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This article is part of the supplement: 5th International Conference on Conservative Management of Spinal Deformities

Open Access Oral presentation

Foot loading asymmetry in patients with scoliosis

Marianna Bialek1, Patrycja Pawlak2* and Tomasz Kotwicki3

  • * Corresponding author: Patrycja Pawlak

Author Affiliations

1 FITS Center Kielce, Poland

2 BMK Terapia Funkcjonalna Wroclaw, Poland

3 Department of Pediatric Orthopedics and Traumatology, University of Medical Sciences, Poznan, Poland

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Scoliosis 2009, 4(Suppl 1):O19  doi:10.1186/1748-7161-4-S1-O19


The electronic version of this article is the complete one and can be found online at: http://www.scoliosisjournal.com/content/4/S1/O19


Published:15 January 2009

© 2009 Bialek et al; licensee BioMed Central Ltd.

Background

Feet contact the ground first thereby transmitting the body weight to the ground. Deformities of the trunk induced by idiopathic scoliosis can interfere with the symmetry of loading of the feet.

Purpose

To assess the loading of both feet in patients with scoliosis and to observe the influence of therapy on the distribution of loading.

Methods

Twenty-three girls with idiopathic scoliosis, double thoracic (Cobb 35.9 +/- 9.7 degrees) and lumbar (Cobb 34.1 +/- 10.3 degrees), aged 13.8 +/- 1.5 years were examined with a digital platform to assess the loading of the feet. The examination was repeated after 14-days intensive in-patient rehabilitation according to FITS method, which included (apart from the correction of scoliosis) the training of the "short foot", comprising correction of the valgus of the rear foot and a three-points foot loading.

Results

After therapy, the initial symmetry of loading changed to the asymmetry with the advantage to the right foot (54.7 +/- 3.7% of body weight transmitted via the right foot versus the initial value of 50.9 +/- 3.3%, p = 0.0002). When the forefoot and the rear foot loading was assessed separately, the distribution of loading of the right foot revealed increased loading of the forefoot after therapy (27.5 +/- 3.9% of the total body weight versus the initial 23.4 +/- 3.6%, p = 0.00025). Also, the measurements taken with the feet actively corrected confirmed the transposition of loading to the forefoot of the right foot (29.1 +/- 4.5% versus the initial 24.9 +/- 6.7%, p = 0.0005). These results encourage a discussion of the potential influence of the soft tissue therapy by relaxation of the deep fascial line and the superficial back line.

Conclusion

Intensive in-patient FITS therapy changed the pattern of loading of the feet by increasing the loading of the forefoot of the right foot.

References

  1. Greenman P: Principles of Manual Medicine. Williams&Wilkins; 1996.

  2. Bialek M, M'hango A: FITS concept: Functional Individual Therapy of Scoliosis. The Conservative Scoliosis Treatment.

    Stud Health Technol Inform 2008, 135:250-261. PubMed Abstract | Publisher Full Text OpenURL