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Mostafaee N, Pirayeh N, HasanNia F, Negahban H, Kasnavi M. Examining accuracy of and determining the best cutoff point for photographic-based postural angles to discriminate between slight and moderate-to-severe forward head posture. Physiother Theory Pract 2024; 40:377-385. [PMID: 36036498 DOI: 10.1080/09593985.2022.2117581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Accepted: 08/21/2022] [Indexed: 10/15/2022]
Abstract
PURPOSE To evaluate the accuracy of and determine the best cutoff point for craniovertebral angle (CVA) and forward shoulder angle (FSA) in discriminating between two groups of individuals with different severities of forward head posture (FHP). METHODS A sample of 90 subjects aged 20-50 who had different severities of FHP was recruited. Participants were categorized into two groups based on observational method, namely individuals with slight FHP and those with moderate-to-severe FHP. The CVA and FSA were assessed using the photographic device. The accuracy of these measures was determined by calculation of sensitivity, specificity, area under the receiver operating characteristic curve, likelihood ratio (LR), and predictive value (PV). RESULTS Our results show that CVA has high sensitivity (0.93) and acceptable area under the curve (0.88) in discriminating between the two groups of FHP (P < .01), but FSA cannot discriminate between the two groups of FHP (P = .06). The LR and PV results show that the CVA has a low negative LR (0.13) and a large negative PV (0.93). The best cutoff point for CVA was determined at 45.5 degrees. CONCLUSION Overall, the results of the present study showed that CVA has a good accuracy in discriminating between two groups of individuals with slight and moderate-to-severe FHP. It can be valuable in correctly identifying the slight FHP and screening the moderate and severe grades of the FHP. Researchers and clinicians can also use the optimal cutoff point for the CVA obtained in this study to accurately quantify and classify the severity of the FHP.
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Affiliation(s)
- Neda Mostafaee
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nahid Pirayeh
- Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
- Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Fatemeh HasanNia
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hossein Negahban
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
- Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mahsa Kasnavi
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
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Ludwig O, Dindorf C, Kelm S, Kelm J, Fröhlich M. Muscular Strategies for Correcting the Pelvic Position to Improve Posture-An Exploratory Study. J Funct Morphol Kinesiol 2024; 9:25. [PMID: 38390925 PMCID: PMC10885056 DOI: 10.3390/jfmk9010025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/22/2024] [Accepted: 01/25/2024] [Indexed: 02/24/2024] Open
Abstract
The correction of postural weaknesses through the better positioning of the pelvis is an important approach in sports therapy and physiotherapy. The pelvic position in the sagittal plane is largely dependent on the muscular balance of the ventral and dorsal muscle groups. The aim of this exploratory study was to examine whether healthy persons use similar muscular activation patterns to correct their pelvic position or whether there are different motor strategies. The following muscles were recorded in 41 persons using surface electromyography (EMG): M. trapezius pars ascendens, M. erector spinae pars lumbalis, M. gluteus maximus, M. biceps femoris, M. rectus abdominis, and M. obliquus externus. The participants performed 10 voluntary pelvic movements (retroversion of the pelvis). The anterior pelvic tilt was measured videographically via marker points on the anterior and posterior superior iliac spine. The EMG data were further processed and normalized to the maximum voluntary contraction. A linear regression analysis was conducted to assess the relationship between changes in the pelvic tilt and muscle activities. Subsequently, a Ward clustering analysis was applied to detect potential muscle activation patterns. The differences between the clusters and the pelvic tilt were examined using ANOVA. Cluster analysis revealed the presence of four clusters with different muscle activation patterns in which the abdominal muscles and dorsal muscle groups were differently involved. However, the gluteus maximus muscle was involved in every activation pattern. It also had the strongest correlation with the changes in pelvic tilt. Different individual muscle patterns are used by different persons to correct pelvic posture, with the gluteus maximus muscle apparently playing the most important role. This can be important for therapy, as different muscle strategies should be trained depending on the individually preferred motor patterns.
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Affiliation(s)
- Oliver Ludwig
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| | - Carlo Dindorf
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| | - Sebastian Kelm
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| | - Jens Kelm
- Orthopädisch-Chirurgisches Zentrum, 66557 Illingen, Germany
| | - Michael Fröhlich
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
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Deodato M, Granato A, Del Frate J, Martini M, Manganotti P. Differences in musculoskeletal dysfunctions and in postural alterations between chronic migraine and chronic tension type headache: A cross-sectional study. J Bodyw Mov Ther 2024; 37:404-411. [PMID: 38432837 DOI: 10.1016/j.jbmt.2023.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 09/15/2023] [Accepted: 11/11/2023] [Indexed: 03/05/2024]
Abstract
OBJECTIVE The aim of present study is to assess postural alterations and musculoskeletal dysfunctions over all spine in patients with chronic migraine and chronic tension type headache, moreover to highlight the differences between these two forms of primary headache. METHODS A Cross sectional study was adopted to evaluate the musculoskeletal profile in patients with chronic migraine and with chronic tension type headache. The Bio photogrammetric evaluation was performed using the postural assessment software PAS/SAPO, while unilateral passive accessory intervertebral motion (PAIMs) were applied for manual examinations of spine segments from C0 to L5 vertebra. The One-way Analysis of Variance (ANOVA) test was used to compare the three groups with the software GraphPad InStat 3.06. RESULTS A total of 60 patients were recruited, 20 for chronic tension type group, 20 for chronic migraine group and 20 healthy controls. The most interesting findings was that patients with chronic primary headaches presented postural alterations in all parameters (cranio-vertebral angle and lumbar-pelvic angle) and musculoskeletal dysfunctions in all spine with respect to healthy controls. Finally, the most clinically relevant finding was that no differences were found between chronic migraine and chronic tension type headache concerning the postural alterations nor the musculoskeletal dysfunctions. CONCLUSION The sensitization acts as a substrate or consequence of these musculoskeletal dysfunctions in chronic primary headache. Therefore, non-pharmacological treatments targeted in the musculoskeletal system may be a good option in the management of chronic primary headache, especially when these therapies integrate various techniques that involve all spine.
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Affiliation(s)
- Manuela Deodato
- Department of Life Sciences, University of Trieste, Adress: via Pascoli 31, 34100, Trieste, Italy; Department of Medical, Surgical and Health Sciences, University of Trieste, Adress: via Pascoli 31, 34100, Trieste, Italy; Azienda Sanitaria Universitaria Giuliano Isontina, Strada di Fiume 447, 34149, Trieste, Italy.
| | - Antonio Granato
- Department of Medical, Surgical and Health Sciences, University of Trieste, Adress: via Pascoli 31, 34100, Trieste, Italy; Azienda Sanitaria Universitaria Giuliano Isontina, Strada di Fiume 447, 34149, Trieste, Italy.
| | - Jessica Del Frate
- Department of Medical, Surgical and Health Sciences, University of Trieste, Adress: via Pascoli 31, 34100, Trieste, Italy.
| | - Miriam Martini
- Department of Medical, Surgical and Health Sciences, University of Trieste, Adress: via Pascoli 31, 34100, Trieste, Italy.
| | - Paolo Manganotti
- Department of Medical, Surgical and Health Sciences, University of Trieste, Adress: via Pascoli 31, 34100, Trieste, Italy; Azienda Sanitaria Universitaria Giuliano Isontina, Strada di Fiume 447, 34149, Trieste, Italy.
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Metwaly MM, Salem EE, Abbass ME. Correlation between scapular alignment and upper extremity function in children with hemiparetic cerebral palsy. Physiother Theory Pract 2023; 39:2163-2170. [PMID: 35430957 DOI: 10.1080/09593985.2022.2066587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 04/10/2022] [Accepted: 04/11/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVES To investigate the relationship between scapular alignment and upper extremity function. METHODS Eighty-five children (63 boys and 22 girls) with spastic hemiplegic cerebral palsy aged 3 to 6 years were included in the study. Scapular upward rotation was assessed using Postural Zone software, and upper extremity function was assessed using the Pediatric Arm Function Test. RESULTS There was a significant difference (p = .0001) in the degree of upward scapular rotation between less affected and affected sides (-41.78 ± 4.87 and -26.42 ± 6.34, respectively). There was a significant difference (p = .0001) between the function of the upper extremity of the affected side and the less affected sides (48.15 ± 14.37, 62.1 ± 6.62, respectively). Pearson Correlation Coefficient (r) was calculated, and there was a strong negative significant correlation between the degree of scapular upward rotation of the affected side, a unilateral score of the affected side, and the total score of the Pediatric Arm Function Test (r = -0.976, p = .0001 and r = -0.973, p = .0001, respectively). The correlation between symmetry index and total score of the Pediatric Arm Function Test was a strong positive significant correlation (r = 0.946, p = .0001). CONCLUSION The degree of upward scapular rotation was less on the affected side. Scapular alignment and symmetry may contribute to upper extremity function in children with hemiplegic cerebral palsy. Clinically, correction of scapular deviations may be considered in the rehabilitation program for children with hemiplegic cerebral palsy. This study suggests further experimental studies to find the cause and effect.
