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• W2280256607 abstract "Introduction There is a lack of published research investigating the relationship between thoracic hyperkyphosis and postural balance, both of which are independent contributory factors to falls in older people. The aim of this investigation was to evaluate the relationship between spinal curvature and postural sway in the frontal and sagittal planes. A secondary aim was to examine the difference in each of the variables over a period of 15 minutes. Materials and Methods A Microscribe 3DX Digitiser was used to measure back shape and a Kistler Force Plate calculated postural sway values. A convenience sample of 25 healthy young adults, aged 20-32 years was recruited. Each participant stood on the force plate for 15 minutes. Back shape measurements and a 30 second force plate reading were taken at the start and again at 15 minutes. Results A significant positive correlation was found between lumbar lordosis and antero-posterior sway measured at the start (r[24]=0.398, p<0.05). The change in mediolateral sway over 15 minutes was also significantly different (Z=-2.435, p<0.05). No other statistically significant correlations were found but a number of general trends were seen between spinal angles and postural sway in both planes. Discussion Whilst a larger sample is required to investigate the aims further, this research has demonstrated that back shape and postural sway values have the potential to be used to identify those at risk of falling. Those identified could be referred to necessary balance and falls rehabilitation classes. Conclusion If relationships between back shape and postural sway are already present in asymptomatic young adults it is reasonable to hypothesize that in older and very old adults these relationships will be even more marked. Further larger scale studies on asymptomatic older adults are needed to further evaluate this hypothesis. Introduction Over a third of people aged 65 years or older have a fall each year and in around half of these cases the falls are recurrent1,2. The increased fall injury risk in the elderly population has been linked to impaired postural control3. It has also been hypothesised that a forward curvature of the spine displaces the Centre of Pressure (CoP) towards the limits of stability and therefore affects balance4. Identifying different types of back shape and postures that may increase postural sway could therefore provide insight into those at risk of injury or falls. Knowledge of the relationships in the elderly population is slowly expanding but it may also be possible to identify these in younger age groups. Those individuals could then be referred to the appropriate health professional and educated with the relevant strengthening/ balance exercises to correct their posture and improve balance to reduce the risk of falling. This preliminary study focused on examining whether there were any relationships between spinal curvature and postural sway in young adults. According to Tsai et al.3 static postural control, or steadiness, is the ability to hold the body as motionless as possible for a given time and position as in the control needed to maintain posture during upright standing5. CoP typically reflects the overall stability and organisation of an individual’s automatic postural responses6. CoP coordinates are derived from ground reaction forces registered with the aid of a force platform7. If both feet are in contact with the ground then the CoP will lie somewhere in between the two feet depending on the weight distribution8. The net CoP or Postural Sway is often reported in the literature referring to excursions of the CoP in both antero-posterior (AP) and medio-lateral (ML) directions8. The maximal range of the CoP’s excursion and standard deviation are typically reported in research using force plates7. Postural Sway is a term that is commonly used to signify variations in the CoP9. Current evidence on the relationship between back shape and postural sway remains limited, with researchers concentrating on the separate areas of postural sway and balance or back shape assessment rather than establishing whether certain back shapes are linked to an increased postural sway6. Traditionally, physiotherapists have relied on observations and a subjective history to complete their assessments of patients10 and palpatory skills and analysis used to treat problems and progress rehabilitation11. However, such methods are subject to error and provide no reproducible objective measurements12. To improve evidence-based practice, more objective measures should *Corresponding author Email: j.b.saltikov@tees.ac.uk 1 James Cook University Hospital, Middlesbrough, United Kingdom 2 Teesside University, Middlesbrough, United Kingdom 3 University of Sunderland, Sunderland, United Kingdom" @default.
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• W2280256607 date "2014-06-01" @default.
• W2280256607 modified "2023-09-25" @default.
• W2280256607 title "An investigation into the relationship between spinal curvature and postural sway in asymptomatic healthy young adults" @default.
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