Idiopathic scoliosis and balance

Milena D Kovačević; Marina Đelić; Rastislava  Krasnik

doi:10.5937/mp75-41583

Milena D Kovačević Univerzitet u Novom Sadu, Medicinski fakultet https://orcid.org/0000-0003-1739-9196
Marina Đelić Institut za medicinsku fiziologiju, Medicinski fakultet, Univerzitet u Beogradu
Rastislava Krasnik Univerzitet u Novom Sadu, Medicinski fakultet; Institut za zdravstvenu zaštitu dece i omladine Vojvodine

DOI: https://doi.org/10.5937/mp75-41583

Sažetak

Idiopatska skolioza (IS) je trodimenzionalni deformitet kičme i trupa, nepoznate etiologije. Balans ili posturalna kontrola se može definisati kao sposobnost da se linija gravitacije tela održi iznad površine oslonca i samim tim da se izbegne pad. Adekvatna kontrola balansa nije važna samo radi održavanja posturalne stabilnosti već i za bezbednu mobilnost tokom aktivnosti dnevnog života. Ovo zahteva efikasnu centralnu obradu informacija koje dolaze iz vizuelnog, vestibularnog i somatosenzornog (proprioceptivog) sistema. Neke studije su pokazale da osobe sa idiopatskom skoliozom imaju narušenu posturalnu stabilnost, procenjenu posturografijom, kao i proprioceptivne i vestibularne deficite. Dve hipoteze u literaturi pokušavaju ovo da objasne-biomehanička hipoteza i hipoteza o senzornoj integraciji. Biomehanička hipoteza naglašava biomehaničke i morfološke promene kod IS kao odgovorne za lošiju posturalnu stabilnost, dok hipoteza o senzornoj integraciji ističe da određene osobe sa idiopatskom skoliozom imaju narušenu dinamičku regulaciju senzomotorne integracije zbog netačne procene senzornih inputa. Studije koje su koristile kliničke testove balansa su pokazale poteškoće u medio-lateralnoj stabilnosti i dinamičkoj propriocepciji kod IS. Potrebna su dalja ispitivanja balansa u ovoj populaciji kako bi se produbilo znanje u ovoj oblasti.

Ključne reči: skolioza, posturalni balans, propriocepcija

Biografija autora

Milena D Kovačević, Univerzitet u Novom Sadu, Medicinski fakultet

Master terapeut rehabilitacije, Asistent

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