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Kinematic limitations during stair ascent and descent in patients with adult spinal deformity
- Source :
- Brain and Spine, Vol 5, Iss , Pp 104153- (2025)
- Publication Year :
- 2025
- Publisher :
- Elsevier, 2025.
-
Abstract
- Background: Adults with spinal deformity (ASD) are known to have spinal malalignment, which can impact their quality of life and their autonomy in daily life activities. Among these tasks, ascending and descending stairs is a common activity of daily life that might be affected. Research question: What are the main kinematic alterations in ASD during stair ascent and descent? Methods: 112 primary ASD patients and 34 controls filled HRQoL questionnaires and underwent biplanar X-from which spino-pelvic radiographic parameters were calculated. Patients were divided into 3 groups: 44 with sagittal malalignment (ASD-Sag: PT > 25°, SVA>5 cm or PI-LL>10°), 42 with isolated thoracic hyperkyphosis (ASD-HyperTK: TK > 60°), 26 with isolated frontal spine deformity (ASD-Front: Cobb>20°). All participants underwent 3D motion analysis of the whole body while ascending and descending a stair step from which kinematic waveforms were extracted. Results: During stair ascent, ASD-Sag exhibited an increased thorax flexion (20 vs 5°), a decreased lumbar lordosis L1L3-L3L5 (7 vs 14°), and an increased ROM of lumbo-pelvic joint (15 vs 10°, all p
Details
- Language :
- English
- ISSN :
- 27725294
- Volume :
- 5
- Issue :
- 104153-
- Database :
- Directory of Open Access Journals
- Journal :
- Brain and Spine
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.3dfcc145b9204a2f89b0e221e5b0a923
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.bas.2024.104153