Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2017 , Vol 8, Issue 4
Effects of a Spinal Brace On The Functional Profile of The Feet In Adolescent Idiopathic Scoliosis
Gözde Yağcı1, Yavuz Yakut2
1Hacettepe University, Department of Physiotherapy and Rehabilitation, Ankara, Turkey
2Hasan Kalyoncu University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Gaziantep, Turkey
Purpose: To assess the impact of a spinal brace on the functional profile of the feet in patients with adolescent idiopathic scoliosis (AIS).

Patients and Methods: The subjects were 21 female AIS patients with double curves (range: 20°–45°). Baropodometry and stabilometry analysis during standing and walking and were performed without bracing and after 7 days of bracing. Plantar force distribution, contact area, foot angle, mean and peak foot pressures, step length, step width, cadence, and gait speed, center of pressure path length and sway velocities and confidence ellipse area were recorded.

Results: Bracing did not affect baropodometry parameters during standing (p>0.05). However, left foot plantar contact area was greater, mean pressure and peak pressures on the left foot were lower with bracing compared to without bracing (p<0.05) during walking. Cadence decreased with bracing. There was no change in stabilometry results (p>0.05).

Conclusion: Spinal bracing created more symmetrical plantar pressure distribution between the feet during gait. However, bracing tends to alter temporal-spatial walking parameters and disrupt gait in patients with double curve scoliosis. Keywords : scoliosis, gait, postural balance, foot