The immediate efficacy of the spinomed orthosis and biofeedback posture orthosis on balance and gait in older people with thoracic hyperkyphosis

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dc.contributor.authorEldemir, Kader
dc.contributor.authorEldemir, Sefa
dc.contributor.authorOzkul, Cagla
dc.contributor.authorGuclu-Gunduz, Arzu
dc.date.accessioned2024-10-26T18:09:13Z
dc.date.available2024-10-26T18:09:13Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractBackground: Increased kyphosis is a common condition among older people that may, directly or indirectly, be a risk factor for poor balance and gait. Spinomed and Biofeedback Posture Trainer (BPT) orthoses is an effective treatment approach for hyperkyphosis. This study aimed to compare the immediate effects of the Spinomed and BPT orthoses on balance and gait in the older population. Methods: A total of 52 volunteer older people with hyperkyphosis (kyphosis angle>40 degrees) participated in this study and were randomly allocated into two groups, to either the Spinomed orthosis (n = 26, mean age = 65.50 +/- 5.50) or the BPT (n = 26, mean age = 65.38 +/- 5.69) orthosis. All participants were asked to wear the orthoses for 1.5 h to get used to them. Balance parameters, which are Postural Stability Test (PST), Limits of Stability (LOS), and Clinical Test of Sensory Integration for Balance (m-CTSIB) were assessed using the Biodex Balance System, while walking parameters were assessed using the G-Walk with and without orthosis. Results: The Spinomed had a positive effect on balance parameters (p < 0.05) except for the closed eyes firm surface and the opened eyes foam surface conditions of the m-CTSIB (p > 0.05). BPT had a significant impact on the PST score, LOS, and the closed eyes firm surface condition of the m-CTSIB (p < 0.001). Spinomed had a significant effect on cadence, speed, gait cycle duration, elaborated steps, and symmetry index of pelvic angles (p < 0.05), while the BPT had a significant effect only on step length and rotation symmetry index. No significant difference was detected between the two types of orthoses in the balance and gait parameters (p > 0.05). Conclusions: Spinomed and BPT were both effective in improving balance performance, with similar improvements demonstrated by both orthoses. Additionally, Spinomed may provide significant improvements in cadence, speed, gait cycle duration, elaborated steps, and all symmetry indexes of pelvic angles in the short term.
dc.identifier.doi10.1016/j.gaitpost.2024.04.019
dc.identifier.endpage142
dc.identifier.issn0966-6362
dc.identifier.issn1879-2219
dc.identifier.pmid38691976
dc.identifier.scopus2-s2.0-85191850681
dc.identifier.scopusqualityQ1
dc.identifier.startpage136
dc.identifier.urihttps://doi.org/10.1016/j.gaitpost.2024.04.019
dc.identifier.urihttps://hdl.handle.net/20.500.12418/30002
dc.identifier.volume111
dc.identifier.wosWOS:001237499400001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Ireland Ltd
dc.relation.ispartofGait & Posture
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBalance
dc.subjectBiofeedback posture trainer
dc.subjectGait
dc.subjectKyphosis
dc.subjectOlder people
dc.subjectSpinomed
dc.titleThe immediate efficacy of the spinomed orthosis and biofeedback posture orthosis on balance and gait in older people with thoracic hyperkyphosis
dc.typeArticle

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