{"id":8183,"date":"2025-03-19T01:43:24","date_gmt":"2025-03-19T01:43:24","guid":{"rendered":"https:\/\/scolicare.com\/us-clinic\/adult-scoliosis-may-increase-the-risk-of-falls-in-older-patients\/"},"modified":"2025-03-19T01:43:24","modified_gmt":"2025-03-19T01:43:24","slug":"adult-scoliosis-may-increase-the-risk-of-falls-in-older-patients","status":"publish","type":"post","link":"https:\/\/scolicare.com\/denver-colorado\/adult-scoliosis-may-increase-the-risk-of-falls-in-older-patients\/","title":{"rendered":"Adult Scoliosis May Increase the Risk of Falls in Older Patients"},"content":{"rendered":"<div>\n<div><\/div>\n<p><span style=\"font-weight: 400;\">Scoliosis in adults is often more complex than in adolescents, due to the interplay of spinal deformity with age-related changes in bone density, muscle strength, and overall balance. One concerning issue for older patients with adult scoliosis is the increased risk of falls, which can have serious consequences for health and quality of life (1). Below, we delve into why adult scoliosis contributes to fall risk and how to address it without the need for surgery.<\/span><\/p>\n<h2><b>Why Adult Scoliosis Increases Fall Risk<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Several factors associated with scoliosis and aging combine to elevate the likelihood of falls:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>Sagittal Imbalance (2):<\/b>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Forward-leaning posture (positive sagittal balance) shifts the center of gravity, making it harder to maintain stability.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Difficulty compensating for this imbalance increases the likelihood of tripping or falling.<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\"><b>Reduced Proprioception:<\/b>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Spinal deformity can impair the body\u2019s ability to sense joint position, reducing balance and coordination.<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\"><b>Neurological Impairments (3):<\/b>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nerve compression from spinal stenosis or degenerative changes can cause numbness, weakness, or loss of motor control in the lower extremities.<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\"><b>Pain and Mobility Issues (4):<\/b>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Chronic back pain and stiffness can limit mobility, making it harder to recover from a stumble or avoid obstacles.<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\"><b>Comorbidities (5):<\/b>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Conditions like osteoporosis or arthritis, often coexisting with scoliosis, can weaken bones and joints, increasing fracture risk in falls.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><b>Identifying High-Risk Patients<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Certain factors may indicate a heightened fall risk in older adults with scoliosis (2,3,4,5):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">severe sagittal or coronal plane deformities\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">symptoms of leg numbness, tingling, or weakness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">history of previous falls or balance issues<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">use of walking aids due to instability<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">coexisting conditions like osteoporosis or vestibular disorders.<\/span><\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<h2><b>Strategies to Mitigate Fall Risk<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Preventing falls in older patients with scoliosis involves a multidisciplinary approach targeting both the spinal deformity and overall physical function:<\/span><\/p>\n<h3><b>1. ScoliBalance and Exercise<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ScoliBalance is a physiotherapeutic scoliosis specific exercise program that provides patients individualised scoliosis specific exercises based on their curve type and postural characteristics that also addresses any relevant functional weaknesses.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Keeping up any sort of balance training, such as Tai Chi or targeted exercises, to enhance coordination and proprioception can be useful but not a replacement for scoliosis specific exercise programs.\u00a0<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Not all exercises are \u2018scoliosis specific\u2019. Exercises such as Pilates and Yoga can be helpful at keeping patients strong but the exercises are not specifically addressing the 3D nature of the scoliosis, which is more accurately addressed in scoliosis specific programs, such as ScoliBalance.\u00a0<\/span><\/i><\/p>\n<h3><b>2. Pain and Symptom Management<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Customised scoliosis bracing for postural support in cases of significant instability.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain and other symptoms can be managed through a combination of ScoliBalance and, when necessary, a combination of ScoliBalance and ScoliBrace.<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Addressing the alignment and posture of the spine can assist with pain management (6).\u00a0<\/span><\/i><\/p>\n<h3><b>3. Addressing Neurological Impairments<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sometimes the non-surgical options may address the nerve compression of the spine alignment and posture can be improved through ScoliBalance and\/or ScoliBrace.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">In more severe cases surgical decompression or other interventions may be required.<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Regular neurological assessments to monitor progression are vital to improve patient outcomes.\u00a0<\/span><\/i><\/p>\n<h3><b>4. Environmental Modifications<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fall-proofing the home by removing tripping hazards, adding grab bars, and improving lighting.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Ensuring footwear is supportive and non-slip.