Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people

Takahashi, Toshiaki; Ishida, Kenji; Hirose, Daisuke; Nagano, Yasunori; Okumiya, Kiyoto; Nishinaga, Masanori; Matsubayashi, Kozo; Doi, Yoshinori; Tani, Tohru; Yamamoto, Hiroshi

doi:10.1007/s00198-004-1669-3

Cited by 144 publications

(127 citation statements)

References 28 publications

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“…13 Excessive increase in this curvature, also known as hyperkyphosis, is reported in 20%-40% of the elderly. 14,15 Kyphotic posture may cause anterior displacement of the COM and instigate the COM to be located out of the limits of stability (LOS) in standing posture, 8 thereby increasing the risk of falls by reducing postural balance. 8,12 Despite the importance of falls for elderly people, not much attention has been paid to balance improvement and fall prevention while treating hyperkyphosis.…”

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confidence: 99%

The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis

Azadinia

Kamyab

Behzadnia

et al. 2013

Prosthetics &Amp; Orthotics International

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BackgroundFalling is one of the most important risks for elderly people that may be associated with serious consequences. 1 Studies in the United States considered falling to be the sixth cause of mortality in people older than 65 years. 2 About 30% of individuals aged over 65 years experience at least one fall per year, and the condition requires medical care in 20% of the cases. 3,4 Postural stability, or balance, is the ability to maintain the center of mass (COM) within the limits of base of support. The COM is equal to the center of total body mass Method: Eighteen participants (16 women and 2 men), aged 60-80 years, with thoracic kyphosis greater than 50°, completed the study procedure. Subjects were randomly allocated to two groups, namely, Spinomed orthosis and the posture-training support groups. Sensory organization test and limits of stability were assessed using the EquiTest system and the Balance Master system, respectively. Balance score, directional control, and reaction time were measured to evaluate balance with and without orthosis in a random order. Results: In the posture-training support group, significant changes were observed in the studied balance parameters: balance score (p < 0.001), directional control (p = 0.027), and reaction time (p = 0.047). There was a significant change in balance score (p < 0.001) and directional control (p = 0.032) in the Spinomed group. However, there were no significant differences in the effect of the two orthoses, the Spinomed orthosis and posture-training support, on balance factors. Conclusion: Both Spinomed orthosis and posture-training support may improve balance in the elderly with thoracic hyperkyphosis in a similar manner. Clinical relevanceDespite the importance of falls suffered by elderly people, not much attention has been paid to balance improvement and fall prevention while managing hyperkyphosis. This study evaluates the effect of the Spinomed orthosis and posture-training support on balance in hyperkyphotic elderly people. It provides some new insights into reducing the risk of falls for elderly people.

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confidence: 99%

The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis

Azadinia

Kamyab

Behzadnia

et al. 2013

Prosthetics &Amp; Orthotics International

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“…Height loss is common as people age (Takahashi et al, 2005;Kado et al, 2004). This occurs due to bone loss (Bonjour et al, 1994).…”

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confidence: 99%

Evaluation of the height of premenopausal and postmenopausal women in Zaria, Nigeria

Achie¹,

Olorunshola²,

Mabrouk³

2014

J. Physiol. Pathophysiol.

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Excessive height loss in postmenopausal women (PMW) has been found to reflect low bone mass; an index helpful in predicting vertebral fractures. One hundred and sixty five women were recruited for the cross-sectional study comprising of 77 premenopausal women who served as control and 88 PMW who constituted the study group. The subjects were administered a questionnaire after obtaining informed consent. While their height, weight, waist circumference and serum testosterone levels were determined utilizing standard methods. The results were presented as mean ± SD, while data was analyzed with Student's t-test, one way ANOVA, and correlation for comparing association; p<0.05 was considered significant. The postmenopausal women had a significantly lower mean height (158.56 ± 7.02 cm) than the premenopausal women (162.25 ± 6.44 cm), p<0.001. There was a decrease in mean postmenopausal height with increasing duration of menopause, however, it was not statistically significant; 158.71 ± 7.32, 158.40 ± 7.34 and 158.41 ± 6.41 cm, respectively for women who were 1-5, 6 -10 and > 10 years postmenopausal. The age at menopause and the body mass index demonstrated a positive correlation with the height of the menopausal women. While the serum testosterone and the body mass of the postmenopausal women demonstrated a negative correlation with their age at menopause. It is concluded that the postmenopausal women had a significantly lower height than the premenopausal women (mean height difference of 3.69 cm) and were at risk of vertebral fractures; critical levels predictive for vertebral fractures range between 3 -6 cm losses in height. We recommend longitudinal studies to determine the prospective height loss across the menopause transition in Nigerian women and thus indicate the critical levels predictive for vertebral fractures for Nigerian menopausal women.

