Incidence and Importance of Peripheral Vestibular Dysfunction in Adolescent Idiopathic Scoliosis

Children Pub Date : 2024-06-13 DOI:10.3390/children11060723
Liliana Vlădăreanu, M. Iliescu, Iulia Tania Andronache, Elena Danteș
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Abstract

Adolescent idiopathic scoliosis (AIS) is a common form of scoliosis. As the name suggests, etiopathogenesis is not clearly defined, so treatment is still anchored in the musculoskeletal theory and correction/prevention of high Cobb angle values. This study aimed to determine whether there is any connection between developing scoliotic curvature and a positive history of motion sickness as a symptom of a peripheral vestibular dysfunction/deficit, and if vestibular rehabilitation exercises could be integrated into the treatment plan. The study was conducted over 12 months on a selected population of 159 patients to evaluate or treat scoliotic curvatures in a private clinic. The collected data were analyzed using IBM SPSS Statistics 25 and illustrated using Microsoft Office Excel/Word 2021. Patients with peripheral vestibular dysfunction had significantly higher Cobb angle values when compared to patients with a negative result in an instrumental test for peripheral vestibular dysfunction. Motion sickness was considerably more associated with peripheral vestibular dysfunction, and a positive Fukuda stepping test was associated with a positive history of motion sickness. Adolescent idiopathic scoliosis with higher Cobb angles is related to positive motion sickness history as part of peripheral vestibular dysfunction. Conservative treatment for scoliosis could incorporate sensory integration techniques, and a positive history of motion sickness could be an indicator of a higher risk of progression in adolescent idiopathic scoliosis.
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青少年特发性脊柱侧凸中外周前庭功能障碍的发生率和重要性
青少年特发性脊柱侧凸(AIS)是脊柱侧凸的一种常见形式。顾名思义,其病因尚未明确界定,因此治疗仍以肌肉骨骼理论和矫正/预防高Cobb角值为基础。本研究旨在确定脊柱侧弯的形成与作为外周前庭功能障碍/缺陷症状的晕动病阳性病史之间是否存在联系,以及是否可以将前庭康复训练纳入治疗计划。这项研究选取了一家私人诊所的 159 名脊柱侧弯评估或治疗患者,历时 12 个月。收集的数据使用 IBM SPSS Statistics 25 进行分析,并使用 Microsoft Office Excel/Word 2021 进行说明。与外周前庭功能障碍仪器测试结果为阴性的患者相比,外周前庭功能障碍患者的 Cobb 角值明显更高。晕动病与外周前庭功能障碍的关系更为密切,福田踏步试验阳性与晕动病病史阳性有关。Cobb角较高的青少年特发性脊柱侧凸与周围前庭功能障碍中的晕动病阳性病史有关。脊柱侧凸的保守治疗可采用感觉统合技术,而晕动病阳性病史可能是青少年特发性脊柱侧凸病情恶化风险较高的一个指标。
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