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European Spine Journal

25-09-2024 | Scoliosis | Original Article

Hip-related functional limitations in individuals with idiopathic scoliosis: a controlled trial

Authors: Fatih Çelik, Burcu Şenol Gökalp, Gökhan Demirkiran, Nilgün Bek, Yavuz Yakut, Gözde Yağci

Published in: European Spine Journal

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Abstract

Background

Since scoliosis is a three-dimensional deformity, it causes some movement limitations in the spine and related joints. However, functional limitations associated with scoliosis-related hip joint involvement are the subject of research.

Aims

This study aims to investigate the physical characteristics and functional limitations associated with idiopathic scoliosis (IS), focusing on hip joint.

Methods

Demographic characteristics, scoliosis-specific assessments and hip joint active range of motion (RoM), lumbar mobility (Modified Schober test), lumbopelvic stability (Single leg squat test-SLS), hip joint position sense, lower extremity balance (Y-balance test) and lower extremity functionality (Lower extremity functional scale-LEFS) were evaluated.

Results

The study included 120 individuals, with 86 in the scoliosis group (mean age: 15.7 ± 3.4 years) and 34 in the control group (mean age: 16.1 ± 4.8 years). The scoliosis group exhibited limited RoM of the hip joint in flexion, extension, right abduction, adduction, internal rotation, and left external rotation compared to controls (p < 0.001). Lumbar mobility was decreased (p < 0.001). In the joint position sense test, the mean difference for right flexion was and for left flexion. Bilateral decreased SLS test performances (p < 0.001) and Y-balance test performance (p < 0.05) in individuals with IS. LEFS scores were statistically different but not clinically different between groups (p < 0.05).

Conclusion

Individuals with IS show decreased hip mobility, lumbopelvic stability, hip joint position sense, and balance compared to healthy peers; however, these limitations do not have a clinical impact on daily living activities.
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Metadata
Title
Hip-related functional limitations in individuals with idiopathic scoliosis: a controlled trial
Authors
Fatih Çelik
Burcu Şenol Gökalp
Gökhan Demirkiran
Nilgün Bek
Yavuz Yakut
Gözde Yağci
Publication date
25-09-2024
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-024-08497-y