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Affiliation(s)
- Mahmoud Mohammed Metwaly
- Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Eygpt
| | - Elham Elsayed Salem
- Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Eygpt
| | - Mai Elsayed Abbass
- Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Eygpt
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Akyurek E, Zengin Alpozgen A, Akgul T. The preliminary results of physiotherapy scoliosis-specific exercises on spine joint position sense in adolescent idiopathic scoliosis: A randomized controlled trial. Prosthet Orthot Int 2022; 46:510-517. [PMID: 36215059 DOI: 10.1097/pxr.0000000000000136] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Accepted: 03/14/2022] [Indexed: 02/03/2023]
Abstract
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. OBJECTIVES 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.
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Affiliation(s)
- Elcin Akyurek
- Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Institute of Graduate Studies, Istanbul, Turkey
| | - Ayse Zengin Alpozgen
- Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Turgut Akgul
- Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, Istanbul, Turkey
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Mostafaee N, HasanNia F, Negahban H, Pirayeh N. Evaluating Differences Between Participants With Various Forward Head Posture With and Without Postural Neck Pain Using Craniovertebral Angle and Forward Shoulder Angle. J Manipulative Physiol Ther 2022; 45:179-187. [PMID: 35902274 DOI: 10.1016/j.jmpt.2022.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 04/14/2022] [Accepted: 06/09/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The purpose of this study was to investigate differences between individuals with various forward head posture (FHP) severities with and without postural neck pain using craniovertebral angle and forward shoulder angle. METHOD Ninety participants age 20 to 50 years were categorized into the following 4 groups based on observational method and presence or absence of postural neck pain: (1) slight FHP group without pain, (2) slight FHP group with pain, (3) moderate-to-severe FHP group without pain, and (4) moderate-to-severe FHP group with pain. A digital imaging technique was used to measure the craniovertebral angle and forward shoulder angle in a standing position. RESULTS A 1-way analysis of variance test showed a significant difference for craniovertebral angle in the 4 groups (F = 22.04, P < .001). Tukey's test showed the difference in this variable was significant between slight FHP groups (with or without pain) and moderate-to-severe FHP groups (with or without pain) (P < .001). Although overall F indicated a significant difference (F = 4.11, P < .009) of the forward shoulder angle in 4 groups, Tukey's test revealed this was only significantly different in 2 groups: slight FHP with pain and moderate-to-severe FHP with pain (P = .005). CONCLUSION The craniovertebral angle in the 2 groups of moderate-to-severe FHP was significantly smaller than that in the 2 groups of slight FHP. However, the forward shoulder angle in the group of moderate-to-severe FHP with pain was only significantly smaller than that in slight FHP with pain. The results showed that including pain as a factor of categorization did not lead to a significant difference between various groups regarding craniovertebral angle and forward shoulder angle.
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Affiliation(s)
- Neda Mostafaee
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
| | - Fatemeh HasanNia
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hossein Negahban
- Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran; Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nahid Pirayeh
- Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Abarca-Reyes YM, Toalongo-Rojas LM, Bueno-Palomeque FL. Optimization of the Static Posture Evaluation Process Through Digital Processing of Photographic Images. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:1801-1805. [PMID: 34891636 DOI: 10.1109/embc46164.2021.9630704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Traditional methods of posture evaluation carried out by physical therapists manually measure or test the alignments of body segments, investing a long time for its development and adding an error percentage related to the level of professional expertise. The present study uses a system of two dimensions photogrammetry to investigate its applicability on measurement of posture parameters and the variation of the measurements using different photographic cameras locate at different distances from the subject. The "marker automatic measurement" system (LAM) filters and segments body markers on photographic images. Data were collected using a semi-professional, a mid-range cellphone and a sports camera. Tests were recorded by placing the camera at 2.50, 2.00 and 1.80 meters from the subject, and the lens at a height of 1.10, 1.00 and 0.97 meters with an illuminance of 29.92 lux. Subsequently, 30 volunteers participated in the postural tests. The Measurements were made on frontal, anterior and posterior planes as well as sagittal plane. The maximum absolute error on the measuring of distances was 0.64 cm. On angles related to the horizontal was 0.70 degrees and for angles concerning the vertical was 0.76 degrees.Clinical Relevance-By utilizing LAM system all three views were evaluated in less than a minute without counting the time for putting on the markers. The results obtained suggest that the system presents trustworthy results, which reduce considerably the time of carrying out posture evaluations where results are measurable, repeatable and away from the evaluator's subjectivity.
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Osborn ML, Cornille JL, Blas‐Machado U, Uhl EW. The equine navicular apparatus as a premier enthesis organ: Functional implications. Vet Surg 2021; 50:713-728. [PMID: 33710628 PMCID: PMC8251969 DOI: 10.1111/vsu.13620] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Revised: 01/26/2021] [Accepted: 02/21/2021] [Indexed: 12/23/2022]
Abstract
Navicular syndrome has been traditionally characterized by progressive lameness with chronic degeneration of the navicular bone. Advances in imaging techniques have revealed that its associated soft tissue structures are also affected. This distribution of lesions is explained by conceptualizing the equine navicular apparatus as an enthesis organ that facilitates the dissemination of mechanical stress throughout the tissues of the foot. The navicular apparatus has the same structural adaptations to mechanical stress as the human Achilles tendon complex. These adaptations efficiently dissipate mechanical force away from the tendon's bony attachment site, thereby protecting it from failure. The comparison of these two anatomically distinct structural systems demonstrates their similar adaptations to mechanical forces, and illustrates that important functional insights can be gained from studying anatomic convergences and cross-species comparisons of function. Such a functional conceptualization of the equine navicular apparatus resolves confusion about the diagnosis of navicular syndrome and offers insights for the development of mechanically based therapies. Through comparison with the human Achilles complex, this review (1) re-conceptualizes the equine navicular apparatus as an enthesis organ in which mechanical forces are distributed throughout the structures of the organ; (2) describes the relationship between failure of the navicular enthesis organ and lesions of navicular syndrome; (3) considers the therapeutic implications of navicular enthesis organ degeneration as a form of chronic osteoarthritis; and based upon these implications (4) proposes a focus on whole body posture/motion for the development of prehabilitative and rehabilitative therapies similar to those that have already proven effective in humans.
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Affiliation(s)
- Michelle L. Osborn
- Department of Comparative Biomedical SciencesSchool of Veterinary Medicine, Louisiana State UniversityBaton RougeLouisianaUSA
| | | | - Uriel Blas‐Machado
- Department of PathologyCollege of Veterinary Medicine, University of GeorgiaAthensGeorgiaUSA
| | - Elizabeth W. Uhl
- Department of PathologyCollege of Veterinary Medicine, University of GeorgiaAthensGeorgiaUSA
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Gomez-Rice A, Madrid C, Izquierdo E, Marco-Martínez F, Tresguerres JAF, Sanchez-Mariscal F. Photographic sagittal plane analysis and its clinical correlation after surgery for adult spinal deformity: a preliminary study. Spine Deform 2021; 9:501-514. [PMID: 33136266 DOI: 10.1007/s43390-020-00237-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 10/19/2020] [Indexed: 11/29/2022]
Abstract
PURPOSE The aim of this study is to determine the correlation between photographic sagittal parameters and patient-reported outcome measures (PROM) results in adult patients operated on spinal deformity. METHODS Non-concurrent prospective study. INCLUSION CRITERIA age at surgery older than 25, minimum 2-year follow-up after a 5 or more level fusion for adult spinal deformity (ASD). Full body lateral standing photographs were taken with adhesive markers placed on ten bony landmarks. SRS-22 and SF-36 questionnaires were completed for every patient. The following photographic parameters were measured: lumbar angle, lumbar curve, thoracic inclination (TI), trunk angle, pelvic tilt, head angle, neck angle, cervicothoracic angle, lumbar vector angle (LVA), dorsal vector angle (DVA), cervical vector angle (CVA), cranial pelvic angle (CrPA), cranial sacral angle (CrSA), fibular inclination angle (FIA) and cranial sagittal vertical axis measured to sacrum (Cr-S), greater trochanter (Cr-GT), knee (Cr-K) and ankle (Cr-A). RESULTS 65 patients (58 female) operated on ASD in a single institution were included. Age at surgery was 61 years (26-67). Postoperative follow-up was 53 months (24-120). Spearman rank order test showed several significant (p ≤ 0.01) correlations. After multivariate linear regression analysis age, LVA and TI remained as predictors for SRS image scores (corrected r2 0.41), LVA for SRS satisfaction (corrected r2 0.27), CrPA and age for SRS total scores (corrected r2 0.33), FIA and age for SF36 physical functioning (corrected r2 0.36) and CrSA for SF36 role physical (corrected r2 0.14). CONCLUSIONS Some sagittal photographic parameters may predict mid-term clinical results after ASD surgery.
