Does the Coronal and Sagittal Posture Affect the Risk of Falling in Older Adults with Pain?
Published: Jan. 10, 2025
Abstract
Purpose:
Fall
risk
in
older
adults
is
linked
to
poor
posture
and
pain,
often
focusing
on
sagittal
alignment.
This
study
examines
the
combined
impact
of
coronal
fall
individuals
with
pain.
Materials
Methods:
This
prospective
cross-sectional
included
146
aged
65+
selected
from
479
screened.
Participants
were
categorized
as
fallers
or
non-fallers.
Data
collected
(sagittal,
coronal,
total),
pain
details,
demographics,
comorbidities,
medication
use,
timed
up-and-go
test,
Berg
balance
scale,
four-step
square
number
falls.
Analyses
used
Mann-Whitney
U,
chi-square,
univariate,
multivariate
regression
models.
Results:
Of
participants,
58%
had
a
history
falls,
71%
females.
Neck
was
reported
by
28%
knee
39%,
low
back
33%.
Multivariate
logistic
analysis
showed
that
score
total
independently
associated
falls
(odds
ratio
0.8,
0.9,
respectively).
indicated
for
every
one-unit
increase
score,
odds
decreased
about
20%
10%,
respectively.
Conclusion:
The
results
assessing
posture,
not
just
crucial
when
evaluating
adults.
Furthermore,
test
proved
particularly
valuable
among
experiencing
neck,
back,
Language: Английский
Association of Body Mass Index and Central Obesity with Spinopelvic Alignment Parameters in a Chinese Population: A Prospective Study
Hao Qi,
No information about this author
Zenghui Zhao,
No information about this author
Feiyu Zu
No information about this author
et al.
World Neurosurgery,
Journal Year:
2024,
Volume and Issue:
189, P. e153 - e161
Published: June 9, 2024
The
purpose
of
this
study
was
to
explore
the
impact
central
obesity
on
spinal
sagittal
balance
in
adults
aged
18
and
older
by
examining
correlations
between
waist
circumference
(WC)
abdominal
(AC)
spinopelvic
alignment
parameters.
Language: Английский
Relationship between sacral-abdominal wall distance, movement performance, and spinal alignment in osteoporosis: a retrospective study
Takashi Nagai,
No information about this author
M Miyagami,
No information about this author
Shota Nakamura
No information about this author
et al.
BMC Geriatrics,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: March 12, 2024
Abstract
Background
Aging
is
associated
with
muscle
atrophy,
as
typified
by
sarcopenia.
Loss
of
abdominal
strength
can
cause
wall
laxity.
The
purpose
this
study
was
to
investigate
the
relationship
between
sacral
vertebra–abdominal
distance
(SAD)
and
movement
performance
using
a
simple
lateral
spine
X-ray
image
for
measuring
SAD.
Methods
In
retrospective
study,
we
included
women
aged
≥
65
years
who
were
attending
outpatient
clinic
osteoporosis
at
our
hospital.
A
total
287
patients
(mean
age
±
SD,
76.8
7.1
years)
measured
SAD
in
analysis.
Patients
divided
into
two
groups
based
on
cutoff
(160
mm)
(75
years),
respectively.
examined
two-foot
20
cm
rise
test,
3
m
Timed
Up
Go
(TUG)
two-step
open-eyed
one-leg
standing
time,
spinal
alignment.
Normally
distributed
data
are
expressed
means
(standard
deviations)
non-normally
medians
(interquartile
range),
depending
results
Kolmogorov–Smirnov
test.
Student’s
t
-test
χ2
test
used
between-group
comparisons.
Regression
analysis
performed
objective
variable.
two-sided
p
<
0.05
considered
statistically
significant.
Results
shorter
group
better
TUG
time
(
0.001)
well
0.01)
compared
longer
group.
Spinal
alignment
than
group,
sagittal
vertical
axis
0.001),
smaller
pelvic
tilt
greater
slope
0.05).
Conclusion
posterior
parameters.
addition
testing
osteoporosis,
parameters
should
be
evaluated
have
(≥
160
mm
study).
new
assessment
method,
further
research
required
verify
its
validity
reproducibility.
This
first
attempt
determine
how
affect
older
adults.
Language: Английский
Relationship between sacral‐abdominal wall distance and grip strength in postmenopausal osteoporotic patients
Takashi Nagai,
No information about this author
M Miyagami,
No information about this author
Shota Nakamura
No information about this author
et al.
JCSM Rapid Communications,
Journal Year:
2023,
Volume and Issue:
6(2), P. 81 - 92
Published: July 1, 2023
Abstract
Background
An
increase
in
waist
circumference
(WC)
is
a
factor
lifestyle‐related
diseases.
The
rectus
abdominis
muscle
skeletal
that
attaches
to
the
pelvis
from
xiphoid
process
and
thought
be
affected
by
kyphosis
deformity
posterior
pelvic
tilt.
purpose
of
this
study
examine
differences
between
sacral‐abdominal
wall
distance
(SAD)
WC
determine
whether
they
are
associated
with
fall
risk,
frailty,
markers
sarcopenia
(grip
strength
lean
body
mass),
spinal
alignment.
A
secondary
objective
these
stratification
grip
strength.
Methods
This
retrospective
included
239
women
aged
65
years
or
older
(mean
age
76.5
±
6.7
years)
attending
an
outpatient
osteoporosis
clinic.
Bone
mineral
density
composition
(muscle
mass
index
trunk
mass)
were
measured
using
dual‐energy
X‐ray
absorptiometry.
SAD,
tilt,
sagittal
longitudinal
axis
simple
images
spine
sides.
WC,
strength,
risk
score
investigated.
Statistics
performed
Stat
Flex,
two‐sided
P
<
0.05
being
significantly
different.
Results
was
correlated
SAD
(
R
=
0.68,
0.001).
cut‐off
value
for
90
cm
167
mm.
relationship
weaker
greater
SAD;
however,
no
significant
difference
noted
WC.
not
alignment
but
0.01).
Meanwhile,
index,
0.01),
alignment,
Logistic
regression
analysis
less
than
18
kg
as
variable.
We
found
conditions
0.001),
increased
0.02),
decreased
mass.
There
decrease
0.05)
frailty
falls
0.01)
patients
mm
greater.
Conclusions
correlated;
weight,
anterior
tilt
deformity,
while
related
weight.
Increased
linked
falls.
first
new
measurement,
its
utility
assessing
risk.
Language: Английский