Azadinia Fatemeh, Kamyab Mojtaba, Behtash Hamid, Maroufi Nader, Larijani Bagher
Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Prosthet Orthot Int. 2013 Oct;37(5):404-10. doi: 10.1177/0309364612474487. Epub 2013 Feb 11.
Hyperkyphosis increases the risk of falls for elderly people by reducing postural balance. Spinomed orthosis and the posture-training support are two available options for improving postural balance but have never been compared.
To compare the effect of the Spinomed orthosis and the posture-training support on balance in elderly people with thoracic hyperkyphosis.
This study is a clinical trial on an accessible sample of elderly people with thoracic kyphosis.
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.
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.
Both Spinomed orthosis and posture-training support may improve balance in the elderly with thoracic hyperkyphosis in a similar manner.
脊柱后凸畸形会通过降低姿势平衡能力增加老年人跌倒的风险。脊柱矫形器和姿势训练辅助是改善姿势平衡的两种可行选择，但从未进行过比较。
比较脊柱矫形器和姿势训练辅助对患有胸椎后凸畸形的老年人平衡能力的影响。
本研究是一项针对可及的患有胸椎后凸畸形老年人样本的临床试验。
18名年龄在60 - 80岁、胸椎后凸畸形大于50°的参与者（16名女性和2名男性）完成了研究过程。受试者被随机分为两组，即脊柱矫形器组和姿势训练辅助组。分别使用EquiTest系统和Balance Master系统评估感觉统合测试和稳定性极限。以随机顺序测量平衡分数、方向控制和反应时间，以评估佩戴和不佩戴矫形器时的平衡能力。
在姿势训练辅助组中，观察到所研究的平衡参数有显著变化：平衡分数（p < 0.001）、方向控制（p = 0.027）和反应时间（p = 0.047）。脊柱矫形器组的平衡分数（p < 0.001）和方向控制（p = 0.032）有显著变化。然而，脊柱矫形器和姿势训练辅助这两种矫形器对平衡因素的影响没有显著差异。
脊柱矫形器和姿势训练辅助都可能以相似的方式改善患有胸椎后凸畸形老年人的平衡能力。
