THE EFFECT OF USING TLSO (THORACAL LUMBAR SACRAL ORTHOSIS) ON ALIGNMENT KYPHOSIS IN THE ELDERLY

Authors

  • Cica Tri Mandasari Ningsih Poltekkes Kemenkes Surakarta
  • Muhammad Fathi Prosthetics and Orthotics Department, Polytechnic of Health Sciences Surakarta, Indonesia

DOI:

https://doi.org/10.36082/jpost.v2i1.984

Keywords:

TLSO, Vertebral Alignment, Elderly

Abstract

Introduction: The alterations that occur in the vertebrae are Kyphosis, Lordosis, and Scoliosis. Kyphosis affects the majority of the elderly. Kyphosis is a type of deformity wherein the human spine becomes bent. The most frequent alterations in the vertebrae are atilted head forward (cervical kyphosis), an increase in the thoracic kyphosis curve, a flattened lumbar curve (lumbar kyphosis), and a reduction in the width of the intervertebral discus, resulting in a lower height. The focus of this research was to study the effects of TLSO on vertebral alignment postures in older people with kyphosis. Method: This research is a quasi-experimental research with one group pre and posttest design techniques. This research was conducted from March to October 2021 at the PosyanduLansia Sawahan, Ngemplak, Boyolali. Elderly who meet the requirements for this research subject include up to 30 elderly people. Each study subject will receive the TLSO intervention and then assess their spinal alignment before and after treatment.Paired Samples T-test was used to analyze the data in this study. Result: The application of TLSO had a statistically significant effect on alignment before and after the intervention (t = 35.98, mean difference = 8.34, and p value = 0.000). Conclusion: The use of TLSO has an impact on reducing spinal curvature so it is good for maintaining body posture according to normal alignment.

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References

Agabegi, S. S., Asghar, F. A., & Herkowitz, H. N. (2010). Spinal orthoses. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 18(11), 657-667.

Alsubaie, S. F. (2020). The postural stability measures most related to aging, physical performance, and cognitive function in healthy adults. BioMed research international, 2020.

Ariyanto, A., Puspitasari, N., & Utami, D. N. (2020). AKTIVITAS FISIK TERHADAP KUALITAS HIDUP PADA LANSIA Physical Activity To Quality Of Life In The Elderly. Jurnal Kesehatan Al-Irsyad, XIII(2), 145–151.

Bednarczuk, G., & Rutkowska, I. (2022). Factors of balance determining the risk of falls in physically active women aged over 50 years. PeerJ, 10, e12952.

Cuevas-trisan, R. (2017). B a l a n c e Pro b l e m s a n d F a l l R i s k s in th e E l d e r l y Balance Falls Older adults Risk factors. 28(117), 33410.

Ferrucci, L., Baroni, M., Ranchelli, A., Lauretani, F., Maggio, M., Mecocci, P., & Ruggiero, C. (2014). Interaction between bone and muscle in older persons with mobility limitations. Current pharmaceutical design, 20(19), 3178-3197.

Izzaty, R. E., Astuti, B., & Cholimah, N. (1967). Konsep Dasar Resiko Jatuh Pada Lansia. Angewandte Chemie International Edition, 6(11), 951–952., 2005, 5–24.

Janssen, H. C. J. P., Samson, M. M., & Verhaar, H. J. J. (2002). Vitamin D deficiency, muscle function, and falls in elderly people. American Journal of Clinical Nutrition, 75(4), 611–615. https://doi.org/10.1093/ajcn/75.4.611

Kesehatan, G. M., Ilmu, F., & Ump, K. (2009). Gambaran Masalah Kesehatan..., NURHOZIN, Fakultas Ilmu Kesehatan UMP, 2016. 2005, 7–11.

Mousavi, M. E., Bani, M. A., Aboutorabi, A., Zare, H., Head, J., Yeghaneh, M. M., & Ahmadi, E. (2019). The effect of a semi-rigid thoracolumbosacral orthosis (TLSO) on foot pressure in elderly subjects presenting with spinal hyperkyphosis. Disability and Rehabilitation: Assistive Technology.

Niranjan Banik, Adam Koesoemadinata, Charles Wagner, Charles Inyang, H. B. (2013). Hubungan Postur Tubuh dan Resiko jatuh pada Lansia. 1–5. https://doi.org/10.1190/segam2013-0137.1

Prastiwi, R. I., Risy W, R., & Lestari, S. (2020). Postur Kifosis Menyebabkan Gangguan Keseimbangan Statis Lansia. Jurnal Keterapian Fisik, 5(2), 140–146. https://doi.org/10.37341/jkf.v5i2.225

Rajasekaran, S. (2012). Kyphotic deformity in spinal tuberculosis and its management. International orthopaedics, 36, 359-365.

Sinaki, M., Brey, R. H., Hughes, C. A., Larson, D. R., & Kaufman, K. R. (2005). Balance disorder and increased risk of falls in osteoporosis and kyphosis: Significance of kyphotic posture and muscle strength. Osteoporosis International, 16(8), 1004–1010. https://doi.org/10.1007/s00198-004-1791-2

Sulaiman, & Anggriani. (2018). Efek Postur Tubuh Terhadap Keseimbangan Lanjut Usia Di Desa Suka Raya Kecamatan Pancur Batu. Jurnal JUMANTIK, 3(2), 127–140. http://jurnal.uinsu.ac.id/index.php/kesmas/article/view/2875/1714

Volpi, E., Nazemi, R., & Fujita, S. (2004). Muscle tissue changes with aging. Current opinion in clinical nutrition and metabolic care, 7(4), 405.

Wang, Q., Li, L., Mao, M., Sun, W., Zhang, C., Mao, D., & Song, Q. (2022). The relationships of postural stability with muscle strength and proprioception are different among older adults over and under 75 years of age. Journal of Exercise Science & Fitness, 20(4), 328-334.

Zhang, T. tong, Ding, J. zhe, Kong, C., Zhu, W. guo, Wang, S. kang, & Lu, S. bao. (2022). Paraspinal muscle degeneration and lower bone mineral density as predictors of proximal junctional kyphosis in elderly patients with degenerative spinal diseases: a propensity score matched case–control analysis. BMC Musculoskeletal Disorders, 23(1), 1–11. https://doi.org/10.1186/s12891-022-05960-z

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Published

2023-03-06

How to Cite

Ningsih, C., & Fathi, M. (2023). THE EFFECT OF USING TLSO (THORACAL LUMBAR SACRAL ORTHOSIS) ON ALIGNMENT KYPHOSIS IN THE ELDERLY. Journal of Prosthetics Orthotics and Science Technology, 2(1), 1–5. https://doi.org/10.36082/jpost.v2i1.984