Does structural leg-length discrepancy affect postural control? Preliminary study.
Identifieur interne : 000497 ( Main/Corpus ); précédent : 000496; suivant : 000498Does structural leg-length discrepancy affect postural control? Preliminary study.
Auteurs : Małgorzata Eliks ; Wioleta Ostiak-Tomaszewska ; Przemysław Lisi Ski ; Paweł KoczewskiSource :
- BMC musculoskeletal disorders [ 1471-2474 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Leg Length Inequality.
- physiology : Postural Balance, Posture, Weight-Bearing.
- physiopathology : Leg Length Inequality.
- Adolescent, Adult, Child, Female, Humans, Male, Pilot Projects, Young Adult.
Abstract
BACKGROUND
Leg-length inequality results in an altered position of the spine and pelvis. Previous studies on the influence of leg asymmetry on postural control have been inconclusive. The purpose of this paper was to investigate the effect of structural leg-length discrepancy (LLD) on the control of posture.
METHODS
We studied 38 individuals (19 patients with structural LLD, 19 healthy subjects). The examination included measurement of the length of the lower limbs and weight distribution as well as a static posturography. All statistical analyses were performed with Statistica software version 10.0. Non-parametrical Kruskal-Wallis with Dunn's post test and Spearman test were used. Differences between the groups and correlation between mean COP sway velocity and the value of LLD as well as the value of LLD and weight distribution were assumed as statistically significant at p < 0.05.
RESULTS
There was a significant difference in the asymmetry of weight distribution between the group of patients and the healthy subjects (p = 0.0005). Differences in a posturographic examination between the groups were not statistically significant (p > 0.05). Meaningful differences in mean COP velocity in mediolateral direction between tandem stance with eyes open and closed were detected in both groups (in controls p = 0.000134, in patients both with the shorter leg in a front and rear position, p = 0.029, p = 0.026 respectively). There was a positive moderate correlation between the value of LLD and the value of mean COP velocity in normal standing in mediolateral direction with eyes open (r = 0.47) and closed (r = 0.54) and in anterioposterior plane with eyes closed (r = 0.05).
CONCLUSIONS
The fact that there were no significant differences in posturography between the groups might indicate compensations to the altered posture and neuromuscular adaptations in patients with structural leg-length inequality. LLD causes an increased asymmetry of weight distribution. This study confirmed a fundamental role of the sight in postural control, especially in unstable conditions. The analysis of mean COP sway velocity may suggest a proportional deterioration of postural control with the increase of the value of leg-length asymmetry.
TRIAL REGISTRATION NUMBER
Trial registry: ClinicalTrials.gov NCT03048656 , 8 February 2017 (retrospectively registered).
DOI: 10.1186/s12891-017-1707-x
PubMed: 28793888
PubMed Central: PMC5551003
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Preliminary study.</title><author><name sortKey="Eliks, Malgorzata" sort="Eliks, Malgorzata" uniqKey="Eliks M" first="Małgorzata" last="Eliks">Małgorzata Eliks</name><affiliation><nlm:affiliation>Department of Health Prophylaxis, Laboratory of Medical Electrodiagnostics, Poznan University of Medical Sciences, Heliodor Swiecicki Clinical Hospital, 49 Przybyszewskiego St., 60-101, Poznań, Poland. malgorzata.eliks@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Ostiak Tomaszewska, Wioleta" sort="Ostiak Tomaszewska, Wioleta" uniqKey="Ostiak Tomaszewska W" first="Wioleta" last="Ostiak-Tomaszewska">Wioleta Ostiak-Tomaszewska</name><affiliation><nlm:affiliation>Department of Paediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</nlm:affiliation></affiliation></author><author><name sortKey="Lisi Ski, Przemyslaw" sort="Lisi Ski, Przemyslaw" uniqKey="Lisi Ski P" first="Przemysław" last="Lisi Ski">Przemysław Lisi Ski</name><affiliation><nlm:affiliation>Department of Rehabilitation, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</nlm:affiliation></affiliation></author><author><name sortKey="Koczewski, Pawel" sort="Koczewski, Pawel" uniqKey="Koczewski P" first="Paweł" last="Koczewski">Paweł Koczewski</name><affiliation><nlm:affiliation>Department of Paediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28793888</idno><idno type="pmid">28793888</idno><idno type="doi">10.1186/s12891-017-1707-x</idno><idno type="pmc">PMC5551003</idno><idno type="wicri:Area/Main/Corpus">000497</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000497</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Does structural leg-length discrepancy affect postural control? Preliminary study.