Evaluation of upper extremity function and its relation to curve pattern in female adolescents with idiopathic scoliosis: a pilot study

Abstract

Study design Cross-sectional and clinical measurement.Objective To evaluate upper extremity function and its relation to the curve pattern in idiopathic scoliosis. Summary of background data Postural alterations and trunk distortions-caused by three-dimensional deformity itself in idiopathic scoliosis-may lead to functional changes in the upper extremity of subjects. Methods Handgrip, pulp and lateral pinch strengths, hand dexterity, hand reaction time, coordination of upper extremity, upper extremity performance, throwing accuracy, and self-reported upper extremity disability were evaluated in 96 subjects. These subjects were divided into 3 groups: 47 with main thoracic curve pattern scoliosis (Lenke type 1), 31 with thoracolumbar/lumbar curve pattern scoliosis (Lenke type 5), and 18 unaffected (healthy control). Comparisons were performed between these three groups. Results The thoracic scoliosis group showed a significant decrease in concave lateral pinch strength, concave hand dexterity of turning, coordination of the upper extremities, and concave hand reaction time than the thoracolumbar/lumbar scoliosis group (p < 0.05). Bilateral handgrip strengths decreased in thoracic scoliosis group when compared to healthy controls. Healthy individuals demonstrated greater throwing accuracy than individuals with scoliosis. Conclusions Upper extremity function was found to be affected based on the curve pattern. Individuals with main thoracic curves are likely to have deteriorated upper extremity function, especially for hand-specific motor skills, on the concave side, when compared to lumbar curves and healthy controls. Level of evidence Level III.

Investigation and analysis of the posture characteristics and risk factors implicated in scoliosis among college students

“…Recent studies have found that an assessment of grip strength predicts the risk of progression of AIS [13] . Meanwhile, Gozde [14] et al studied upper extremity function and its relationship to type of scoliosis in patients with idiopathic scoliosis, including grip strength, lateral pinch strength, hand dexterity, hand reaction time, upper extremity coordination, upper extremity function, throwing accuracy, and self-reported assessment of upper extremity disability, and found that upper extremity function is affected to varying degrees in patients with scoliosis, especially in patients with scoliosis in whom main thoracic curvature occurs. Adolescents with main lumbar scoliosis tended to have decreased upper extremity function in concave lateral curves compared with adolescents with main thoracic scoliosis.…”