Controle postural em crianças e adolescentes com escoliose ehígidas

Abstract

The delelopment of postural control until adulthood is based on the experience and integration of the visual, proprioceptive and vestibular sensory systems. To evaluate balance, sensory integration and perception of verticality in healthy children and adolescentes with scoliosis. There are two studies: 1 cross-sectional: 23 healthy schoolchildren between 7 and 11 years old and 2 cross-sectional: 14 subjects between 11 and 15 years old. It was used in article 1: TCIS and Mini-BESTest; Article 2: BESTest. Both articles used verticality tests: (SVV) and (SHV). In article 1, a correlations between verticality variables and all domains of two balance tests. In article 2, the student t test and Pearson correlation were used. For article 1, there was a negative correlation between absolute SHV-R and T-AO(R= -0,55; p= 0,006), true SHV-R and APA(R= -0,45;p = 0,031); True SHV-R and dynamic gait (R= -0,43; p= 0,043); true SHV-R and total MBT (R= 0,46; p=0,029). And there was also a very Strong negative association between RSL-AO and OS(R= -0,83; p = 0,005); and a Strong negative association between dynamic gait and B-CA(R= -0,70; p= 0,031) In article 2 we found the results of BESTest, there was a difference between the GE and GC Groups in the domain BTI)(R: -2,9 p= 0,05), in (BTII)(R:-2,94, p =0,05) and in BESTest Total (R:-3,56, p =0,05). The t-test was applied to compare whether there was a difference between the groups and subjectively, we found no difference. For the Pearson Correlation Test between the Risser sign and the vertical subjective measurements, there was a Strong significant correlation between SVV RA(R:0,69) and a Strong positive correlation between the Risser sign and SHV RA (R: 0, 70); We analyzed the Risser sign with the SVV and the BESTest domains, there was a strong negative significant correlation for BT IV (R -0,87). A strong positive association was found between BTI and SHV RA(R: 0,60); BTII and SVV RA(R: 0,60); BTII and SVV LT (R:0,71); BTIII and SVV RT(R: 0,67). Strong negative association between BTI and SHV LA (R: -0,60); BTII and SVV RT(R: -0,60); BTIII and SVV RA (R: -0,67); BTIII and SVV LA (R: -,0,64); BTIII and SVV LT (R: -0,78); BT IV and SVV LA(R: - 0,60); BT Total and SVV LA (R: 0,77); Finally, there was a very Strong negative association between BT V and SVV LA(R: -0,82). In the GC, there was a strong positive association between BT I and SHV RT (R: 0,70); BT I and SHV LR (R: 0,78); BT I and SHV LR (R: 0,80); BT II and SHV LA (R: 0,65); BT VI and SHV RA(R: 0,72); And, strong negative association between BT I and SHV LA(R: -0,76); BT II and SHV LR (R: -,60); BT IV and SHV RA(R: -0, 73); BT V and SVV RA(R: -0,70); BT V and SVV LA (R: -0,62). We found and importante association between haptic and visual perception and functional balance testing.