EN | TR
E-ISSN: 2147-2653
Assessment of the Relationships Between Spinopelvic Radiologic Parameters and Balance, Gait and Falls Efficacy in Patients with Postmenopausal Osteoporosis
PDF
Cite
Share
Request
Original Investigation
VOLUME: 24 ISSUE: 3
P: 84-91
December 2018

Assessment of the Relationships Between Spinopelvic Radiologic Parameters and Balance, Gait and Falls Efficacy in Patients with Postmenopausal Osteoporosis

Turk J Osteoporos 2018;24(3):84-91
DOI: 10.4274/tod.galenos.2018.07830
Esra Giray
Gülseren Akyüz
1. Marmara Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye
No information available.
No information available
Received Date: 29.08.2018
Accepted Date: 27.12.2018
Publish Date: 21.02.2019
PDF
Cite
Share
Request

ABSTRACT

Objective:

The aim of this study is to investigate the relationship between sagittal balance, spinopelvic parameters, bone mineral density, balance, and falls efficacy in postmenopausal osteoporosis patients.

Materials and Methods:

Forty patients between the ages of 40-80 with a diagnosis of postmenopausal osteoporosis were included in the study. Spinopelvic parameters (sagittal vertical axis (SVA), thoracic kyphosis, lumbar lordosis, pelvic tilt, pelvic incidence, sacral slope) were calculated from spine radiographs. Patients were applied Tinetti Balance and Gait Assessment and Falls Efficacy Scale. Relationship between bone mineral density measurements, clinical parameters, spinopelvic parameters, balance and gait, and falls efficacy were investigated.

Results:

Mean age of the patients was 63.42±8.98 and the mean L1-L4 T score was 2.5±0.68. Statistically significant negative correlation was found between the L1-L4 and L2-L4 vertebrae bone mineral density and T score, and sacral slope. Negative statistical correlations were found between SVA and Tinetti Balance and Gait Assessment balance subtest and total scores. There was no statistically significant relationship with other spinopelvic parameters. There was no significant correlation between SVA and spinopelvic parameters and Falls Efficacy Scale, while a statistically significant negative correlation detected between Falls Efficacy Scale and Tinetti Balance and Gait Assessment balance and gait subtests and total scores. Among the patients with normal, mild and severe deformity sagittal balance, there was statistically significant difference in terms of Tinetti Balance and Gait Assessment balance and gait subtests scores and total scores, while there was no difference with regards to Falls Efficacy Scale.

Conclusion:

In postmenopausal women with osteoporosis, SVA, sagittal balance parameters, and balance and gait functions were found to be associated.

References

1
Ishikawa Y, Miyakoshi N, Kasukawa Y, Hongo M, Shimada Y. Spinal curvature and postural balance in patients with osteoporosis. Osteoporos Int 2009;20:2049-53.
2
Lynn SG, Sinaki M, Westerlind KC. Balance characteristics of persons with osteoporosis. Arch Phys Med Rehabil 1997;78:273-7.
3
Cho Y, Lee G, Aguinaldo J, Lee K-J, Kim K. Correlates of bone mineral density and sagittal spinal balance in the aged. Ann Rehabil Med 2015;39:100-7.
4
Postmenopozal Osteoporoz Tanı ve Tedavisinde Kanıta Dayalı Öneriler: TFTR Derneği OP Çalışma Grubu Uzlaşı Raporu, İstanbul Tıp Kitabevi, 2017, İstanbul; ISBN-978-605 9528-47-4.
5
Lee JS, Lee HS, Shin JK, Goh TS, Son SM. Prediction of sagittal balance in patients with osteoporosis using spinopelvic parameters. Eur Spine J 2013;22:1053-8.
6
Lee JS, Shin JK, An SJ, Suh KT, KAng SS. Correlation between clinical outcomes and spinopelvic parameters in osteoporosis. Acta Orthop Belg 2014;80:522-8.
7
Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S, et al. Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int 2014;25:2359-81.
8
Tassenoy A, Vermeiren K, van der Veen P, Stadnik T, De Ridder F, Peeters E, et al. Demonstration of tissue alterations by ultrasonography, magnetic resonance imaging and spectroscopy, and histology in breast cancer patients without lymphedema after axillary node dissection. Lymphology 2006;39:118-26.
9
Karademir M, Karavelioğlu E, Boyaci MG, Eser O. The importance of the sagittal balance of the spine and spino-pelvic paramaters. J Turk Spinal Surg 2014;25:139-48.
10
Schwab F, Ungar B, Blondel B, Buchowski J, Coe J, Deinlein D, et al. Scoliosis Research Society—Schwab adult spinal deformity classification: a validation study. Spine 2012;37:1077-82.
11
Balioğlu MB, Albayrak A, Atıcı Y. Lumbar sagittal imbalance should be considered in patients with low back pain. TOTBİD Dergisi 2015:271–81.
12
Katzman WB, Wanek L, Shepherd JA, Sellmeyer DE. Age-related hyperkyphosis: its causes, consequences, and management. J Orthop Sports Phys Ther 2010;40:352-60.
13
Özcan Ekşi EE, Giray E, Bahar Özdemir Y, Yağci İ, Gündüz H. A preliminary study on the correlation between spinopelvic parameters and balance in ankylosing spondylitis. Arch Rheumatol 2019.
14
Özcan Ekşi EE, Giray E, Bahar Özdemir Y, Yağci İ, Gündüz H.A preliminary study on the correlation between spinopelvic parameters and balance in ankylosing spondylitis. Arch Rheumatol 2019. doi: 10.5606/ArchRheumatol.2019.671915. Ağırcan D. Validity and reliability of Turkish version of Tinetti Balance and Gait Assessment (thesis). Pamukkale University Institute of Health Sciences 2009.
15
Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing 2005;34:614-9.
16
Ulus Y, Durmus D, Akyol Y, Terzi Y, Bilgici A, Kuru O. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr 2012;54:429-33.
17
Onat SS, Ozisler Z, Koklu K. Balance disorders in the osteoporotic elderly. Turk J Osteoporos 2013;19:87-90.
18
Imagama S, Hasegawa Y, Matsuyama Y, Sakai Y, Ito Z, Hamajima N, et al. Influence of sagittal balance and physical ability associated with exercise on quality of life in middle-aged and elderly people. Arch Osteoporos 2011;6:13-20.
19
Lee BH, Yang J-H, Kim H-S, Suk K-S, Lee H-M, Park J-O, et al. Effect of sagittal balance on risk of falling after lateral lumbar interbody fusion surgery combined with posterior surgery. Yonsei Med J 2017;58:1177-85.
20
Bissolotti L, Berjano P, Zuccher P, Zenorini A, Buraschi R, Villafañe JH, et al. Sagittal balance is correlated with Parkinson’s Disease clinical parameters: an overview of spinopelvic alignment on 175 consecutive cases. Eur Spine J 2017;26:471-8.
21
Dai J, Yu X, Huang S, Fan L, Zhu G, Sun H, et al. Relationship between sagittal spinal alignment and the incidence of vertebral fracture in menopausal women with osteoporosis: a multicenter longitudinal follow-up study. Eur Spine J 2015;24:737-43.
22
Greig A, Bennell K, Briggs A, Wark J, Hodges P. Balance impairment is related to vertebral fracture rather than thoracic kyphosis in individuals with osteoporosis. Osteoporos Int 2007;18:543-51.