当前位置: X-MOL 学术Musculoskelet. Sci. Pract. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
A comparison of the effectiveness of three types of trunk orthoses on the balance performance of older people with osteoporotic hyperkyphosis: A cross-over study
Musculoskeletal Science and Practice ( IF 2.3 ) Pub Date : 2021-07-14 , DOI: 10.1016/j.msksp.2021.102430
Mohamad-Rasoul Karimian 1 , Gillian Yeowell 2 , Shirin Saberi 3 , Ebrahim Sadeghi-Demneh 3
Affiliation  

Background

Orthotic immobilization is an early treatment for osteoporotic vertebral fracture at the hyperkyphotic thoracic spine.

Objective

This exploratory study compared the immediate impact of three types of trunk orthoses on the balance parameters of older people with osteoporosis hyperkyphosis.

Methods

Twenty older people (aged 60–65 years) with osteoporosis kyphosis and a history of falls participated in a pilot cross-over study. Four randomized comparisons were carried out, including either soft, semi-rigid, and rigid trunk orthoses worn on the participants compared to “no orthosis” as the control condition. Kyphosis angle, Forward Reach Test, Timed Up and Go test, and postural stability during standing on a force plate were recorded and compared between study conditions using one-way repeated measures analysis of variance test.

Results

All orthoses significantly reduced the kyphosis angle (p < 0.01). None of the orthoses has a significant change in the Timed Up and Go test (p > 0.01). Rigid orthosis significantly reduced the forward reach compared to “no orthosis” (p = 0.003, 95% CI: 1.08–6.3 cm). None of the orthosis induced a significant change in postural sway velocity in anteroposterior and mediolateral directions compared to the control condition (p > 0.01).

Conclusion

These findings suggest that using rigid orthosis in older people with osteoporosis hyperkyphosis reduces the balance performance.



中文翻译:

三种躯干矫形器对骨质疏松性后凸畸形老年人平衡能力效果的比较:一项交叉研究

背景

矫形器固定是治疗过度后凸胸椎骨质疏松性椎体骨折的早期治疗方法。

客观的

这项探索性研究比较了三种躯干矫形器对患有骨质疏松症、后凸畸形的老年人的平衡参数的直接影响。

方法

20 名患有骨质疏松症后凸畸形和有跌倒史的老年人(60-65 岁)参与了一项试点交叉研究。进行了四项随机比较,包括佩戴在参与者身上的软、半刚性和刚性躯干矫形器与作为对照条件的“无矫形器”进行比较。使用单向重复测量方差测试分析记录并比较研究条件之间的后凸角、前伸测试、计时起身测试和站立在测力台上的姿势稳定性。

结果

所有矫形器都显着降低了后凸角(p < 0.01)。在 Timed Up and Go 测试中,没有任何矫形器有显着变化 (p > 0.01)。与“无矫形器”相比,刚性矫形器显着降低了前伸范围(p = 0.003,95% CI:1.08–6.3 cm)。与对照条件相比,没有一种矫形器在前后和中间方向上引起姿势摇摆速度的显着变化(p > 0.01)。

结论

这些发现表明,在患有骨质疏松症、后凸畸形的老年人中使用刚性矫形器会降低平衡能力。

更新日期:2021-07-21
down
wechat
bug