TitleSpine and Lower Extremity Kinematics Exhibited During Running by Adolescent Idiopathic Scoliosis Patients With Spinal Fusion.
Publication TypeJournal Article
Year of Publication2019
AuthorsKakar, RSingh, Li, Y, Brown, CN, Oswald, TS, Simpson, KJ
JournalSpine Deform
Volume7
Issue2
Pagination254-261
Date Published03/2019
ISSN2212-1358
Abstract
 

STUDY DESIGN: Case-controlled design; biomechanics laboratory setting.

OBJECTIVE: To compare the spine and lower extremity kinematics displayed during high-effort running between individuals with spinal fusion surgery for adolescent idiopathic scoliosis (SF-AIS) and healthy controls (CON).

SUMMARY OF BACKGROUND DATA: Individuals with SF-AIS often return to exercise and sports that include running. However, how these individuals produce the spinal rotations needed during high-effort running and thus compensate for the loss of spinal flexibility is not known.

METHODS: Ten SF-AIS (posterior-approach spinal fusion; postoperative time: 2.0 ± 0.6 years; physically active) and 10 CON individuals, pair-matched for gender, age, mass, height, and level of physical activity participated. SF-AIS individuals ran on a treadmill at a self-selected submaximal speed perceived as "hard" (15/20 on Borg perceived-effort scale), and CON ran at the SF-AIS pair-matched speed. 3D motion capture system was used to generate trunk and pelvis segmental angles (trunk segments = upper trunk [C7-T8], middle trunk [T9-T12], lower trunk [L1-L5]), relative angles (relative angles between the two consecutive trunk segments), and lower extremity joint angles. The group differences between the SF-AIS and CON were assessed using one-way analysis of covariance (with running speed as the covariate) for trunk, lower extremity, and step kinematics.

RESULTS: SF-AIS participants exhibited a significantly greater (6.1° greater) lower trunk and (6.3° greater) pelvis segmental axial rotation compared with CON during running. In addition, SF-AIS participants displayed a 9.2° less ankle plantarflexion during the support phase. There were no significant differences detected for step kinematics.

CONCLUSION: Possibly because of relearned compensatory mechanism, individuals with SF-AIS displayed similar patterns of spine, lower extremity, and step kinematics as healthy controls during high-effort running with some exceptions.

LEVEL OF EVIDENCE: Level III.

DOI10.1016/j.jspd.2018.08.015
Alternate JournalSpine Deform
PubMed ID30660219