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Affiliation(s)
- Alejandro Gomez-Rice
- Hospital Universitario Ramon y Cajal, Carretera M-607, km. 9.100, 28034, Madrid, Spain. .,Complutense University of Madrid, Madrid, Spain.
| | | | | | - Fernando Marco-Martínez
- Hospital Universitario Clínico San Carlos, Madrid, Spain.,Department of Surgery, School of Medicine, Complutense University of Madrid, Madrid, Spain
| | - Jesús A F Tresguerres
- Department of Physiology, School of Medicine, Complutense University of Madrid, Madrid, Spain
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Jee H. Kinematic Comparisons of Increased Exercise Repetitions and Intensities on the Dominant and Non-Dominant Upper Limbs for Prevention of Dyskinesia. IRANIAN JOURNAL OF PUBLIC HEALTH 2020; 49:1878-1884. [PMID: 33346238 PMCID: PMC7719663 DOI: 10.18502/ijph.v49i10.4690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Background: Increased exercise repetitions and intensities need to be compared between dominant and non-dominant sides to prevent asymmetrically conducted movements for possible dyskinesia. Methods: A total of 20 participants were enrolled from Inha University, Incheon, Korea in 2019. They were assessed for comparisons of asymmetrical motion between the dominant and non-dominant arms during the abduction and adduction lateral raises during more than fifteen repetitions and low and high exercise intensity by giving different weight loads based on 1-RM. Results: Repetition led to significant reductions in range of motion for both dominant and non-dominant sides. In addition, increased repetitions led to significant greater reductions in range of motion especially toward the last phases of repetitions. Moreover, the dominant side showed significantly increased accelerations with increased intensities. Conclusion: Increased repetitions and exercise intensity led to reduced range of motion and increased accelerations especially for the dominant sides. Dispersing kinematics should be considered to minimize possible dyskinesia between the symmetric sides when performing repetitive and loading physical activity.
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Affiliation(s)
- Haemi Jee
- Department of Physical Therapy, Namseoul University, Cheonan-si, Korea
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Variable Lower Limb Alignment of Clinical Measures With Digital Photographs and the Footscan Pressure System. J Sport Rehabil 2020; 30:437-444. [PMID: 33075751 DOI: 10.1123/jsr.2018-0283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 06/04/2020] [Accepted: 07/20/2020] [Indexed: 11/18/2022]
Abstract
OBJECTIVE This study examines the effect of the lower limb misalignment and its possible compensatory effect on plantar pressure in a normal population. The aim of this paper is to present a structured method for the analysis of posture and its changes using a standardized digital photography technique and plantar pressure measuring device. DESIGN Cohort. SETTING Laboratory. PARTICIPANTS A total of 200 adult volunteers between 18 and 22 years of age who had no current symptoms of pain and foot or ankle pathology participated in the study. MAIN OUTCOME MEASURES The gold standard measure of lower limb alignment with weight-bearing status is the mechanical axis and their angles using Image J software. Structural and functional measurements of the same foot were taken using a plantar pressure measuring device. In this study, 5 alignment (thigh, knee, leg, ankle, and foot) characteristics were measured on the lower limb using the 2 techniques, and, additionally, the foot contact area, peak pressure, foot axis, rearfoot angle, and subtalar joint flexibility score were analyzed in 10 different regions of the foot. RESULTS This study has shown a reasonable correlation between digitalized measurements and plantar pressures values. Quadriceps angle affected midfoot impulse, foot axis angle, subtalar joint minimum angle, and rearfoot angle positively. Subtalar joint flexibility scores were analyzed in 10 different regions of the foot. There was a positive correlation between rearfoot angle and quadriceps angle (P = .009, r = .261). Results of both methods show that they endorse each other. CONCLUSIONS The posture of the standing feet may have influence on lower limb alignment. Currently, there are no studies carried out by using digital photogrammetry and foot scan. The authors claim that patient-friendly digital photogrammetry would have a positive contribution to the monitoring of patients, even including new ones in the treatment programs, reducing any possible loss in the personal and national economy.
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Jiménez-Del-Barrio S, Mingo-Gómez MT, Estébanez-de-Miguel E, Saiz-Cantero E, Del-Salvador-Miguélez AI, Ceballos-Laita L. Adaptations in pelvis, hip and knee kinematics during gait and muscle extensibility in low back pain patients: A cross-sectional study. J Back Musculoskelet Rehabil 2020; 33:49-56. [PMID: 31403939 DOI: 10.3233/bmr-191528] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVES To compare pelvis, hip and knee kinematics during gait and extensibility of hip muscles between low back pain (LBP) and asymptomatic subjects. METHODS Forty adult volunteers (11 men and 29 women) between 18 to 30 years from university population were included in this study. Twenty patients with LBP formed the LBP group, and 20 asymptomatic subjects formed the control group. Pelvic tilt and knee valgus, peak hip and knee joint excursion, and temporo-spatial variables were assessed during gait with Kinovea software. Extensibility of hip muscles was measured by Active Knee Extension test (AKE), modified Ober test, and Thomas test. RESULTS There was a significant increase in pelvic tilt (p< 0.01), valgus angle (p< 0.01), and a significant decrease in hip extension (p< 0.01) in the LBP group compared to the control group. There was a significant decrease in extensibility of the hip flexors (p< 0.05) of the dominant leg and in the hip abductors (p< 0.01) in the LBP group compared to the control group. CONCLUSIONS The findings of this study suggest that non-specific mechanic LBP patients present differences in the pelvis, hip and knee kinematics in sagittal and frontal plane during gait and less hip flexors and abductors muscles extensibility compared to asymptomatic subjects.
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Abstract
Smartphones are increasingly incorporated with features such as sensors and high resolution cameras that empower their capabilities, enabling their use for varied activities including human posture assessments. Previous reviews have discussed methods used in postural assessment but none of them focused exclusively on mobile applications. This paper systematically reviews mobile applications proposed for analyzing human posture based on alignment of the body in the sagittal and coronal plane. The main digital libraries were searched, 26 articles published between 2010 and 2020 were selected, and 13 mobile applications were identified, classified and discussed. Results showed that the use of mobile applications to assist with posture assessment have been demonstrated to be reliable, and this can contribute to clinical practice of health professionals, especially the assessment and reassessment phases of treatments, despite some variations when compared to traditional methods. Moreover, in the case of image-based applications, we highlight the advantage that measurements can be taken with the assessor at a certain distance with respect to the patient’s position, which is an important function for assessments performed in pandemic times such as the outbreak of COVID-19.
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14
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Effect of forward head and rounded shoulder posture on hand grip strength in asymptomatic young adults: a cross-sectional study. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2020. [DOI: 10.1186/s43161-020-00001-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Forward head and rounded shoulder posture (FHRSP) is a common clinical postural misalignment. It leads to flexion posture of the spine which increases the amount of tension on the nerve roots, which inversely affects muscle strength and function of the upper extremity. So, this study was conducted to examine the effect of FHRSP on hand grip strength in asymptomatic young adults and to explore the relationship between the craniovertebral angle (CVA) and hand grip strength.
Results
There was no significant difference in hand grip strength between the groups (p = 0.812). There was no correlation between the CVA and right and left hand grip of the normal group (p = 0.840, 0.816 respectively), rounded shoulder posture (RSP) group (p = 0.523, 0.650 respectively), and FHRSP group (p = 0.855, 0.736 respectively). Regarding the right and left hand grip strength, there was no significant difference between the groups (p = 0.798, 0.826 respectively). The right hand grip strength was significantly higher than the left hand for all groups (p = 0.001).
Conclusion
This study displayed that hand grip strength was not affected by FHRSP nor RSP in asymptomatic young adults. Moreover, the degree of the CVA was not associated with an inverse effect on hand grip strength.
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Molina-Garcia P, Mora-Gonzalez J, Migueles JH, Rodriguez-Ayllon M, Esteban-Cornejo I, Cadenas-Sanchez C, Plaza-Florido A, Gil-Cosano JJ, Pelaez-Perez MA, Garcia-Delgado G, Vanrenterghem J, Ortega FB. Effects of Exercise on Body Posture, Functional Movement, and Physical Fitness in Children With Overweight/Obesity. J Strength Cond Res 2020; 34:2146-2155. [DOI: 10.1519/jsc.0000000000003655] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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16
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Jee H. Effects of mirror feedback during balanced exercise performance in the old people with mild cognitive impairment. J Exerc Rehabil 2020; 16:58-63. [PMID: 32161735 PMCID: PMC7056479 DOI: 10.12965/jer.2040036.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Accepted: 01/27/2020] [Indexed: 12/23/2022] Open
Abstract
Unbalanced movements between the bilateral sides may lead to dyskinesia and reduced motor function. The upper limbs are the most complex joints with different rate of usage between the limbs. The dominant side is repeatedly used more than the contralateral side for better dexterity and musculoskeletal utility. Such imbalance between the two bilateral sides may lead to further difference in movement ability. This study aimed to observe the feasibility of the mirror feedback method in the upper limb movements in the old people with mild cognitive impairment. Twenty-seven-old people with history of stroke were selected. Motion sensors were used to assess the location and motion of two limbs in synchronized lateral raise that include the abduction and adduction motions during the mirror feedback and no feedback trials. The results of the mirror feedback showed comparatively similar motions between the left and right upper limbs. The results of the study may indicate possible recommendation of mirror feedback method for synchronizing exercise motion of the upper limbs for the old people with mild cognitive impairment.
