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The association between spinal curvature and balance in elderly women at high risk of osteoporotic fractures in primary health care
Department of Neurobiology, Care Sciences and Society, Division of Family Medicine, Karolinska Institutet, Stockholm, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in West Östergötland, Department of Rehabilitation in Motala.
Department of Neurobiology, Care Sciences and Society, Division of Family Medicine, Karolinska Institutet, Stockholm, Sweden.
2016 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 18, no 4, 226-232 p.Article in journal (Refereed) Published
Abstract [en]

The main aim was to study the relationship between spinal curvature and balance in elderly women at high risk of osteoporotic fractures. Ninety-four women were included in this cross-sectional study. Static timed standing and dynamic balance tests were performed; spinal curvature was measured by using the Flexicurve ruler; and radiological data on vertebral fractures were gathered. The women in the hyperkyphosis subgroup had a 5.6 s longer tandem standing time eyes open (p<0.05), tandem gait forwards (p<0.05) and tandem gait backwards (p<0.01) than those without hyperkyphosis. Logistic regression with the ability to tandem walk as a dichotomous outcome (cut-off 4 steps) showed that women with a hyperkyphosis had an age-adjusted Odds ratio of 4.5 (95% CI 1.7–12.1) to perform4 tandem steps backwards and their Odds ratio to perform4 tandem steps forwards was also significantly higher with an age-adjusted Odds ratio of 2.8 (95% CI 1.1–7.4). Lordotic Index was positively correlated to one-leg standing with eyes open (p<0.05). The present study suggests an association between hyperkyphosis and a better tandem standing and tandem gait forwards and backwards.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2016. Vol. 18, no 4, 226-232 p.
Keyword [en]
Aging, cross-sectional study, geriatrics, hyperkyphosis, musculoskeletal, rehabilitation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-132938DOI: 10.1080/21679169.2016.1185151OAI: oai:DiVA.org:liu-132938DiVA: diva2:1051673
Available from: 2016-12-02 Created: 2016-12-02 Last updated: 2016-12-07Bibliographically approved

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Grahn Kronhed, Ann-Charlotte
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Division of Community MedicineFaculty of Medicine and Health SciencesDepartment of Rehabilitation in Motala
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CiteExportLink to record
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