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Pizones J, Moreno-Manzanaro L, Pupak A, Núñez-Pereira S, Larrieu D, Boissiere L, Richner-Wunderlin S, Loibl M, Zulemyan T, Yücekul A, Zgheib S, Charles YP, Chang DG, Kleinstueck F, Obeid I, Alanay A, Sánchez Pérez-Grueso FJ, Pellisé F. Reliability of a New Digital Tool for Photographic Analysis in Quantifying Body Asymmetry in Scoliosis. J Clin Med 2024; 13:2114. [PMID: 38610880 PMCID: PMC11012662 DOI: 10.3390/jcm13072114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Revised: 03/18/2024] [Accepted: 03/25/2024] [Indexed: 04/14/2024] Open
Abstract
Background: Advancements in non-ionizing methods for quantifying spinal deformities are crucial for assessing and monitoring scoliosis. In this study, we analyzed the observer variability of a newly developed digital tool for quantifying body asymmetry from clinical photographs. Methods: Prospective observational multicenter study. Initially, a digital tool was developed using image analysis software, calculating quantitative measures of body asymmetry. This tool was integrated into an online platform that exports data to a database. The tool calculated 10 parameters, including angles (shoulder height, axilla height, waist height, right and left waistline angles, and their difference) and surfaces of the left and right hemitrunks (shoulders, waists, pelvises, and total). Subsequently, an online training course on the tool was conducted for twelve observers not involved in its development (six research coordinators and six spine surgeons). Finally, 15 standardized back photographs of adolescent idiopathic scoliosis patients were selected from a multicenter image bank, representing various clinical scenarios (different age, gender, curve type, BMI, and pre- and postoperative images). The 12 observers measured the photographs at two different times with a three-week interval. For the second round, the images were randomly mixed. Inter- and intra-observer variabilities of the measurements were analyzed using intraclass correlation coefficients (ICCs), and reliability was measured by the standard error of measurement (SEM). Group comparisons were made using Student's t-test. Results: The mean inter-observer ICC for the ten measurements was 0.981, the mean intra-observer ICC was 0.937, and SEM was 0.3-1.3°. The parameter with the strongest inter- and intra-observer validity was the difference in waistline angles 0.994 and 0.974, respectively, while the highest variability was found with the waist height angle 0.963 and 0.845, respectively. No test-retest differences (p > 0.05) were observed between researchers (0.948 ± 0.04) and surgeons (0.925 ± 0.05). Conclusion: We developed a new digital tool integrated into an online platform demonstrating excellent reliability and inter- and intra-observer variabilities for quantifying body asymmetry in scoliosis patients from a simple clinical photograph. The method could be used for assessing and monitoring scoliosis and body asymmetry without radiation.
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Affiliation(s)
- Javier Pizones
- Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, 28046 Madrid, Spain; (L.M.-M.); (F.J.S.P.-G.)
| | - Lucía Moreno-Manzanaro
- Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, 28046 Madrid, Spain; (L.M.-M.); (F.J.S.P.-G.)
| | - Anika Pupak
- Spine Research Unit, Vall d’Hebron Institute of Research, 08035 Barcelona, Spain;
| | - Susana Núñez-Pereira
- Spine Surgery Unit, Hospital Universitario Vall d’Hebron, 08035 Barcelona, Spain (F.P.)
| | - Daniel Larrieu
- Spine Surgery Unit, Pellegrin University Hospital, 33076 Bordeaux, France; (D.L.); (I.O.)
| | - Louis Boissiere
- Spine Surgery Unit, Pellegrin University Hospital, 33076 Bordeaux, France; (D.L.); (I.O.)
| | | | - Markus Loibl
- Department of Orthopedics, Schulthess Klinik, 8008 Zurich, Switzerland (M.L.); (F.K.)
| | - Tais Zulemyan
- Department of Orthopedics and Traumatology, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey; (T.Z.); (A.Y.); (A.A.)
| | - Altug Yücekul
- Department of Orthopedics and Traumatology, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey; (T.Z.); (A.Y.); (A.A.)
| | - Sara Zgheib
- Spine Surgery Unit, University Hospital Strasbourg, 67000 Strasbourg, France; (S.Z.); (Y.P.C.)
| | - Yann Philippe Charles
- Spine Surgery Unit, University Hospital Strasbourg, 67000 Strasbourg, France; (S.Z.); (Y.P.C.)
| | - Dong-Gune Chang
- Department of Orthopedic Surgery, Inje University Sanggye Paik Hospital, College of Medicine, Inje University, 01757 Seoul, Republic of Korea;
| | - Frank Kleinstueck
- Department of Orthopedics, Schulthess Klinik, 8008 Zurich, Switzerland (M.L.); (F.K.)
| | - Ibrahim Obeid
- Spine Surgery Unit, Pellegrin University Hospital, 33076 Bordeaux, France; (D.L.); (I.O.)
| | - Ahmet Alanay
- Department of Orthopedics and Traumatology, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey; (T.Z.); (A.Y.); (A.A.)
| | | | - Ferran Pellisé
- Spine Surgery Unit, Hospital Universitario Vall d’Hebron, 08035 Barcelona, Spain (F.P.)