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Affiliation(s)
- Haemi Jee
- Department of Physical Therapy, Namseoul University, Cheonan, Korea
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17
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Brown EVD, Bleakley S, Vojcsik G, Weidle J, Boring E. The effect of a novel thoracolumbar brace on spinal alignment in Parkinson's disease: a pilot study. J Phys Ther Sci 2020; 32:72-78. [PMID: 32082033 PMCID: PMC7008014 DOI: 10.1589/jpts.32.72] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2019] [Accepted: 10/28/2019] [Indexed: 12/11/2022] Open
Abstract
[Purpose] Individuals with Parkinson’s disease (PD) experience postural dysfunction,
which can contribute to pain and an increased risk for falls. One method with limited
research for addressing postural dysfunction is bracing. The objective of this pilot study
was to establish the immediate impact of a novel thoracolumbar brace on postural alignment
in individuals with PD. [Participants and Methods] This study utilized a
single-participant randomized A-B design. Participants were included if they had a
diagnosis of PD were 50–80 years of age, reported difficulty with posture, but were able
to ambulate within their home and the community. Ten kinematic assessments of posture were
completed in each phase. The primary outcome measure was postural alignment at the neck,
trunk, and hip/knee. An analysis of postural stability and experience wearing the brace
was also completed. [Results] Nine out of ten participants demonstrated at least one
statistically significant change in a posture variable, but postural stability was
variable across participants. [Conclusion] This pilot study demonstrated that the brace
functioned as expected bringing postural alignment into a more neutral or extended
position at the trunk and hip/knee. Further research on the long-term effect of the brace
needs to be completed to determine its clinical value.
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Affiliation(s)
- Elena V Donoso Brown
- Department of Occupational Therapy, Rangos School of Health Science, Duquesne University: 600 Forbes Ave, Pittsburgh, PA 15282, USA
| | | | | | - Jordyn Weidle
- Department of Occupational Therapy, Rangos School of Health Science, Duquesne University: 600 Forbes Ave, Pittsburgh, PA 15282, USA
| | - Emily Boring
- Department of Occupational Therapy, Rangos School of Health Science, Duquesne University: 600 Forbes Ave, Pittsburgh, PA 15282, USA
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Conde-Vázquez O. Letter to the editor regarding "The inconclusiveness of research on functional pathologies of the temporomandibular system and body posture: Paths followed, paths ahead: A critical review," published online April 29, 2019. Cranio 2019; 38:67-68. [PMID: 31769749 DOI: 10.1080/08869634.2020.1691757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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19
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Daffin L, Stuelcken M, Sayers M. Internal and external sagittal craniovertebral alignment: A comparison between radiological and photogrammetric approaches in asymptomatic participants. Musculoskelet Sci Pract 2019; 43:12-17. [PMID: 31174181 DOI: 10.1016/j.msksp.2019.05.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Revised: 03/28/2019] [Accepted: 05/02/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Photogrammetric measures are a commonly applied, highly reliable tool for appraising craniovertebral postures during clinical assessments, rehabilitation, and research interventions. OBJECTIVE This study aimed to compare and contrast three external measures of postural alignment (EMPA) using photogrammetric and radiological approaches, and to discuss whether the craniovertebral angle (CVA) reflects the shape of the underlying cervical spine. DESIGN Cross Sectional Correlation Study. METHOD Young adults attended three assessment sessions (S1, S2 and S3). S1 involved a standardised photogrammetric protocol. S2 involved radiographic image acquisition. S3 followed the same protocol in S1 but excluded the self-balancing procedure. Each session's EMPA were compared through either paired or independent samples t-tests. The different radiographic cervical subtypes and their corresponding CVAs were assessed. RESULTS There were no significant differences in any EMPA between the two photogrammetric sessions. The CVA was the only EMPA to show a significant difference between photogrammetric (S3) and radiographic approaches. Cervical subtype variability is present throughout the full CVA range. CONCLUSIONS Despite the statistically significant difference in the CVA between approaches, the mean difference was small and unlikely to be clinically meaningful. Accordingly, the quantification of EMPA can be undertaken with high levels of precision and reliability using standardised photogrammetric procedures. The CVA, however, does not provide an indication of the shape of the underlying cervical spine. The distinct radiological differences in the inter-segmental orientation of each vertebral motion segment in conjunction with the differences in the overall global cervical alignment, both within and between participants, negate this possibility.
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Affiliation(s)
- Lee Daffin
- (a)Discipline of Psychology, Counselling, Exercise Science and Chiropractic (PESCC), Murdoch University, 90 South Street, Murdoch, 6150, Western Australia, Australia; School of Health and Sport Sciences, USC Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, 4556, Queensland, Australia.
| | - Max Stuelcken
- School of Health and Sport Sciences, USC Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, 4556, Queensland, Australia.
| | - Mark Sayers
- School of Health and Sport Sciences, USC Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, 4556, Queensland, Australia.
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20
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Jee H. Feasibility of a set of wrist-worn novice devices for dual motion comparison of the upper limbs during lateral raise motions. J Exerc Rehabil 2019; 15:531-536. [PMID: 31523673 PMCID: PMC6732539 DOI: 10.12965/jer.1938348.174] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Accepted: 07/15/2019] [Indexed: 11/22/2022] Open
Abstract
Comparison of the upper limbs during natural kinematic motions is necessary for early detection of musculoskeletal imbalance between ipsilateral and contralateral sides in natural settings. Therefore, this study aims to evaluate the feasibility of a novice set of wrist-worn devices designed to assess and compare the dual kinematic motions of the upper limbs during lateral raises. The test-retest and the golden standard and novice device result comparisons were conducted for feasibility assessment of the novice set of devices. Pearson correlation coefficients between 0.65 and 0.88 (P<0.01) and effect sizes between 0.02 and 0.42 indicated feasible application of the novice devices. Considering correlation coefficient of 0.65 between the left and right upper limbs, the results show applicable feasibility of the novice device during lateral raises. In conclusion, the novice set of devices for comparing dual upper limb motions may be applied to assessing and comparing dual upper limb motions for limb motion comparisons and early detection of dysfunctional movements between the limbs.
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Affiliation(s)
- Haemi Jee
- Department of Physical Therapy, Namseoul University, Cheonan, Korea
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21
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Gong H, Sun L, Yang R, Pang J, Chen B, Qi R, Gu X, Zhang Y, Zhang TM. Changes of upright body posture in the sagittal plane of men and women occurring with aging - a cross sectional study. BMC Geriatr 2019; 19:71. [PMID: 30836933 PMCID: PMC6402106 DOI: 10.1186/s12877-019-1096-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Accepted: 02/27/2019] [Indexed: 11/17/2022] Open
Abstract
Background Body posture is a fundamental indicator for assessing health and quality of life, especially for elderly people. Deciphering the changes in body posture occurring with age is a current topic in the field of geriatrics. The aims of this study were to assess the parameters of standing body posture in the global sagittal plane and to determine the dynamics of changes in standing body posture occurring with age and differences between men and women. Methods The measurements were performed on 226 individuals between the ages of 20 to 89 with a new photogrammetry, via which we assessed five postural angles - neck, thorax, waist, hip and knee. The data were analyzed with t-test, one-way ANOVA, linear regression model and generalized additive model. Results Among these segments studied here, neck changed most, while the middle segments of the body, waist and hip, were relative stable. Significant differences between men and women were found with respect to the angles of neck, thorax and hip. Three of the five postural angles were significantly influenced with aging, including increasing cervical lordosis, thoracic kyphosis and knee flexion, starting from no older than around 50 yrs. showed by fitting curve derived with generalized additive model. These changes were more marked among women. Besides, this study highlights the effects of age and gender on the complex interrelation between adjacent body segments in standing. Conclusions The presented results showed changes in the parameters describing body posture throughout consecutive ages and emphasized that for an individualized functional analysis, it is essential to consider age-and gender-specific changes in the neck, thorax and knee. This paper presents useful externally generalizable information not only for clinical purposes but also to inform further research on larger numbers of subjects. Electronic supplementary material The online version of this article (10.1186/s12877-019-1096-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Huan Gong
- The MOH Key laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, No.1 Dahua Road, Dong Dan, Beijing, 100730, People's Republic of China.
| | - Liang Sun
- The MOH Key laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, No.1 Dahua Road, Dong Dan, Beijing, 100730, People's Republic of China
| | - Ruiyue Yang
- The MOH Key laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, No.1 Dahua Road, Dong Dan, Beijing, 100730, People's Republic of China
| | - Jing Pang
- The MOH Key laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, No.1 Dahua Road, Dong Dan, Beijing, 100730, People's Republic of China
| | - Beidong Chen
- The MOH Key laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, No.1 Dahua Road, Dong Dan, Beijing, 100730, People's Republic of China
| | - Ruomei Qi
- The MOH Key laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, No.1 Dahua Road, Dong Dan, Beijing, 100730, People's Republic of China
| | - Xin Gu
- Department of Rehabilitation, Beijing Hospital, National Center of Gerontology, Beijing, 100730, People's Republic of China
| | - Yaonan Zhang
- Department of Orthopedics, Beijing Hospital, National Center of Gerontology, Beijing, 100730, People's Republic of China
| | - Tie-Mei Zhang
- The MOH Key laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, No.1 Dahua Road, Dong Dan, Beijing, 100730, People's Republic of China.
