Which trunk inclination directions best predict multidirectional-seated limits of stability among individuals with spinal cord injury?

The Journal of Spinal Cord Medicine, 2012 · DOI: 10.1179/2045772312Y.0000000039 · Published: September 1, 2012

Simple Explanation

This study aimed to identify which trunk leaning directions best predict overall seated stability in people with spinal cord injuries (SCI). The study found that assessing leaning forward, to the left-back, and to the right accurately predicts overall seated stability. This information can help therapists focus their assessments and treatments to improve seated balance in individuals with SCI.

Study Duration

Not specified

Participants

21 individuals with complete or incomplete sensorimotor SCI

Evidence Level

Predictive study using cross-sectional data

Key Findings

1
All direction-specific stability indices (DSIs) significantly correlated with the overall stability index (OSI).
2
The anterior, left postero-lateral, and right lateral trunk inclinations accurately predict multidirectional-seated postural stability.
3
A model including only the anterior DSI explained 85.6% of the variance of the OSI.

Research Summary

The study investigated which trunk inclination directions best predict multidirectional-seated limits of stability in individuals with SCI. Results showed that a combination of anterior, left postero-lateral, and right lateral trunk inclinations accurately predicts multidirectional-seated postural stability. The findings suggest that assessing these three directions can optimize and reduce the time required for postural stability assessments in this population.

Practical Implications

Efficient Assessment

Rehabilitation professionals can focus on assessing trunk inclinations in the anterior, left postero-lateral, and right lateral directions to efficiently estimate multidirectional-seated postural stability.

Targeted Intervention

Interventions can be tailored to improve trunk control in the key directions identified, potentially leading to better overall seated stability.

Outcome Measure

The stability indices obtained from these three directions can be used as outcome measures to track changes in postural stability over time or in response to interventions.

Study Limitations

1
The study involved a relatively small sample size
2
The bilateral U/E support may have reduced the complexity of the task
3
Verifying the association between the multidirectional-seated limits of stability and the performance of functional activities

Your Feedback

Was this summary helpful?

Back to Spinal Cord Injury