Sitting balance assessment in Individuals with spinal cord Injuries: A Review Study

Document Type : Review article

Authors

1 Department of Physical Education and Sport Science، Science and Research Branch, Islamic Azad University, Tehran, Iran

2 Assistant Professor, Department of Sports Injuries and Corrective Exercises, Sport Sciences Research Institute, Tehran, Iran

3 Assistant Professor in Sport Biomechanics, Department of Sport Biomechanics and Technology, Sport Science Research Institute, Tehran, Iran

Abstract

Background and aim: Spinal cord injury affects postural control by impairing the ascending and descending pathways of the spinal cord. Trunk control and the ability to maintain seated balance have particular importance for people with spinal cord injuries. To support the strategies implemented to improve trunk control and seated balance by experts in this field, it is necessary to use a valid and reliable tool to assess sitting balance. Therefore, this study aimed to classify and introduce the available tools in the assessment of sitting balance in people with spinal cord injuries.
Materials and methods: Articles were searched with Persian and English keywords obtained from Mesh in MEDLINE (PubMed), Science Direct, and MAGIRAN databases in the period from 2016 to 2022. The selection process of articles was based on PRISMA.
Results: A total of 183 articles were obtained after searching the databases. After screening and review, 12 articles were included in the main study. The variables were extracted for these 12 articles.
Conclusion: A review of the studies shows that sitting balance assessment tests are divided into 2 clinical and lab groups. Among the clinical tools, (SBM), trunk control test, Set of Assessment Tools, (SSEBT) and (FIST-SCI), and the lab tools (LOS), (SWS) and (IMU) seem to be suitable options for assessing sitting balance.

Keywords

Main Subjects


Abou, L., et al. (2018). ''Clinical instruments for measuring unsupported sitting balance in subjects with spinal cord injury: a systematic review''. Topics in spinal cord injury rehabilitation, 24(2): 177-193.
Abou, L., et al. (2020). '' Reliability and validity of the function in sitting test among non-ambulatory individuals with spinal cord injury''. The journal of spinal cord medicine, 43(6): 846-853.
Anderson, K. D. (2004). ''Targeting recovery: priorities of the spinal cord-injured population''. Journal of neurotrauma, 21(10): 1371-1383.
Bernard, P.-L., et al. (1994). ''Balance and stabilization capability of paraplegic wheelchair athletes''. Journal of rehabilitation research & development, 31: 287-287.
Boswell-Ruys, C.L., et al. (2009). ''Validity and reliability of assessment tools for measuring unsupported sitting in people with a spinal cord injury''. Archives of Physical Medicine and Rehabilitation, 90(9): 1571-1577.
Burns, A. S., Ditunno, J. F. (2001). ''Establishing prognosis and maximizing functional outcomes after spinal cord injury: a review of current and future directions in rehabilitation management''. Spine, 26(24S): S137-S145.
Dean, C., et al. (1999). ''Sitting balance I: trunk–arm coordination and the contribution of the lower limbs during self-paced reaching in sitting''. Gait &posture, 10(2): 135-146.
Dryden, D., et al. (2004). ''Utilization of health services following spinal cord injury: a 6-year follow-up study''. Spinal cord, 42(9): 513-525.
Field-Fote, E. C., Ray, s. s. (2010). ''Seated reach distance and trunk excursion accurately reflect dynamic postural control in individuals with motor-incomplete spinal cord injury''. Spinal cord, 48(10): 745-749.
Gao, K.L., et al. (2015). ''Reliability of dynamic sitting balance tests and their correlations with functional mobility for wheelchair users with chronic spinal cord injury''. Journal of orthopaedic translation, 3(1): 44-49.
Gorman, SL., et al. (2010). ''Development and validation of the Function In Sitting Test in adults with acute stroke''. Journal of Neurologic Physical Therapy,34(3): 150-160.
Guizzardi, A., et al. (2022). ''Development and validation of the sitting balance assessment for spinal cord injury (SitBASCI)''. Spinal Cord, 1-5.
Horak, F.B., Shupert, C. L., Mirka, A. (1989). ''Components of postural dyscontrol in the elderly: a review''. Neurobiology of aging, 10(6): 727-738.
Jørgensen, V., Elfving, B., Opheim, A. (2011). ''Assessment of unsupported sitting in patients with spinal cord injury''. Spinal cord, 49(7): 838-843.
Jorgensen, V., et al. (2017). ''Falls and fear of falling predict future falls and related injuries in ambulatory individuals with spinal cord injury: a longitudinal observational study''. Journal of physiotherapy, 63(2): 108-113.
Larson, C.A., et al., (2010). ''Assessment of postural muscle strength in sitting: reliability of measures obtained with hand-held dynamometry in individuals with spinal cord injury''. Journal of neurologic physical therapy, 34(1): 24-31.
Lynch, S. M., Leahy, P., Barker, S.  (1998). ''Reliability of measurements obtained with a modified functional reach test in subjects with spinal cord injury''. Physical therapy & Rehabilitation Journal 78(2): 128-133.
Mancini, M., et al. (2012). ''ISway : a sensitive, valid and reliable measure of postural control''. Journal of NeuroEngineering and Rehabilitation, 9(1): 1-8.
Maynard, F.M., et al. (1997). ''International standards for neurological and functional classification of spinal cord injury''. Spinal Cord, 35(5): 266-274.
Marino, RJ., et al.  (1999). ''Neurologic recovery after traumatic spinal cord injury: data from the Model Spinal Cord Injury Systems''. Archives of physical medicine & Rehabilitation, 80(11): 1391-1396 .
Musselman, K.E., et al. (2018). ''Falls, mobility, and physical activity after spinal cord injury: an exploratory study using photo-elicitation interviewing''. Spinal cord series and cases, 4(1): 1-10.
Nelson, A., et al. (2003). ''Fall-related fractures in persons with spinal cord impairment: a descriptive analysis''. SCI nursing: a publication of the American Association of Spinal Cord Injury Nurses, 20(1): 30-37.
Palermo, A. E., et al. (2020). ''Psychometric testing and clinical utility of a modified version of the function in sitting test for individuals with chronic spinal cord injury''. Archives of physical medicine & Rehabilitation, 101(11): 1961-1972.
Pérez-Sanpablo, A. I., et al. (2021). ''Validation of inertial measurement units for the assessment of trunk control in subjects with spinal cord injury''. The Journal of Spinal Cord Medicine, 1-10.
Quinzaños, J., etal. (2014). ''Proposal and validation of a clinical trunk control test in individuals with spinal cord injury''. Spinal Cord, 52(6): 449-454.
Serra-Añó, P., et al. (2013). ''Sitting balance and limits of stability in persons with paraplegia''. Spinal Cord, 51(4): 267-272.
Shahi, E., Abbasi, H. (2022). ''A New Balance Assessment Tool for Quantifying Sitting Balance in Individuals with Spinal Cord Injury; Development, Validity and Reliability of the Sitting Star Excursion Balance Test (SSEBT)''. Journal of Advanced Sport Technology,6(1): 19-30.
Sprigle, S., Maurer, c., Holowka, M.  (2007). ''Development of valid and reliable measures of postural stability''. The journal of spinal cord medicine, 30(1): 40-49.
Wadhwa, G., Aikat, R. (2016). ''Development, validity and reliability of the ‘Sitting Balance Measure’(SBM) in spinal cord injury''. Spinal cord, 54(4): 319-323.