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Pereira RCM, Vigário PS, Mainenti MRM, Silva DTR, Lima TRL, Lemos T. Computerized photogrammetric assessment of postural alignment in visually impaired athletes. J Bodyw Mov Ther 2019; 23:142-147. [PMID: 30691741 DOI: 10.1016/j.jbmt.2018.06.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Revised: 01/07/2018] [Accepted: 05/12/2018] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The aim of the study was to provide a computerized photogrammetric description of the postural alignment of visually impaired athletes. METHODS Twenty-six athletes were evaluated. Athletes were asked to stand at easy with styrofoam balls placed on selected anatomical landmarks, and photographic images were acquired in four viewpoints. Postural Assessment Software (PAS/SAPO) was applied for image analysis. Body's angles and distances were calculated and transformed in absolute (nonnegative) values for analysis. Factor analysis was applied for data reduction. RESULTS Absolute values of PAS/SAPO variables resulted in lower coefficient of variation (CV) than raw values (average of 57% versus 500%, respectively), which potentially enhances the comparative use of these measures. Head's forward positioning and rightward inclination were among the most prevalent postural deviation, being observed in more than 70% of the athletes. With respect to the magnitude of the deviation, large variability was observed in data derived from anterior/posterior compared with lateral viewpoint. For instance, head's rightward inclination (head horizontal alignment in the anterior view) achieved 2.9 ± 2.5° (mean ± SD), with a CV of 86%, while head's forward positioning (C7 horizontal alignment in left viewpoint) reaches 42.7 ± 6.6°, with a CV of only 16%. Factor analysis did not result in significant data reduction, although anterior body's angles and distances were identified as important sources of data variability. CONCLUSIONS The PAS/SAPO values described here can be adopted as reference for future investigations of postural alignment in visually impaired athletes.
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Affiliation(s)
- Raphael C M Pereira
- Programa de Pós-Graduação em Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Rio de Janeiro, Brazil
| | - Patrícia S Vigário
- Programa de Pós-Graduação em Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Rio de Janeiro, Brazil
| | - Míriam R M Mainenti
- Divisão de Pesquisa e Extensão, Escola de Educação Física do Exército - EsEFEx, Rio de Janeiro, Brazil
| | - Dalila T R Silva
- Programa de Pós-Graduação em Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Rio de Janeiro, Brazil
| | - Tatiana R L Lima
- Programa de Pós-Graduação em Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Rio de Janeiro, Brazil
| | - Thiago Lemos
- Programa de Pós-Graduação em Ciências da Reabilitação, Centro Universitário Augusto Motta - UNISUAM, Rio de Janeiro, Brazil.
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23
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Özyürek S, Bayraktar D, Genç A. Are the alterations in body posture related to decreased trunk muscle endurance in healthy young adults? J Back Musculoskelet Rehabil 2018; 31:431-436. [PMID: 28946524 DOI: 10.3233/bmr-169685] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Trunk muscle endurance exercises are commonly used for correcting the postural alterations. However, there is no study investigating the relationship between postural alignment and trunk muscle endurance in healthy young adults. OBJECTIVE The aim of this study was to examine whether the three-dimensional (3D) body posture is related to trunk muscle endurance in healthy young adults. METHODS Forty-two healthy young adults enrolled in this study. For 3D evaluation of the body posture, an internet-based postural assessment system was used. Alterations in posture (head, ribcage, and pelvis) were evaluated by using the Posture Index which represents the total score of postural displacements. The higher Posture Index scores indicate more severe displacements in the posture. Trunk muscle endurance measurements included side bridge, trunk flexors and trunk extensors endurance tests. Spearman's rho was used to evaluate the associations between measured parameters. RESULTS The median age of the participants were 22 (IQR: 21.0-23.0) years. The only significant correlation was detected between the side bridge endurance test and the total Posture Index score (rho =-0.402, p= 0.008). CONCLUSIONS These results indicated that the alterations of the body posture was significantly related to lower lateral trunk muscle endurance scores. These findings support the importance of trunk muscles, especially lateral trunk musculature to have a better body posture.
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24
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Lucha-López MO, Tricás-Moreno JM, Gaspar-Calvo E, Lucha-López AC, Vidal-Peracho C, Hidalgo-García C, Caudevilla-Polo S, Fanlo-Mazas P. Relationship between knee alignment in asymptomatic subjects and flexibility of the main muscles that are functionally related to the knee. J Int Med Res 2018; 46:3065-3077. [PMID: 29936873 PMCID: PMC6134663 DOI: 10.1177/0300060518771825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective To assess the relationship between static frontal knee alignment in asymptomatic subjects and flexibility of the main muscles functionally related to the knee. Methods A descriptive cross-sectional study was performed in 33 healthy adults (19-31 years). The frontal knee angle (valgus/varus angle) was measured by photogrammetry and it was measured in the lateral side. Therefore, high values were assigned for genu varum and low values for genu valgum. Iliopsoas, gluteus maximus and medius, rectus femoris, biceps femoris, vastus of the quadriceps, and gastrocnemius muscles were stretched. Muscles were classified as normal, reflex hypomobile, or structural hypomobile. Results Women had significantly greater valgus than did men (right angle, women: 174.41°/men: 177.41°; left angle, women: 174.20°/men: 178.70°). The right frontal plane knee angle was higher in women with structural hypomobile vastus. The left frontal plane knee angle was higher in women with structural hypomobile iliopsoas. No relationships were found in men. Conclusions A tighter vastus of the quadriceps and tighter iliopsoas are related to greater genu varum in adult women. Stretching the vastus of the quadriceps and iliopsoas when there is a tendency for excess varus in the knee, to prevent overuse injury or early osteoarthritis, might be clinically relevant.
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Affiliation(s)
- María Orosia Lucha-López
- 1 Faculty of Health Sciences, Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
| | - José Miguel Tricás-Moreno
- 1 Faculty of Health Sciences, Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
| | - Elena Gaspar-Calvo
- 1 Faculty of Health Sciences, Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
| | - Ana Carmen Lucha-López
- 1 Faculty of Health Sciences, Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
| | - Concepción Vidal-Peracho
- 2 Specialty Medical Center Grande Covián, SALUD, Avda. Alcalde Caballero Zaragoza, Spain.,3 Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
| | - César Hidalgo-García
- 1 Faculty of Health Sciences, Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
| | - Santos Caudevilla-Polo
- 1 Faculty of Health Sciences, Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
| | - Pablo Fanlo-Mazas
- 1 Faculty of Health Sciences, Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, Zaragoza, Spain
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Osypiuk K, Thompson E, Wayne PM. Can Tai Chi and Qigong Postures Shape Our Mood? Toward an Embodied Cognition Framework for Mind-Body Research. Front Hum Neurosci 2018; 12:174. [PMID: 29765313 PMCID: PMC5938610 DOI: 10.3389/fnhum.2018.00174] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Accepted: 04/13/2018] [Indexed: 12/19/2022] Open
Abstract
Dynamic and static body postures are a defining characteristic of mind-body practices such as Tai Chi and Qigong (TCQ). A growing body of evidence supports the hypothesis that TCQ may be beneficial for psychological health, including management and prevention of depression and anxiety. Although a variety of causal factors have been identified as potential mediators of such health benefits, physical posture, despite its visible prominence, has been largely overlooked. We hypothesize that body posture while standing and/or moving may be a key therapeutic element mediating the influence of TCQ on psychological health. In the present paper, we summarize existing experimental and observational evidence that suggests a bi-directional relationship between body posture and mental states. Drawing from embodied cognitive science, we provide a theoretical framework for further investigation into this interrelationship. We discuss the challenges involved in such an investigation and propose suggestions for future studies. Despite theoretical and practical challenges, we propose that the role of posture in mind-body exercises such as TCQ should be considered in future research.
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Affiliation(s)
- Kamila Osypiuk
- Osher Center for Integrative Medicine, Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States
| | - Evan Thompson
- Department of Philosophy, University of British Columbia, Vancouver, BC, Canada
| | - Peter M Wayne
- Osher Center for Integrative Medicine, Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States
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26
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Cavaggioni L, Trecroci A, Tosin M, Iaia FM, Alberti G. Individualized dry-land intervention program for an elite Paralympic swimmer. J Sports Med Phys Fitness 2018; 59:82-86. [PMID: 29498253 DOI: 10.23736/s0022-4707.18.08242-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The aim of this retrospective case study is the longitudinal description of the physical and functional parameters of a top-level Paralympic swimmer class S9-SB8-SM9 during four swimming seasons of training, from the Paralympic games in London 2012 to the Paralympic games in Rio 2016. A 22-year-old male swimmer underwent a specific preventive dry-land training based on diaphragmatic breathing, postural alignment, and slow-velocity resistance training aimed to improve his muscle strength. He was tested by using the Functional Movement Screen™, photographic postural assessment and vertical jump. The swimmer improved his functional, postural and strength parameters indicating a better functional movement and muscular power. These results show that a four-year specific dry-land intervention could be capable of enhancing the functional and physical requirements of a top-level Paralympic swimmer. This approach might be a suitable novel alternative for coaches and athletic trainers to integrate their training protocols for athletes with similar impairments.
