AIS. Additionally wearing a brace limits pelvic motions and affects pendulum-like mechanism of gait. Our aim was to investigate gait energy consumption, pulmonary functions, balance and lower extremity loading symmetry in AIS subjects who are getting conservative treatment.
Study Type
OBSERVATIONAL
Enrollment
15
Custom made rigid thermoplastic brace with 23 hours daily wearing time.
Eastern Mediterranean University
Mersin, Famagusta, Turkey (Türkiye)
Gait Oxygen Consumption
Oxygen consumption will be assessed with a mobile metabolic analyzer during walking on treadmill with 4 km/h gait speed. Recordings will be taken for 2 minutes after first 2 minutes of walking.
Time frame: Assessment will be done at the end of first month of conservative treatment.
Pulmonary Functions
Forced vital capacity (FVC), Forced expiratory volume in one second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF), forced expiratory flow at 25-75 % of the pulmonary volume (FEF 25-75%) will be assessed with spirometer.
Time frame: Assessment will be done at the end of first month of conservative treatment.
Balance
Balance will be assessed with a special equipment that gives deviation that lower values mean better.
Time frame: Assessment will be done at the end of first month of conservative treatment.
Lower extremity loading symmetry
Plantar loading symmetry will be assessed with a pedobarograph located in the middle of a six meters walking way. Loading symmetry will be calculated and compared as percentage of total pressure.
Time frame: Assessment will be done at the end of first month of conservative treatment.
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