Background: It has been observed that there are difficulties in maintaining spinal harmony in the absence of proprioceptive information, which has an important role in achieving postural control in scoliosis. One of the tests used to evaluate proprioceptive mechanisms is joint position reproduction. Objective(s): The main aim of our study was to investigate the effect of physiotherapy scoliosis-specific exercise (PSSE) on spine joint reposition (JR) sense. The second aim was to determine the effects of PSSE on the angle of trunk rotation (ATR), posture, and deformity perception in adolescent idiopathic scoliosis. Methods: Twenty-nine patients with adolescent idiopathic scoliosis (mean age 13.79 ± 1.82 years) were randomly allocated to two groups. “Schroth” exercises were applied to the PSSE group for 8 weeks (16 sessions). The control group was placed on the waiting list. Patients' JR error (dual inclinometer), ATR (scoliometer), posture parameters (PostureScreen Mobile, Posterior Trunk Asymmetry Index, and Anterior Trunk Asymmetry Index), and deformity perception (Walter Reed Visual Assessment Scale [WRVAS]) were assessed at the first session and at the end of 8 weeks. Results: The initial demographic characteristics, Cobb (thoracal: 19.41 ± 7.03 degrees; lumbar: 20.76 ± 7.24 degrees) and ATR (thoracal: 5.86 ± 3.98 degrees; lumbar: 5.66 ± 3.33 degrees) and clinical test parameters of the groups (JR, posture parameters, and WRVAS) were similar (P > .05). According to the findings, thoracal and lumbar JR error values (P < .05), ATR (P ≤ .001), posture parameters (P ≤ .001), and WRVAS (P = .048) were significantly improved in the PSSE group. Besides, when the groups were compared, a significant difference was found in favor of PSSE except for the deformity perception (P < .05). Conclusions: Schroth exercises have a positive contribution for improving JR sense of the spine, vertebral rotation, and posture.

Son yıllarda görülme sıklığı artan Adölesan İdiopatik Skolyoz’da, kişiye özel tedavi seçeneklerin belirlenebilmesi ve takibin sağlanabilmesi için kapsamlı bir değerlendirme yapılması gerekmektedir. Uluslararası İşlevsellik, Yetiyitimi ve Sağlık Sınıflandırması (International Classifications of Functioning, Disability and Health- ICF) bu hastalarda, çok boyutlu bir değerlendirme yaklaşımına olanak sağlamaktadır. Bu derleme, klinisyenler ve araştırmacılar için Adölesan İdiopatik Skolyozlu olguların, ICF modeline dayalı olarak değerlendirilmesinde kullanılan subjektif ve objektif değerlendirme araçlarını, ICF bileşenlerine göre gruplayarak, geçerlik, güvenirlik ve uygulanabilirlik yönünden analiz etmeyi ve bu araçların hastaya özel seçiminde yol haritası çizmeyi amaçlamaktadır.

Each instrumented balance platform requires its own measurement-property evidence. We examined the test–retest reliability of the Al Balance Stabilometric System and its hypothesis-based construct validity relative to the Biodex Balance System SD. Forty healthy adults aged 18–25 years completed four Al Balance modules: four-condition sensory assessment (mCTSIB), Limits of Stability (LoS), unilateral stance (Bilateral Comparison Test), and Postural Stability Test. The matched sensory conditions, unilateral stance, and LoS were also performed on Biodex in randomized device order; Al Balance was repeated after 7 days. Validity was assessed with repeated-measures ANOVAs, repeated-measures correlations (r_rm), within-participant profiles and standardized interaction models; reliability was assessed with intraclass correlation coefficients (ICC), standard error of measurement and minimal detectable change. Both systems captured the expected visual and surface effects, and cross-device convergence, rather than numerical agreement, was supported for the sensory conditions (r_rm = 0.513–0.598). However, individual-level agreement was weak: between-device correlations of participant-level sensory response magnitudes were non-significant after Holm correction, and individual asymmetry scores in unilateral stance converged weakly. Device × condition interactions indicated differing relative sensitivity. Test–retest reliability was outcome-dependent, moderate to excellent (ICC(A,1) = 0.678–0.946). In healthy young adults, Al Balance provided repeatable scores that are device-specific rather than interchangeable with Biodex.