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Affiliation(s)
- Luca Cavaggioni
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy -
| | - Athos Trecroci
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | | | - F Marcello Iaia
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Giampietro Alberti
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
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27
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Szucs KA, Brown EVD. Rater reliability and construct validity of a mobile application for posture analysis. J Phys Ther Sci 2018; 30:31-36. [PMID: 29410561 PMCID: PMC5788770 DOI: 10.1589/jpts.30.31] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2017] [Accepted: 10/04/2017] [Indexed: 12/26/2022] Open
Abstract
[Purpose] Measurement of posture is important for those with a clinical diagnosis as well
as researchers aiming to understand the impact of faulty postures on the development of
musculoskeletal disorders. A reliable, cost-effective and low tech posture measure may be
beneficial for research and clinical applications. The purpose of this study was to
determine rater reliability and construct validity of a posture screening mobile
application in healthy young adults. [Subjects and Methods] Pictures of subjects were
taken in three standing positions. Two raters independently digitized the static standing
posture image twice. The app calculated posture variables, including sagittal and coronal
plane translations and angulations. Intra- and inter-rater reliability were calculated
using the appropriate ICC models for complete agreement. Construct validity was determined
through comparison of known groups using repeated measures ANOVA. [Results] Intra-rater
reliability ranged from 0.71 to 0.99. Inter-rater reliability was good to excellent for
all translations. ICCs were stronger for translations versus angulations. The construct
validity analysis found that the app was able to detect the change in the four variables
selected. [Conclusion] The posture mobile application has demonstrated strong rater
reliability and preliminary evidence of construct validity. This application may have
utility in clinical and research settings.
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Affiliation(s)
- Kimberly A Szucs
- Department of Occupational Therapy, Duquesne University: 600 Forbes Avenue, Pittsburgh, PA, USA
| | - Elena V Donoso Brown
- Department of Occupational Therapy, Duquesne University: 600 Forbes Avenue, Pittsburgh, PA, USA
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Hébert-Losier K, Abd Rahman F. Reliability of postural measures in elite badminton players using Posture Pro 8. Physiother Theory Pract 2017; 34:483-494. [DOI: 10.1080/09593985.2017.1420117] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Kim Hébert-Losier
- Faculty of Health, Sport and Human Performance, Adams Centre for High Performance, University of Waikato, Mount Maunganui, Tauranga, New Zealand
- Department of Sports Science, National Sports Institute of Malaysia, Bukit Jalil, Kuala Lumpur, Malaysia
| | - Fahmi Abd Rahman
- Department of Sports Science, National Sports Institute of Malaysia, Bukit Jalil, Kuala Lumpur, Malaysia
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Stolinski L, Kozinoga M, Czaprowski D, Tyrakowski M, Cerny P, Suzuki N, Kotwicki T. Two-dimensional digital photography for child body posture evaluation: standardized technique, reliable parameters and normative data for age 7-10 years. SCOLIOSIS AND SPINAL DISORDERS 2017; 12:38. [PMID: 29276784 PMCID: PMC5738151 DOI: 10.1186/s13013-017-0146-7] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2017] [Accepted: 12/04/2017] [Indexed: 12/13/2022]
Abstract
BACKGROUND Digital photogrammetry provides measurements of body angles or distances which allow for quantitative posture assessment with or without the use of external markers. It is becoming an increasingly popular tool for the assessment of the musculoskeletal system. The aim of this paper is to present a structured method for the analysis of posture and its changes using a standardized digital photography technique. MATERIAL AND METHODS The purpose of the study was twofold. The first one comprised 91 children (44 girls and 47 boys) aged 7-10 (8.2 ± 1.0), i.e., students of primary school, and its aim was to develop the photographic method, choose the quantitative parameters, and determine the intraobserver reliability (repeatability) along with the interobserver reliability (reproducibility) measurements in sagittal plane using digital photography, as well as to compare the Rippstein plurimeter and digital photography measurements. The second one involved 7782 children (3804 girls, 3978 boys) aged 7-10 (8.4 ± 0.5), who underwent digital photography postural screening. The methods consisted in measuring and calculating selected parameters, establishing the normal ranges of photographic parameters, presenting percentile charts, as well as noticing common pitfalls and possible sources of errors in digital photography. RESULTS A standardized procedure for the photographic evaluation of child body posture was presented. The photographic measurements revealed very good intra- and inter-rater reliability regarding the five sagittal parameters and good reliability performed against Rippstein plurimeter measurements. The parameters displayed insignificant variability over time. Normative data were calculated based on photographic assessment, while the percentile charts were provided to serve as reference values. The technical errors observed during photogrammetry are carefully discussed in this article. CONCLUSIONS Technical developments are allowed for the regular use of digital photogrammetry in body posture assessment. Specific child positioning (described above) enables us to avoid incidentally modified posture. Image registration is simple, quick, harmless, and cost-effective. The semi-automatic image analysis, together with the normal values and percentile charts, makes the technique reliable in terms of child's posture documentation and corrective therapy effects' monitoring.
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Affiliation(s)
- L. Stolinski
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 28 Czerwca 1956r. no. 135/147, 61-545 Poznan, Poland
- Rehasport Clinic, Poznan, Poland
- Rehasport Clinic Licensed Rehabilitation Center, Skierniewice, Poland
| | - M. Kozinoga
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 28 Czerwca 1956r. no. 135/147, 61-545 Poznan, Poland
- Rehasport Clinic, Poznan, Poland
| | - D. Czaprowski
- Department of Physiotherapy, Józef Rusiecki University College, Olsztyn, Poland
- Center of Body Posture, Olsztyn, Poland
| | - M. Tyrakowski
- Department of Orthopaedics, Pediatric Orthopaedics and Traumatology, The Centre of Postgraduate Medical Education in Warsaw, Otwock, Poland
| | - P. Cerny
- Faculty of Health Studies, University of West Bohemia, Pilsen, Czech Republic
- Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic
- ORTOTIKA, s. r. o, Faculty at Motol University Hospital, Prague, Czech Republic
| | - N. Suzuki
- Scoliosis Center, Medical Scanning Tokyo, Tokyo, Japan
| | - T. Kotwicki
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 28 Czerwca 1956r. no. 135/147, 61-545 Poznan, Poland
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Alves RDS, Pereira IC, Iunes DH, Rocha CBJ, Botelho S, Carvalho LC. Análise intra e interavaliadores da projeção do centro de massa do corpo obtido por fotogrametria. FISIOTERAPIA E PESQUISA 2017. [DOI: 10.1590/1809-2950/15819124042017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Para o ótimo controle postural, o centro de massa (COM) do corpo é uma variável que se projeta verticalmente entre os pés, dentro de uma base de suporte. Este estudo teve por objetivo avaliar a confiabilidade inter e intra-avaliadores da projeção do COM na base de sustentação, mensurada com auxílio do Software de Avaliação Postural (SAPO). Cinquenta e sete voluntárias foram avaliadas e todas foram submetidas ao registro fotográfico nas vistas anterior, lateral direita e esquerda, no mesmo instante temporal. As imagens foram entregues a dois examinadores, os quais utilizaram o SAPO. Para a análise estatística, foi utilizado o coeficiente de correlação intraclasse (ICC) e, para estimar a mínima mudança detectável (MMD), foi utilizado o erro padrão (EP). Os resultados demonstraram excelentes níveis de confiabilidade interexaminador e intraexaminador para assimetrias nos planos frontal, sagital e para a projeção do centro de gravidade no plano frontal e lateral (ICC>0,90; 95%IC>0,95; MDD entre 2,16 - 4,87). Os resultados do estudo demonstraram que a análise do COM obtida por meio do SAPO apresentou boa confiabilidade nas análises inter e intra-avaliadores.
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Senthil P, Sudhakar S, Radhakrishnan R, Jeyakumar S. Efficacy of corrective exercise strategy in subjects with hyperkyphosis. J Back Musculoskelet Rehabil 2017; 30:1285-1289. [PMID: 28968227 DOI: 10.3233/bmr-169668] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Age-related hyperkyphosis causes deleterious effects on health, physical function, and quality of life. Recently, health care providers recognized it as a major health concern. OBJECTIVE To identify the effect of corrective exercise strategy on hyperkyphosis and compare it with that of conventional exercise. METHODS Subjects were randomly categorized into two groups. Each group comprised 30 subjects. Group A received the corrective exercise strategy, and group B received conventional exercises for 8 weeks of the study duration (15 repetitions of each exercise for three sessions/day for a total duration of 45 min and 4 days/week. Pre- and post-interventional hyperkyphosis were analyzed according to posture number using the Posture Pro 8 postural analysis software. In addition, pectoralis minor flexibility was assessed using the ruler scale method in centimeters. RESULTS Both groups showed highly significant postural alteration and changes in pectoralis minor muscle length (p< 0.001)CONCLUSIONS:The corrective exercise strategy seems to promote scapular stability and produce a more upright posture of the upper thoracic spine.
