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The effect of a novel thoracolumbar brace on spinal alignment in Parkinson's disease: a pilot study.

ABSTRACT: [Purpose] Individuals with Parkinson's disease (PD) experience postural dysfunction, which can contribute to pain and an increased risk for falls. One method with limited research for addressing postural dysfunction is bracing. The objective of this pilot study was to establish the immediate impact of a novel thoracolumbar brace on postural alignment in individuals with PD. [Participants and Methods] This study utilized a single-participant randomized A-B design. Participants were included if they had a diagnosis of PD were 50-80 years of age, reported difficulty with posture, but were able to ambulate within their home and the community. Ten kinematic assessments of posture were completed in each phase. The primary outcome measure was postural alignment at the neck, trunk, and hip/knee. An analysis of postural stability and experience wearing the brace was also completed. [Results] Nine out of ten participants demonstrated at least one statistically significant change in a posture variable, but postural stability was variable across participants. [Conclusion] This pilot study demonstrated that the brace functioned as expected bringing postural alignment into a more neutral or extended position at the trunk and hip/knee. Further research on the long-term effect of the brace needs to be completed to determine its clinical value.

SUBMITTER: Brown EVD

PROVIDER: S-EPMC7008014 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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The effect of a novel thoracolumbar brace on spinal alignment in Parkinson's disease: a pilot study.

Brown Elena V Donoso EVD Bleakley Scott S Vojcsik Gregory G Weidle Jordyn J Boring Emily E

Journal of physical therapy science 20200122 1

[Purpose] Individuals with Parkinson's disease (PD) experience postural dysfunction, which can contribute to pain and an increased risk for falls. One method with limited research for addressing postural dysfunction is bracing. The objective of this pilot study was to establish the immediate impact of a novel thoracolumbar brace on postural alignment in individuals with PD. [Participants and Methods] This study utilized a single-participant randomized A-B design. Participants were included if th ...[more]

PMID: 32082033

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Project description:ObjectivesThe extension of diffuse idiopathic skeletal hyperostosis (DISH) from the low thoracic spine to the lumbar spine result in adjustment of spinal sagittal alignment in surgical patients. The aim of this study was to investigate changes in sagittal alignment and back pain in the thoracolumbar spine in nonsurgical DISH and control participants selected from a radiological database.MethodsParticipants in the DISH and the control group were selected by searching for "DISH or degenerative changes in the thoracic spine" in the radiology database of Taizhou Hospital between 2018 and 2021 using Resnick and Niwayama's criteria. The subjects with spinal tumors, previous spinal surgery, vertebral fractures, inflammatory diseases, poor-quality radiographs, or loss of follow-up were excluded. Demographic and clinical characteristics were recorded retrospectively via the hospital information system and telephone follow-up. Segmental disc angles (SDAs), lumbar lordosis (LL), and bridge scores were analyzed using images of three-dimensional CT.ResultsThe final participants consisted of 51 individuals with DISH (DISH group) and 102 individuals without DISH (control group). Depending on the presence of thoracolumbar pain, the DISH group was divided into the DISH group with thoracolumbar pain (DISH+Pain) and the DISH group without thoracolumbar pain (DISH-Pain). The LL and SDAs of T11-T12 and T12-L1 were significantly greater in the DISH group than in the control group. In addition, the SDA of L1-L2 was significantly smaller in the DISH+Pain group than in the DISH-Pain group, whereas there was no significant difference in lumbar lordosis between the DISH+Pain group and the DISH-Pain group. The bridge scores in DISH+Pain group was larger in T10-T11 (p = 0.01) and L1-L2 (p < 0.01) spine segments than those in DISH-Pain group.ConclusionThe extension of DISH from thoracic to lumbar spine may increase lumbar lordosis and SDAs in the thoracolumbar spine. The DISH patients with more bony bridging and small L1-L2 SDA may be more likely have thoracolumbar pain. Adjustment of sagittal alignment of the spine in the development of DISH may be of clinical importance.

Dataset Information

The effect of a novel thoracolumbar brace on spinal alignment in Parkinson's disease: a pilot study.

Publications

The effect of a novel thoracolumbar brace on spinal alignment in Parkinson's disease: a pilot study.

Similar Datasets

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