Yagci Gozde, Yakut Yavuz, Simsek Engin
a Hacettepe University, Faculty of Health Sciences , School of Physical Therapy and Rehabilitation Sciences, Samanpazari , Ankara , Turkey.
b Physiotherapy and Rehabilitation Department, Hasan Kalyoncu University, Faculty of Health Sciences , Altindag Turkey , Turkey.
Physiother Theory Pract. 2018 Aug;34(8):579-588. doi: 10.1080/09593985.2017.1423429. Epub 2018 Jan 8.
Visual and proprioceptive cues are important for body orientation to maintain correct posture. This study investigated the effects of exercise training on subjective visual, postural, and haptic perception of verticality in patients with scoliosis.
Thirty-two female adolescents with moderate idiopathic scoliosis were randomly allocated to "Core Stabilization Exercise (CSE)," "Body Awareness," or "Traditional Exercise (TE)" groups. Each group completed a 1-hour supervised program, two days per week for 10 weeks while continuing to wear spinal braces. Perceptual visual, postural, and haptic estimates were assessed before and after treatment.
Subjective visual vertical perception only improved in the awareness group. Subjective visual horizontal perception, postural vertical perception, total postural perception scores, total haptic perception scores, and haptic perception 45° to the right were significantly improved in the stabilization and awareness groups. For the 60° right and 60° left postural perception parameters, as well as the 45° left haptic perception parameters, perception improved only in the stabilization group. No improvement was observed in the traditional group.
Improvements in visual, postural, and haptic verticality perception within the stabilization exercise training and Basic Body Awareness group treatment suggest the addition of these exercise methods for the treatment of idiopathic scoliosis to improve internal body orientation.
视觉和本体感觉线索对于身体定向以维持正确姿势很重要。本研究调查了运动训练对脊柱侧弯患者主观视觉、姿势和触觉垂直感知的影响。
32名患有中度特发性脊柱侧弯的女性青少年被随机分配到“核心稳定运动（CSE）”、“身体意识”或“传统运动（TE）”组。每组完成一个1小时的有监督的项目，每周两天，共10周，同时继续佩戴脊柱支具。在治疗前后评估视觉、姿势和触觉感知估计。
仅意识组的主观视觉垂直感知有所改善。稳定组和意识组的主观视觉水平感知、姿势垂直感知、总姿势感知得分、总触觉感知得分以及向右45°的触觉感知均有显著改善。对于向右60°和向左60°的姿势感知参数以及向左45°的触觉感知参数，仅稳定组的感知有所改善。传统组未观察到改善。
稳定运动训练和基本身体意识组治疗中视觉、姿势和触觉垂直感知的改善表明，增加这些运动方法可用于治疗特发性脊柱侧弯以改善身体内部定向。