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Affiliation(s)
- P Senthil
- School of Physiotherapy, Vels University, Chennai, Tamilnadu, India.,Department of Musculoskeletal, Mohamed Sathak A.J. College of Physiotherapy, Chennai, Tamilnadu, India
| | - S Sudhakar
- Faculty of Physiotherapy, ACS Medical College and Hospitals, Dr MGR University Educational and Research Institute, Chennai, Tamilnadu, India
| | - R Radhakrishnan
- Department of Musculoskeletal, Mohamed Sathak A.J. College of Physiotherapy, Chennai, Tamilnadu, India
| | - S Jeyakumar
- Department of Physiotherapy, Saveetha University, Chennai, Tamilnadu, India
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Ashnagar Z, Hadian MR, Olyaei G, Talebian Moghadam S, Rezasoltani A, Saeedi H, Yekaninejad MS, Mahmoodi R. Reliability of digital photography for assessing lower extremity alignment in individuals with flatfeet and normal feet types. J Bodyw Mov Ther 2017; 21:704-710. [PMID: 28750988 DOI: 10.1016/j.jbmt.2016.12.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 11/25/2016] [Accepted: 12/12/2016] [Indexed: 10/20/2022]
Abstract
AIM The aim of this study was to investigate the intratester reliability of digital photographic method for quantifying static lower extremity alignment in individuals with flatfeet and normal feet types. METHODS Thirteen females with flexible flatfeet and nine females with normal feet types were recruited from university communities. Reflective markers were attached over the participant's body landmarks. Frontal and sagittal plane photographs were taken while the participants were in a standardized standing position. The markers were removed and after 30 min the same procedure was repeated. Pelvic angle, quadriceps angle, tibiofemoral angle, genu recurvatum, femur length and tibia length were measured from photographs using the Image j software. RESULTS All measured variables demonstrated good to excellent intratester reliability using digital photography in both flatfeet (ICC: 0.79-0.93) and normal feet type (ICC: 0.84-0.97) groups. CONCLUSION The findings of the current study indicate that digital photography is a highly reliable method of measurement for assessing lower extremity alignment in both flatfeet and normal feet type groups.
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Affiliation(s)
- Zinat Ashnagar
- Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
| | - Mohammad Reza Hadian
- School of Rehabilitation, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, International Campus (TUMS, TUMS-IC), Tehran, Iran.
| | - Gholamreza Olyaei
- Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
| | - Saeed Talebian Moghadam
- Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
| | - Asghar Rezasoltani
- Faculty of Rehabilitation, Physiotherapy Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Hassan Saeedi
- Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
| | - Mir Saeed Yekaninejad
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
| | - Rahimeh Mahmoodi
- Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
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Senthil P, Sudhakar S, Porcelvan S, Francis TT, Rathnamala D, Radhakrishnan R. Implication of Posture Analysing Software to Evaluate the Postural Changes after Corrective Exercise Strategy on Subjects with Upper Body Dysfunction-A Randomized Controlled Trial. J Clin Diagn Res 2017; 11:YC01-YC04. [PMID: 28893030 PMCID: PMC5583788 DOI: 10.7860/jcdr/2017/26520.10229] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2017] [Accepted: 05/30/2017] [Indexed: 12/30/2022]
Abstract
INTRODUCTION The postural adaptation is very common now a days in school going children, office desk oriented job, computer users and frequent mobile users, and in all major industrial workers. Several studies have documented a high incidence of postural abnormalities in a given population; however, methods of postural measurement were poorly defined. The implication of postural pro software to analyse the postural imbalance of upper body dysfunction is very rare and literature studies says that the kinematic changes in particular segment will produce pain/discomfort and thereby lesser productivity of subjects. AIM To evaluate the postural changes in subjects with upper body dysfunction after a corrective exercise strategy using postural analysis software and pectoralis minor muscle length testing. MATERIALS AND METHODS After explaining the procedure and benefits, informed consent was taken from the participating subjects (age 25-55 years). Subjects with upper body dysfunction were randomly allocated into two groups (each group 30 subjects). The Group-A received the corrective exercise strategy and Group-B received the conventional exercise for eight weeks of study duration (15 reps each exercise, total duration of 40 min; four days/week. Pre and Post posture analysis were analysed using posture pro software along with flexibility of pectoralis minor was assessed using ruler scale method. RESULTS After interpretation of data, both the group showed the postural alteration and pectoralis minor muscle length changes, p-value (p<0.01) of both group showed highly significant changes. But comparing the both groups, the subjects who received the corrective exercise strategy shown more percentage of improvement in posture alteration (56.25%), pectoralis minor muscle length changes (68.69%) than the conventional exercise received subjects in posture alteration (24.86%) and pectoralis minor muscle length changes (21.9%). CONCLUSION Altered postural changes and pectoralis minor muscle flexibility before and after the corrective exercise strategy evaluated by postural analysis software method shown to be a significant tool in clinical practice, which is easier and reproducible method.
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Affiliation(s)
- Purushothaman Senthil
- Research Scholar, School of Physiotherapy, Vel’s University, Chennai, Tamil Nadu, India
| | - S Sudhakar
- Assistant Professor, Department of Arthroscopy and Sports Medicine, Sri Ramachandra University, Chennai, Tamil Nadu, India
| | - S Porcelvan
- Professor, Department of Research committee, Saveetha University, Chennai, Tamil Nadu, India
| | - T.G. Tilak Francis
- Professor, Department of Physiotherapy, Vel’s University, Chennai, Tamil Nadu, India
| | - D Rathnamala
- Associate Professor, Department of Physiotherapy, Mohamed Sathak A J College of Physiotherapy, Chennai, Tamil Nadu, India
| | - R Radhakrishnan
- Professor, Department of Physiotherapy, Mohamed Sathak A J College of Physiotherapy, Chennai, Tamil Nadu, India
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Canales JZ, Fiquer JT, Campos RN, Soeiro-de-Souza MG, Moreno RA. Investigation of associations between recurrence of major depressive disorder and spinal posture alignment: A quantitative cross-sectional study. Gait Posture 2017; 52:258-264. [PMID: 27987469 DOI: 10.1016/j.gaitpost.2016.12.011] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2016] [Revised: 10/27/2016] [Accepted: 12/10/2016] [Indexed: 02/02/2023]
Abstract
The aim of this study was to investigate associations between poor spinal posture and the recurrence of major depressive episodes and severity of symptoms in patients with major depressive disorder (MDD). This was a cross-sectional quantitative study of MDD patients. Outpatients were recruited from consecutive admissions at a mood disorders unit of a tertiary psychiatric hospital. Of 136 MDD patients, 72 (53 women, 19 men; mean age, 42.4±9.1years) met all the criteria and completed the study. Forty-one patients were classified with a recurrent episode (RE) of MDD and 31 with a single episode (SE). Quantitative assessments of postural deviations were made using photogrammetry, including kyphosis, shoulder protraction, and head inclination. The severity of depressive episodes was assessed using the Hamilton Depression Rating Scale. The diagnosis and classification of patients were performed according to DSM-IV-TR and SCID criteria. Multivariate analysis of variance indicated that the RE group had greater anterior head inclination (35.39; SD: 1.57), greater scapular abduction (1.69; SD: 0.93), and worse thoracic kyphosis (139.38; SD: 1.19) than the SE group (p<0.001 for all). Multivariate analysis of covariance showed an interaction between the severity of depressive symptoms and the degree of thoracic kyphosis (p=0.002). Recurrence of depressive episodes is associated with measures of postural misalignment.
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Affiliation(s)
- Janette Z Canales
- Mood Disorders Unit (GRUDA), Department of Psychiatry, School of Medicine, University of São Paulo, R. Dr. Ovídio Pires de Campos 785, 05403-010 São Paulo, Brazil.
