Upright Balance Control in Individuals with Cervical Myelopathy Following Cervical Decompression Surgery: A Prospective Cohort Study
Autor: | Wei-Li Hsu, Jaw-Lin Wang, Phooi Yee Lau, Chih-Hsiu Cheng, Dar-Ming Lai, Andy Chien, Shwu-Fen Wang |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Decompression Neurosurgery lcsh:Medicine Article Spinal Cord Diseases law.invention 03 medical and health sciences Myelopathy 0302 clinical medicine Randomized controlled trial law medicine Humans Prospective Studies 030212 general & internal medicine lcsh:Science Prospective cohort study Postural Balance Aged Balance (ability) Multidisciplinary business.industry lcsh:R Rehabilitation Case-control study Recovery of Function Middle Aged Decompression Surgical medicine.disease Spinal cord Surgery Treatment Outcome medicine.anatomical_structure Case-Control Studies Orthopedic surgery Cervical Vertebrae lcsh:Q Female business 030217 neurology & neurosurgery Follow-Up Studies |
Zdroj: | Scientific Reports Scientific Reports, Vol 10, Iss 1, Pp 1-9 (2020) |
ISSN: | 2045-2322 |
DOI: | 10.1038/s41598-020-66057-y |
Popis: | Patients with cervical myelopathy may manifest impairments in functional activities and balance control caused by compression of the spinal cord. The objective of the current study was to determine long-term changes in the upright balance control of patients with cervical myelopathy who had undergone cervical decompression surgery. This is a prospective cohort study from the preoperative phase to 3 months, 6 months, and 1 year postsurgery. Fifty-three patients with cervical myelopathy were recruited for the cervical myelopathy group and 22 age-matched healthy controls were recruited for the control group. Functional assessments including Japanese Orthopedic Association Cervical Myelopathy Evaluation Questionnaire-Lower Extremity Function (JOACMEQ-LEF) and 10-second step test; as well as balance assessments including postural sway (center-of-pressure: COP) were performed for both groups. The JOACMEQ-LEF (p = 0.036) scores of the myelopathy group improved postoperatively, and a significant decrease in COP variables of postural sway was observed. The upright posture was less stable in the myelopathy group than in the control group (p |
Databáze: | OpenAIRE |
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