<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Recognising that scoliosis can alter posture and increase falls risk is an important consideration in the home. Keep the home fall proof!\u00a0<\/span><\/i><\/p>\n<h3><b>5. Bone Health Optimization<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Managing osteoporosis in patients with scoliosis is important because if they fall they have a higher risk of fractures, which further impacts their posture, and the risk of falls increases.\u00a0 Management in some cases may also require supplementation and the patient should be under the care of someone appropriately trained in osteoporosis to work alongside the scoliosis professional.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weight-bearing exercises to strengthen bones.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Older scoliosis patients may be at risk of falls if their coronal and sagittal balance has been altered (2). Strong bones will help with posture and minimise risk of fractures if they do fall.\u00a0<\/span><\/p>\n<h3><b>6. Comprehensive Fall-Risk Assessments<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Regular evaluations by healthcare providers, including gait analysis and balance testing.<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">ScoliBalance staff are well trained in falls risk assessment. The programs are <\/span><\/i><span style=\"font-weight: 400;\">designed<\/span><i><span style=\"font-weight: 400;\"> to help minimise falls risk.\u00a0<\/span><\/i><\/p>\n<h2><b>Conclusion<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">While scoliosis is a complex condition, understanding its contribution to falls risk in older adults is crucial for effective management. By adopting a comprehensive approach that addresses spinal alignment, physical function, and environmental safety, healthcare providers can significantly reduce the risk of falls and improve the quality of life for older patients.<\/span><\/p>\n<h3><b>References<\/b><\/h3>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Godzik, J., Frames, C. W., Smith Hussain, V., Olson, M. C., Kakarla, U. K., Uribe, J. S., Lockhart, T. E., &amp; Turner, J. D. (2020). Postural Stability and Dynamic Balance in Adult Spinal Deformity: Prospective Pilot Study. World Neurosurgery, 141, e783-e791. <\/span><a href=\"https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.wneu.2020.06.010\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.wneu.2020.06.010<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Kim, J., Hwang, J. Y., Oh, J. K., Park, M. S., Kim, S. W., Chang, H., &amp; Kim, T. H. (2017). The association between whole body sagittal balance and risk of falls among elderly patients seeking treatment for back pain. Bone Joint Res, 6(5), 337-344. <\/span><a href=\"https:\/\/doi.org\/10.1302\/2046-3758.65.Bjr-2016-0271.R2\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1302\/2046-3758.65.Bjr-2016-0271.R2<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Smith, J. S., Fu, K. M., Urban, P., &amp; Shaffrey, C. I. (2008). Neurological symptoms and deficits in adults with scoliosis who present to a surgical clinic: incidence and association with the choice of operative versus nonoperative management. J Neurosurg Spine, 9(4), 326-331. <\/span><a href=\"https:\/\/doi.org\/10.3171\/spi.2008.9.10.326\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.3171\/spi.2008.9.10.326<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Aebi, M. (2005). The adult scoliosis. Eur Spine J, 14(10), 925-948. <\/span><a href=\"https:\/\/doi.org\/10.1007\/s00586-005-1053-9\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1007\/s00586-005-1053-9<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Kelly, A., Younus, A., &amp; Lekgwara, P. (2020). Adult degenerative scoliosis \u2013 A literature review. Interdisciplinary Neurosurgery, 20, 100661. <\/span><a href=\"https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.inat.2019.100661\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.inat.2019.100661<\/span><\/a><span style=\"font-weight: 400;\">\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Weiss, H. R., Moramarco, K., &amp; Moramarco, M. (2016). Scoliosis bracing and exercise for pain management in adults-a case report. J Phys Ther Sci, 28(8), 2404-2407. <\/span><a href=\"https:\/\/doi.org\/10.1589\/jpts.28.2404\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1589\/jpts.28.2404<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\n<\/ol>\n<p>\u00a0<\/p>\n<p>The post <a href=\"https:\/\/scolicare.com\/adult-scoliosis-may-increase-the-risk-of-falls-in-older-patients\/\">Adult Scoliosis May Increase the Risk of Falls in Older Patients<\/a> appeared first on <a href=\"https:\/\/scolicare.com\/\">ScoliCare<\/a>.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Scoliosis in adults is often more complex than in adolescents, due to the interplay of spinal deformity with age-related changes in bone density, muscle strength, and overall balance. One concerning issue for older patients with adult scoliosis is the increased risk of falls, which can have serious consequences for health&hellip;<\/p>\n","protected":false},"author":369,"featured_media":8186,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[114,119,112,127,125,126,118,40],"tags":[],"ppma_author":[88],"class_list":["post-8183","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adolescent","category-adult","category-global","category-hyperkyphosis","category-patients","category-professionals","category-scolibalance","category-scoliosis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Adult Scoliosis May Increase the Risk of Falls in Older Patients &#8211; Denver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scolicare.com\/denver-colorado\/adult-scoliosis-may-increase-the-risk-of-falls-in-older-patients\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Adult Scoliosis May Increase the Risk of Falls in Older Patients &#8211; Denver\" \/>\n<meta property=\"og:description\" content=\"Scoliosis in adults is often more complex than in adolescents, due to the interplay of spinal deformity with age-related changes in bone density, muscle strength, and overall balance. 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