The effect of rigid versus flexible spinal orthosis on the gait pattern of patients with adolescent idiopathic scoliosis.

Abstract:

:The conventional rigid spinal orthosis and the flexible spinal orthosis, SpineCor, have different treatment principles in the management of adolescent idiopathic scoliosis (AIS). These may influence the patients' gait pattern and clinical outcome. In this study, gait analysis on patients with AIS undergoing these two orthotic interventions were conducted. The patients' lower limb kinematic and kinetic data during level walking were collected using a motion analysis system and two force platforms in four test conditions: pre-intervention, having used the orthosis for 1 month and 1 year (in and out of the orthosis). Twenty-one subjects were randomly assigned to the rigid spinal orthosis group (10 subjects) and the SpineCor group (11 subjects). Neither group showed gait asymmetry when comparing the convex and concave sides in the four test conditions. However, significant reduction in the range of motion of the pelvis and hip joints in the coronal plane were found. Although patients with AIS undergoing these two orthotic interventions showed significant changes in walking pattern within the study period, their long-term effect on gait and function requires further investigation through long-term prospective studies.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Wong MS,Cheng CY,Ng BK,Lam TP,Sin SW,Lee-Shum LF,Chow HK,Tam YP

doi

10.1016/j.gaitpost.2007.03.007

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

189-95

issue

2

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(07)00074-4

journal_volume

27

pub_type

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