3D Quantitative Evaluation of Posture and Spine Proprioceptive Perception Through Instinctive Self-Correction Maneuver in Adolescent Idiopathic Scoliosis.

Autor:	Kinel E; Chair of Rehabilitation and Physiotherapy, Department of Rehabilitation, University of Medical Sciences, Poznań, Poland., D'Amico M; SMART LAB (Skeleton Movement Analysis and Advanced Rehabilitation Technologies), Bioengineering & Biomedicine Company Srl, San Giovanni Teatino, Italy.; Department of Neuroscience, Imaging and Clinical Sciences, 'G. D'Annunzio' University of Chieti-Pescara, Chieti, Italy., Roncoletta P; SMART LAB (Skeleton Movement Analysis and Advanced Rehabilitation Technologies), Bioengineering & Biomedicine Company Srl, San Giovanni Teatino, Italy.
Jazyk:	angličtina
Zdroj:	Frontiers in bioengineering and biotechnology [Front Bioeng Biotechnol] 2021 Jun 01; Vol. 9, pp. 663394. Date of Electronic Publication: 2021 Jun 01 (Print Publication: 2021).
DOI:	10.3389/fbioe.2021.663394
Abstrakt:	Background: Conservative treatment in the adolescent idiopathic scoliosis (AIS) population is based on individual proprioceptive and motor control training. Such training includes physiotherapeutic scoliosis-specific exercises (PSSEs) stimulating the individual capacity to perceive and control his/her posture, particularly the shape of the spine. However, limited knowledge about basic proprioception capability in AIS patients is reported in the literature. Questions: (1) How do AIS patients, who did not receive any previous specific postural education treatment, perceive their posture and 3D spine shape? Are they able to modify their posture and 3D spine shape correctly through an instinctive self-correction (ISCO) maneuver? (2) Are posture and ISCO maneuver ability gender dependent in AIS patients? (3) Do AIS patients present different posture and spine shape characteristics as well as different ISCO ability compared with the healthy young adult population? Methods: Cross-sectional observational study. 132 (75 females, 57 males) AIS patients' posture and 3D spine shape have been measured comparing indifferent orthostasis (IO) (neutral erect posture) to ISCO using a non-ionizing 3D optoelectronic stereophotogrammetric approach. Thirteen quantitative biomechanical parameters described the AIS patients body posture. The statistical analysis was performed using a multivariate approach to compare genders in IO, ISCO, and AIS patients vs. healthy young adults-previously published data (57 females, 64 males). Results: Males (87.7%) and females (93.3%) of AIS patients were unable to modify posture and 3D spine shape globally. AIS patients gender differences were found in IO, ISCO, and the comparison vs. healthy young adults. When changes occurred, subjects could not focus and control their posture globally, but only in a few aspects at a time. Conclusion: Self-correction maneuver producing an improvement in body posture and spine shape is not instinctive and must be trained. In such characteristics, AIS patients are not so dissimilar to healthy young adults. Sagittal plane control is the highest, but ISCO in AIS patients led to worsening in this plane. Control at the lumbar level is neglected in both genders. Such outcomes support the necessity of customized PSSEs to treat AIS patients. The 3D stereo-photogrammetric approach is effective in quantitatively describing the subject's posture, motor control, and proprioception. Competing Interests: MD’A and PR own shares of the Bioengineering & Biomedicine Company Srl. This does not alter our adherence to Frontiers in Bioengineering and Biotechnology policies on sharing data and materials. The Bioengineering & Biomedicine Company Srl did not play any direct role in the study design, data collection and analysis, decision to publish, or the manuscript preparation. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Kinel, D’Amico and Roncoletta.)
Databáze:	MEDLINE
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