Alignment in motion: Fall risk in spine patients and the effect of vision, support surface, and adaptation on the cone of economy

Autor: Ram Haddas, PhD, Manjot Singh, BS, Paul Rubery, MD, Ashely Rogerson, MD, Andrew Megas, DO, Robert Molinari, MD, Gabriel Ramriez, MS, Tyler Schmidt, DO, Alan H. Daniels, MD, Bassel G. Diebo, MD, Varun Puvanesarajah, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: North American Spine Society Journal, Vol 19, Iss , Pp 100532- (2024)
Druh dokumentu: article
ISSN: 2666-5484
DOI: 10.1016/j.xnsj.2024.100532
Popis: Background: Several assessment tools have been developed to estimate a patient's likelihood risk of falling. None of these measures estimate the contributions of the visual, vestibular, and somatosensory systems to fall risk, especially in patients with degenerative lumbar spine disease. Methods: Degenerative lumbar spine patients with radiculopathy (LD) and healthy subjects who were 35-70 years old without spine complaints were recruited. Patient reported outcome measures (PROMs) were collected prior to testing. Fall risk assessment was completed using Computer Dynamic Posturography (CDP), a computer-controlled balance machine that allows cone of economy (CoE) and cone of pressure (CoP) measurements. All patients completed Sensory Organization Tests (SOT) which include normal and perturbed stability, both with and without visual cues. Results: In total, 43 spine patients and 12 healthy controls were included, with mean age 57.8 years, 39.5% females, and mean BMI of 29.3 kg/m2. Nearly all CoE and most CoP dimensions were found to be larger in LD patients compared to controls across nearly all subtests (p
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