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“…(17)(18)(19) Because there is a considerable increase in the prevalence of postural deviations, and problems arising from these it was sought to establish reliable methods of postural assessment, however, several methods have been used and improved over the years. However, the aim of this study was to determine which methods of postural assessment of the spine have been used in studies and national journals published recently.…”

Section: Introductionmentioning

confidence: 99%

Methods of evaluating postural deviations of the spine used in national studies: a systematic review.

Filho¹

2014

mtprehabjournal

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Introduction:The spine related diseases have been increasing sharply and causing serious problems for public health. Having a postural assessment with one of the important factors in the prevention and/or treatment of these problems. Objectives: To determine which methods of spinal postural assessment has been used in studies and national journals published recently. Methods: This study is a systematic review, which followed the recommendations (PRISMA) "Transparent report of Systematic Reviews and Meta-analysis." The search data Began with the choice of key terms and synonyms following the Health Sciences Descriptors DeSC and MeSH (Medical Subject Headings). Due to achieve the main objective of the research, we selected only studies of national authors and journals published between the year 2013 to Feb/2014, yet fitting, made any kind of spinal postural assessment. Conducted a descriptive statistical checking the frequency percentages by software (IBM ® SPSS ® Statistic, vs 21, New York/USA 2012. Results: 25 studies were included, and the methods of evaluation were: photogrammetry (36.7%, n =11); Posturógrafo (16.7%, n=5); X-Ray (10%, n=3); Postural Visual Evalution (23.3%, n=7) Goniometry (3.3%, n=1). Conclusions: it is concluded between national studies photogrammetry is the postural assessment methods most used today. Keywords: Posture; Spinal Diseases; Measurement Equipment. ResumoIntrodução: As doenças relacionadas à coluna vertebral vêm crescendo abruptamente e gerando sérios problemas para saúde pública. Tendo a avaliação postural com um dos fatores importante na prevenção e/ou tratamento desses problemas. Objetivos: verificar quais métodos de avaliação postural da coluna vertebral vem sendo usados nos estudos e periódicos nacionais publicados recentemente. Métodos: Este é estudo de revisão sistemática, que seguiu as recomendações (PRISMA) "Transparent report of Systematic Reviews and Meta-análise". A busca de dados inciou-se com a escolha dos termos chaves e sinônimos seguindo os Descritores em Ciências da Saúde (DESC), e MeSH (Medical Subject Headings). Em virtude de atingir o objetivo principal da pesquisa, selecionaram-se apenas estudos de autores e periódicos nacionais publicados entre o ano de 2013 a Fev/2014, cabendo ainda, realizado qualquer tipo de avaliação postural da coluna vertebral. Realizou uma estatística descritiva verificando a frequência em porcentagens através do software (IBM® SPSS® Statistic, vs 21, Nova York/EUA, 2012. Resultados: Foram contemplados 25 estudos, e os métodos de avaliação encontrados foram: fotogrametria (36,7%, n=11); Avaliação Postural Visual (23,3%, n=7); Posturógrafo (16,7%, n=5); Raio-X (10%, n=3); Goniometria (3,3%, n=1). Conclusão: Conclui-se entre os estudos nacionais a fotogrametria é o métodos de avaliação postural mais utilizado atualmente. Palavras-Chave: Postura; Doenças da Coluna Vertebral; Equipamentos de Medição.

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Trunk deformity is associated with a reduction in outdoor activities of daily living and life satisfaction in community-dwelling older people

Cited by 144 publications

References 28 publications

The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis

The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis

Evaluation of the height of premenopausal and postmenopausal women in Zaria, Nigeria

Methods of evaluating postural deviations of the spine used in national studies: a systematic review.

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