{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:17:07Z","timestamp":1783480627519,"version":"3.55.0"},"reference-count":38,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T00:00:00Z","timestamp":1660780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Japan Organization of Occupational Health and Safety","award":["2021-31"],"award-info":[{"award-number":["2021-31"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Gait ability and spinal postural balance affect ADL in patients who underwent adult spinal deformity (ASD) surgery. However, it is still unclear how to determine what the cause is. This study was done to investigate various factors affecting gait, postural balance and activities of daily living (ADL) in patients who were operated on for ASD over a period of one year, following corrective surgery. Materials and Method: A cohort of 42 (2 men, 40 women, mean age, 71.1 years) who were operated on for ASD were included in this study. According to Oswestry Disability Index (ODI), based on their ADL, patients were segregated into satisfied and unsatisfied groups. Gait and postural balance abilities were evaluated before and after the operative procedure. Radiographs of spine and pelvis as well as the rehabilitation data (static balance, standing on single-leg; dynamic postural adaptation, timed up and go test (TUG); Gait Capability, walk velocity for a distance of 10 m) were acquired 12 months after surgery and analyzed. Spinopelvic parameters such as (lumbar lordosis (LL), pelvic tilt (PT), sagittal vertical axis (SVA), pelvic incidence (PI)) were marked and noted. The factors which affect patients\u2019 satisfaction with their ADL were evaluated. Results: The ADL satisfied group included 18 patients (1 man, 17 women, mean age 68.6 years) and the unsatisfied group included 24 patients (1 man, 23 women, mean age 73.1 years). One year after the surgery, the two groups were tested. TUG (8.5 s vs. 12.8 s), 10 m walk velocity (1.26 m\/s vs. 1.01 m\/s), and single leg standing test (25 s vs. 12.8 s) were regarded as notably different. According to logistic regression analysis, only TUG was extracted as a significant factor. The cut-off value was 9.7 s, with sensitivity 75%, specificity 83%, area under the curve 0.824, and a 95% confidence interval of 0.695\u20130.953. Conclusions: A significant factor among all evaluations in postoperative ASD patients was TUG, for which the cut-off value for ADL satisfaction was 9.7 s.<\/jats:p>","DOI":"10.3390\/medicina58081118","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T23:28:41Z","timestamp":1660865321000},"page":"1118","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Most Significant Factor Affecting Gait and Postural Balance in Patients\u2019 Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine"],"prefix":"10.3390","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6935-0442","authenticated-orcid":false,"given":"Tomoyoshi","family":"Sakaguchi","sequence":"first","affiliation":[{"name":"Department of Central Rehabilitation, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6685-7451","authenticated-orcid":false,"given":"Masato","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Sake","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4230-4489","authenticated-orcid":false,"given":"Kajetan","family":"Latka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan"},{"name":"Department of Neurosurgery, University Hospital in Opole, 45-001 Opole, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinya","family":"Arataki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taro","family":"Yamauchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Takamatsu","sequence":"additional","affiliation":[{"name":"Department of Central Rehabilitation, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Department of Central Rehabilitation, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masami","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Central Rehabilitation, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Central Rehabilitation, Okayama Rosai Hospital, Okayama 702-8055, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Kishimoto","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kawasaki University of Medical Welfare, Okayama 701-0193, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1097\/01.brs.0000160842.43482.cd","article-title":"Adult scoliosis: Prevalence, SF-36, and nutritional parameters in an elderly volunteer population","volume":"30","author":"Schwab","year":"2005","journal-title":"Spine"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1097\/BRS.0b013e3181e9f120","article-title":"Scoliosis in adults aged forty years and older: Prevalence and relationship to age, race, and gender","volume":"36","author":"Kebaish","year":"2011","journal-title":"Spine"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2186","DOI":"10.1097\/00007632-199410000-00011","article-title":"The relationship between intramuscular pressure of the paraspinal muscles and low back pain","volume":"9","author":"Konno","year":"1994","journal-title":"Spine"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"E480","DOI":"10.1097\/BSD.0000000000000263","article-title":"Scoliosis is risk factor for gastroesophageal reflex disease in adult spinal deformity","volume":"30","author":"Hosogane","year":"2017","journal-title":"Clin. 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