</title><author><name sortKey="Eliks, Malgorzata" sort="Eliks, Malgorzata" uniqKey="Eliks M" first="Małgorzata" last="Eliks">Małgorzata Eliks</name><affiliation><nlm:affiliation>Department of Health Prophylaxis, Laboratory of Medical Electrodiagnostics, Poznan University of Medical Sciences, Heliodor Swiecicki Clinical Hospital, 49 Przybyszewskiego St., 60-101, Poznań, Poland. malgorzata.eliks@gmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Ostiak Tomaszewska, Wioleta" sort="Ostiak Tomaszewska, Wioleta" uniqKey="Ostiak Tomaszewska W" first="Wioleta" last="Ostiak-Tomaszewska">Wioleta Ostiak-Tomaszewska</name><affiliation><nlm:affiliation>Department of Paediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</nlm:affiliation></affiliation></author><author><name sortKey="Lisi Ski, Przemyslaw" sort="Lisi Ski, Przemyslaw" uniqKey="Lisi Ski P" first="Przemysław" last="Lisi Ski">Przemysław Lisi Ski</name><affiliation><nlm:affiliation>Department of Rehabilitation, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</nlm:affiliation></affiliation></author><author><name sortKey="Koczewski, Pawel" sort="Koczewski, Pawel" uniqKey="Koczewski P" first="Paweł" last="Koczewski">Paweł Koczewski</name><affiliation><nlm:affiliation>Department of Paediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC musculoskeletal disorders</title><idno type="eISSN">1471-2474</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Child (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Leg Length Inequality (diagnosis)</term><term>Leg Length Inequality (physiopathology)</term><term>Male (MeSH)</term><term>Pilot Projects (MeSH)</term><term>Postural Balance (physiology)</term><term>Posture (physiology)</term><term>Weight-Bearing (physiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Leg Length Inequality</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Posture</term><term>Weight-Bearing</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Leg Length Inequality</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Female</term><term>Humans</term><term>Male</term><term>Pilot Projects</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Leg-length inequality results in an altered position of the spine and pelvis. Previous studies on the influence of leg asymmetry on postural control have been inconclusive. The purpose of this paper was to investigate the effect of structural leg-length discrepancy (LLD) on the control of posture.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We studied 38 individuals (19 patients with structural LLD, 19 healthy subjects). The examination included measurement of the length of the lower limbs and weight distribution as well as a static posturography. All statistical analyses were performed with Statistica software version 10.0. Non-parametrical Kruskal-Wallis with Dunn's post test and Spearman test were used. Differences between the groups and correlation between mean COP sway velocity and the value of LLD as well as the value of LLD and weight distribution were assumed as statistically significant at p < 0.05.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>There was a significant difference in the asymmetry of weight distribution between the group of patients and the healthy subjects (p = 0.0005). Differences in a posturographic examination between the groups were not statistically significant (p > 0.05). Meaningful differences in mean COP velocity in mediolateral direction between tandem stance with eyes open and closed were detected in both groups (in controls p = 0.000134, in patients both with the shorter leg in a front and rear position, p = 0.029, p = 0.026 respectively). There was a positive moderate correlation between the value of LLD and the value of mean COP velocity in normal standing in mediolateral direction with eyes open (r = 0.47) and closed (r = 0.54) and in anterioposterior plane with eyes closed (r = 0.05).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The fact that there were no significant differences in posturography between the groups might indicate compensations to the altered posture and neuromuscular adaptations in patients with structural leg-length inequality. LLD causes an increased asymmetry of weight distribution. This study confirmed a fundamental role of the sight in postural control, especially in unstable conditions. The analysis of mean COP sway velocity may suggest a proportional deterioration of postural control with the increase of the value of leg-length asymmetry.