Shoulder Complex Mechanics in Adolescent Idiopathic Scoliosis and Their Relation to Patient-perceived Function

Abstract

Level III-cross-sectional comparison.

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

“…Furthermore, in the present study, functional changes in upper extremity were seen in main thoracic scoliosis, while lumbar curves seem to be preserved from this effect. This result suggests that the changes in the upper extremity functions may be related to the altered scapular mechanics, which was reported in previous studies [7,34]. However, a more systemic reason such as biochemical or central neurologic may be the cause of this functional asymmetry.…”

Investigation of Upper Extremity Functionality in Patients with Adolescent Idiopathic Scoliosis undergoing Scoliosis Surgery

“…However, only 8.1% of the patients exercised regularly. As stated by previous studies, [20][21][22] we think that rehabilitation and exercise training should be given importance in order to minimize functional disabilities in patients with AIS and that patients should be encouraged to exercise regularly.…”

“…The condition of the trunk and shoulder complex and the contribution of the scapulathoracic joint are important to ensure functionality in daily living activities. While there have been many studies on scapular orientation and shoulder levels in AIS, [5,10,11,20] few studies have been conducted to determine the disability, symptoms and function of upper extremity due to scoliosis. [12,21] We aimed to determine the effects of AIS on upper extremity functionality and health-related quality of life.…”

“…In patients with non-surgical AIS, scapular kinematics in different positions of the upper extremity were compared with healthy subjects. [14,20,22] Upper extremity function was generally evaluated with objective clinical measurements such as range of motion instead of selfreported questionnaires. Turgut et al [6] (2017) reported that scapular position and orientation changes are observed in both concave and convex sides in patients with AIS and peak humerothoracic elevation in resting position is decreased.…”

“…Rapp van Roden al. [20] (2018) showed that, patient reported shoulder functional outcomes (DASH-T) were lower in patients with AIS than healthy subjects, but this dysfunction was not associated with scapula kinematics. In addition, the authors reported no relationship between DASH score and degree of curvature.…”