| | - Juliana T Fiquer
- Laboratory of Medical Investigation (LIM 23), Department of Psychiatry, School of Medicine, University of São Paulo, R. Dr. Ovídio Pires de Campos 785, 05403-010 São Paulo, Brazil
| | - Rodolfo N Campos
- Department of Psychiatry, Federal University of Goiás, Primeira Avenida, Sem Número, Setor Universitário, 74000-000 Goiânia, Goiás, Brazil
| | - Márcio Gerhardt Soeiro-de-Souza
- Mood Disorders Unit (GRUDA), Department of Psychiatry, School of Medicine, University of São Paulo, R. Dr. Ovídio Pires de Campos 785, 05403-010 São Paulo, Brazil
| | - Ricardo Alberto Moreno
- Mood Disorders Unit (GRUDA), Department of Psychiatry, School of Medicine, University of São Paulo, R. Dr. Ovídio Pires de Campos 785, 05403-010 São Paulo, Brazil
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Ludwig O, Hammes A, Kelm J, Schmitt E. Assessment of the posture of adolescents in everyday clinical practice: Intra-rater and inter-rater reliability and validity of a posture index. J Bodyw Mov Ther 2016; 20:761-766. [DOI: 10.1016/j.jbmt.2016.04.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2015] [Revised: 03/08/2016] [Accepted: 03/21/2016] [Indexed: 11/26/2022]
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Aroeira RMC, de Las Casas EB, Pertence AEM, Greco M, Tavares JMR. Non-invasive methods of computer vision in the posture evaluation of adolescent idiopathic scoliosis. J Bodyw Mov Ther 2016; 20:832-843. [DOI: 10.1016/j.jbmt.2016.02.004] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2015] [Revised: 02/07/2016] [Accepted: 02/08/2016] [Indexed: 11/29/2022]
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Ludwig O, Mazet C, Mazet D, Hammes A, Schmitt E. Age-dependency of posture parameters in children and adolescents. J Phys Ther Sci 2016; 28:1607-10. [PMID: 27313382 PMCID: PMC4905921 DOI: 10.1589/jpts.28.1607] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2016] [Accepted: 02/03/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Poor posture in children and adolescents is a well-known problem. Therefore,
early detection of incorrect posture is important. Photometric posture analysis is a
cost-efficient and easy method, but needs reliable reference values. As children’s posture
changes as they grow, the assessment needs to be age-specific. This study aimed to
investigate the development of both one-dimensional posture parameter (body inclination
angle) and complex parameter (posture index) in different age groups (childhood to
adolescence). [Subjects and Methods] The participants were 372 symptom-free children and
adolescents (140 girls and 232 boys aged 6–17). Images of their habitual posture were
obtained in the sagittal plane. High-contrast marker points and marker spheres were placed
on anatomical landmarks. Based on the marker points, the body inclination angle (INC) and
posture index (PI) were calculated using the Corpus concepts software. [Results] The INC
angle significantly increased with age. The PI did not change significantly among the age
groups. No significant differences between the corresponding age groups were found for PI
and INC for both sexes. [Conclusion] When evaluating posture using the body inclination
angle, the age of the subject needs to be considered. Posture assessment with an
age-independent parameter may be more suitable.
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Affiliation(s)
- Oliver Ludwig
- Institute of Sport Sciences, Saarland University, Germany
| | - Carola Mazet
- Institute of Sport Sciences, Saarland University, Germany
| | - Dirk Mazet
- Institute of Sport Sciences, Saarland University, Germany
| | | | - Eduard Schmitt
- Universitätsklinikum des Saarlandes, Klinik für Orthopaedie und Orthop. Chirurgie, Germany
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Ludwig O, Mazet C, Mazet D, Hammes A, Schmitt E. Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input - Implications for Diagnostic Analysis of Posture. J Clin Diagn Res 2016; 10:SC14-7. [PMID: 27042547 DOI: 10.7860/jcdr/2016/16647.7283] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2015] [Accepted: 12/30/2015] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Poor posture in children and adolescents has a prevalence of 22-65% and is suggested to be responsible for back pain. To assess posture, photometric imaging of sagittal posture is widely used, but usually only habitual posture positions (resting position with minimal muscle activity) are analysed. AIM The objective of this study was 1) to investigate possible changes in posture-describing parameters in the sagittal plane, when the subjects changed from a habitual passive posture to an actively corrected posture, and 2) to investigate the changes in posture parameters when an actively corrected posture was to be maintained with closed eyes. MATERIALS AND METHODS In a group of 216 male children and adolescents (average 12.4 ± 2.5 years, range 7.0 - 17.6 years), six sagittal posture parameters (body tilt BT, trunk incline TI, posture index PI, horizontal distances between ear, shoulder and hip and the perpendicular to the ankle joint) were determined by means of photometric imaging in an habitual passive posture position, in an actively erect posture with eyes open, and in active stance with eyes closed. The change in these parameters during the transition between the posture positions was analysed statistically (dependent t-Test or Wilcoxon-Test) after Bonferroni correction (p<0.004). RESULTS When moving from a habitual passive to an active posture BT, TI, PI, dEar, dShoulder, and dHip decreased significantly(p< 0.004). When the eyes were closed, only the perpendicular distances (dEar, dShoulder, and dHip) increased significantly. The parameters that describe the alignment of the trunk sections in relation to each other (BT, TI, PI), remained unchanged in both actively regulated posture positions. CONCLUSION Changes in sagittal posture parameters that occur when a habitual passive posture switches into an active posture or when an active posture is to be maintained while the eyes are closed can be used for diagnostic purposes regarding poor posture and posture regulation.
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Affiliation(s)
- Oliver Ludwig
- Scientific Head, AG Kid-Check, Institute of Sport Sciences, Saarland University , Saarbrücken, Germany
| | - Carola Mazet
- Senior Physiotherapist, AG Kid-Check, Institute of Sport Sciences, Saarland University , Saarbrücken, Germany
| | - Dirk Mazet
- Senior Researcher, AG Kid-Check, Institute of Sport Sciences, Saarland University , Saarbrücken, Germany
| | - Annette Hammes
- Senior Researcher, AG Kid-Check , Endokrinologikum, Saarbrücken, Germany
| | - Eduard Schmitt
- Medical Head AG Kid-Check, Klinik für Orthopädie und orthop . Chirurgie, Universitätsklinikum Homburg, Germany
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Correlation between Trunk Posture and Neck Reposition Sense among Subjects with Forward Head Neck Postures. BIOMED RESEARCH INTERNATIONAL 2015; 2015:689610. [PMID: 26583125 PMCID: PMC4637041 DOI: 10.1155/2015/689610] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/09/2015] [Revised: 05/30/2015] [Accepted: 06/02/2015] [Indexed: 11/17/2022]
Abstract
Objective. To assess the correlation of abnormal trunk postures and reposition sense of subjects with forward head neck posture (FHP). Methods. In all, postures of 41 subjects were evaluated and the FHP and trunk posture including shoulder, scapular level, pelvic side, and anterior tilting degrees were analyzed. We used the head repositioning accuracy (HRA) test to evaluate neck position senses of neck flexion, neck extension, neck right and left side flexion, and neck right and left rotation and calculated the root mean square error in trials for each subject. Spearman's rank correlation coefficients and regression analysis were used to assess the degree of correlation between the trunk posture and HRA value, and a significance level of α = 0.05 was considered. Results. There were significant correlations between the HRA value of right side neck flexion and pelvic side tilt angle (p < 0.05). If pelvic side tilting angle increases by 1 degree, right side neck flexion increased by 0.76 degrees (p = 0.026). However, there were no significant correlations between other neck motions and trunk postures. Conclusion. Verifying pelvic postures should be prioritized when movement is limited due to the vitiation of the proprioceptive sense of neck caused by FHP.
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Poredoš P, Čelan D, Možina J, Jezeršek M. Determination of the human spine curve based on laser triangulation. BMC Med Imaging 2015; 15:2. [PMID: 25651841 PMCID: PMC4327951 DOI: 10.1186/s12880-015-0044-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Accepted: 01/21/2015] [Indexed: 12/04/2022] Open
Abstract
Background The main objective of the present method was to automatically obtain a spatial curve of the thoracic and lumbar spine based on a 3D shape measurement of a human torso with developed scoliosis. Manual determination of the spine curve, which was based on palpation of the thoracic and lumbar spinous processes, was found to be an appropriate way to validate the method. Therefore a new, noninvasive, optical 3D method for human torso evaluation in medical practice is introduced. Methods Twenty-four patients with confirmed clinical diagnosis of scoliosis were scanned using a specially developed 3D laser profilometer. The measuring principle of the system is based on laser triangulation with one-laser-plane illumination. The measurement took approximately 10 seconds at 700 mm of the longitudinal translation along the back. The single point measurement accuracy was 0.1 mm. Computer analysis of the measured surface returned two 3D curves. The first curve was determined by manual marking (manual curve), and the second was determined by detecting surface curvature extremes (automatic curve). The manual and automatic curve comparison was given as the root mean square deviation (RMSD) for each patient. The intra-operator study involved assessing 20 successive measurements of the same person, and the inter-operator study involved assessing measurements from 8 operators. Results The results obtained for the 24 patients showed that the typical RMSD between the manual and automatic curve was 5.0 mm in the frontal plane and 1.0 mm in the sagittal plane, which is a good result compared with palpatory accuracy (9.8 mm). The intra-operator repeatability of the presented method in the frontal and sagittal planes was 0.45 mm and 0.06 mm, respectively. The inter-operator repeatability assessment shows that that the presented method is invariant to the operator of the computer program with the presented method. Conclusions The main novelty of the presented paper is the development of a new, non-contact method that provides a quick, precise and non-invasive way to determine the spatial spine curve for patients with developed scoliosis and the validation of the presented method using the palpation of the spinous processes, where no harmful ionizing radiation is present.
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Affiliation(s)
- Primož Poredoš
- University of Ljubljana, Faculty of Mechanical Engineering, Aškerčeva 6, 1000, Ljubljana, Slovenia.
| | - Dušan Čelan
- University Medical Centre Maribor, Ljubljanska ulica 5, 2000, Maribor, Slovenia.
| | - Janez Možina
- University of Ljubljana, Faculty of Mechanical Engineering, Aškerčeva 6, 1000, Ljubljana, Slovenia.
| | - Matija Jezeršek
- University of Ljubljana, Faculty of Mechanical Engineering, Aškerčeva 6, 1000, Ljubljana, Slovenia.
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