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION NUMBER</b></p><p>Trial registry: ClinicalTrials.gov NCT03048656 , 8 February 2017 (retrospectively registered).</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28793888</PMID><DateCompleted><Year>2018</Year><Month>05</Month><Day>01</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2474</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Aug</Month><Day>09</Day></PubDate></JournalIssue><Title>BMC musculoskeletal disorders</Title><ISOAbbreviation>BMC Musculoskelet Disord</ISOAbbreviation></Journal><ArticleTitle>Does structural leg-length discrepancy affect postural control? Preliminary study.</ArticleTitle><Pagination><MedlinePgn>346</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12891-017-1707-x</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Leg-length inequality results in an altered position of the spine and pelvis. Previous studies on the influence of leg asymmetry on postural control have been inconclusive. The purpose of this paper was to investigate the effect of structural leg-length discrepancy (LLD) on the control of posture.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We studied 38 individuals (19 patients with structural LLD, 19 healthy subjects). The examination included measurement of the length of the lower limbs and weight distribution as well as a static posturography. All statistical analyses were performed with Statistica software version 10.0. Non-parametrical Kruskal-Wallis with Dunn's post test and Spearman test were used. Differences between the groups and correlation between mean COP sway velocity and the value of LLD as well as the value of LLD and weight distribution were assumed as statistically significant at p < 0.05.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">There was a significant difference in the asymmetry of weight distribution between the group of patients and the healthy subjects (p = 0.0005). Differences in a posturographic examination between the groups were not statistically significant (p > 0.05). Meaningful differences in mean COP velocity in mediolateral direction between tandem stance with eyes open and closed were detected in both groups (in controls p = 0.000134, in patients both with the shorter leg in a front and rear position, p = 0.029, p = 0.026 respectively). There was a positive moderate correlation between the value of LLD and the value of mean COP velocity in normal standing in mediolateral direction with eyes open (r = 0.47) and closed (r = 0.54) and in anterioposterior plane with eyes closed (r = 0.05).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The fact that there were no significant differences in posturography between the groups might indicate compensations to the altered posture and neuromuscular adaptations in patients with structural leg-length inequality. LLD causes an increased asymmetry of weight distribution. This study confirmed a fundamental role of the sight in postural control, especially in unstable conditions. The analysis of mean COP sway velocity may suggest a proportional deterioration of postural control with the increase of the value of leg-length asymmetry.</AbstractText><AbstractText Label="TRIAL REGISTRATION NUMBER" NlmCategory="BACKGROUND">Trial registry: ClinicalTrials.gov NCT03048656 , 8 February 2017 (retrospectively registered).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Eliks</LastName><ForeName>Małgorzata</ForeName><Initials>M</Initials><Identifier Source="ORCID">http://orcid.org/0000-0003-3476-0887</Identifier><AffiliationInfo><Affiliation>Department of Health Prophylaxis, Laboratory of Medical Electrodiagnostics, Poznan University of Medical Sciences, Heliodor Swiecicki Clinical Hospital, 49 Przybyszewskiego St., 60-101, Poznań, Poland. malgorzata.eliks@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ostiak-Tomaszewska</LastName><ForeName>Wioleta</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Department of Paediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lisiński</LastName><ForeName>Przemysław</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. St., 61-545, Poznań, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koczewski</LastName><ForeName>Paweł</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Paediatric Orthopaedics and Traumatology, Poznan University of Medical Sciences, Wiktor Dega Orthopaedic and Rehabilitation Clinical Hospital, 135/147 28 Czerwca 1956 r. 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