Turkish Neurosurgery
Balance Control and Plantar Pressure Distribution in Hyperkyphotic Adolescent and Young Adults
Hakan Cici1, Omer Akcali2, Ata Elvan3, Ibrahim Engin Simsek3
1Izmir Katip Celebi University, Orthopaedics and Traumatology, Izmır,
2Dokuz Eylul University, Orthopaedics and Traumatology, Izmır,
3Dokuz Eylul University, School of Physical Therapy and Rehabilitation, Izmır,
DOI: 10.5137/1019-5149.JTN.41580-22.2

Aim:Evaluation of the static/dynamic balance and plantar pressure distribution differences in hyperkyphotic adolescents and young adult individuals, depending on alterations of sagittal spinopelvic alignment.Material and Methods:Twelve patients with hyperkyphosis were composed of study group and twelve normal subjects were determined as control group. Spinopelvic parameters, thoracic kyphosis, lumbar lordosis and sagittal vertical axis offsets were evaluated on lateral spine X-rays. Static/dynamic balance evaluation and posturographic center of pressure projections of subjects were recorded by Balance-Master device and dynamic plantar pressure distributions were recorded by EMED pedobarography device. Group comparisons were made for radiologic parameters, center of pressure (COP) velocity, COP alignment and plantar pressure distrubitons to determine significance.Results:Positive correlation was determined between kyphosis and lordosis (r=0.573, p=0.03) in study group. No significant difference was found in COP alignment and mean sway velocity between two groups (P>0.05). There were statistically significant differences in end point excursion values in the forward direction between groups in terms of dynamic balance measurement (p=0.09). The dynamic pedobarographic measurements did not reveal any intergroup differences (p<0.05).Conclusion:Delayed balance control may be observed during forward reach in hyperkyphotic adolescent and young adult individuals. Compensatory lomber lordosis may be effective to remain normal gravity projections, static balance control and plantar pressure distributions as a response of thoracic hyperkyphosis.

Corresponding author : Omer Akcali