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Ludwig O, Wilhelm L, Fröhlich M. Correlation between the sacral tilt measured with an inclinometer and the pelvic tilt as a tool for assessing the pelvic position. J Phys Ther Sci 2024; 36:186-189. [PMID: 38562534 PMCID: PMC10981962 DOI: 10.1589/jpts.36.186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Accepted: 01/16/2024] [Indexed: 04/04/2024] Open
Abstract
[Purpose] The aim of this study was to examine whether the forward tilt of the sacrum, which can be measured using an inclinometer, correlates with pelvic tilt and is therefore suitable for therapeutic use as part of a postural assessment for treatment planning or for preventive screening. [Participants and Methods] In 121 athletes (22 females, 99 males), we measured the forward tilt of the sacrum in habitual stance using a digital inclinometer attached to the skin at the level of the posterior superior spinae. At the same time, the forward tilt of the pelvis was determined using videography. For this purpose, we determined the angle between two marker spheres placed on the posterior and anterior superior spinae and the horizontal using sagittal posture photographs. [Results] Taking age as a control variable, we found a significant correlation of moderate strength between pelvic tilt and sacral tilt in men. In women, there was a significant correlation with a strong effect. [Conclusion] The measurement of sacral tilt using an inclinometer positioned on the skin between the posterior superior spinae correlates statistically significantly with pelvic tilt and is therefore suitable as an easy-to-use diagnostic tool for therapeutic use in treatment planning and evaluation.
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Affiliation(s)
- Oliver Ludwig
- Faculty of Sport Sciences, University of
Kaiserslautern-Landau: Erwin-Schrödinger-Str. 57, 67663 Kaiserslautern, Germany
| | - Linda Wilhelm
- Faculty of Sport Sciences, University of
Kaiserslautern-Landau: Erwin-Schrödinger-Str. 57, 67663 Kaiserslautern, Germany
| | - Michael Fröhlich
- Faculty of Sport Sciences, University of
Kaiserslautern-Landau: Erwin-Schrödinger-Str. 57, 67663 Kaiserslautern, Germany
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3
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Ludwig O, Wilhelm L, Fröhlich M. Correlation between the sacral tilt measured with an inclinometer and the pelvic tilt as a tool for assessing the pelvic position. J Phys Ther Sci 2024; 36:186-189. [PMID: 38562534 PMCID: PMC10981962 DOI: 10.1589/jpts.36.192] [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] [Received: 11/21/2023] [Accepted: 01/16/2024] [Indexed: 08/30/2024] Open
Abstract
[Purpose] The aim of this study was to examine whether the forward tilt of the sacrum, which can be measured using an inclinometer, correlates with pelvic tilt and is therefore suitable for therapeutic use as part of a postural assessment for treatment planning or for preventive screening. [Participants and Methods] In 121 athletes (22 females, 99 males), we measured the forward tilt of the sacrum in habitual stance using a digital inclinometer attached to the skin at the level of the posterior superior spinae. At the same time, the forward tilt of the pelvis was determined using videography. For this purpose, we determined the angle between two marker spheres placed on the posterior and anterior superior spinae and the horizontal using sagittal posture photographs. [Results] Taking age as a control variable, we found a significant correlation of moderate strength between pelvic tilt and sacral tilt in men. In women, there was a significant correlation with a strong effect. [Conclusion] The measurement of sacral tilt using an inclinometer positioned on the skin between the posterior superior spinae correlates statistically significantly with pelvic tilt and is therefore suitable as an easy-to-use diagnostic tool for therapeutic use in treatment planning and evaluation.
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Affiliation(s)
- Oliver Ludwig
- Faculty of Sport Sciences, University of
Kaiserslautern-Landau: Erwin-Schrödinger-Str. 57, 67663 Kaiserslautern, Germany
| | - Linda Wilhelm
- Faculty of Sport Sciences, University of
Kaiserslautern-Landau: Erwin-Schrödinger-Str. 57, 67663 Kaiserslautern, Germany
| | - Michael Fröhlich
- Faculty of Sport Sciences, University of
Kaiserslautern-Landau: Erwin-Schrödinger-Str. 57, 67663 Kaiserslautern, Germany
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4
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Belli G, Russo L, Mauro M, Toselli S, Maietta Latessa P. Relation between Photogrammetry and Spinal Mouse for Lumbopelvic Assessment in Adolescents with Thoracic Kyphosis. Healthcare (Basel) 2024; 12:738. [PMID: 38610160 PMCID: PMC11012063 DOI: 10.3390/healthcare12070738] [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: 12/30/2023] [Revised: 03/26/2024] [Accepted: 03/27/2024] [Indexed: 04/14/2024] Open
Abstract
The evaluation of the lumbopelvic region is a crucial point during postural assessment in childhood and adolescence. Photogrammetry (PG) and Spinal Mouse (SM) are two of the most debated tools to properly analyze postural alignment and avoid misleading data. This study aims to find out the best linear regression model that could relate the analytic measurements of the SM with one or more PG parameters in adolescents with kyphotic postures. Thirty-nine adolescents (female = 35.9%) with structural and non-structural kyphosis were analyzed (13.2 ± 1.8 years; 1.59 ± 0.12 m; 47.6 ± 11.8 kg) using the SM and PG on the sagittal plane in a standing and forward-bending position, allowing for the measurement of body vertical inclination, lumbar and pelvic alignment, trunk flexion, sacral inclination during bending, and hip position during bending. Lordosis lumbar angles (SM) were significantly (r = -0.379, r = -0.328) correlated with the SIPS-SIAS angle (PG) during upright standing, while in the bending position, the highest correlation appeared among the sacral-hip (SM) and the sacral tangent (ST_PG; r = -0.72) angles. The stepwise backward procedure was assessed to estimate the SM variability in the bending and standing positions. Only in the bending position did the linear regression model reach high goodness-of-fit values with two regressors (ST_PG η2=0.504, BMI η2=0.252; adjusted- R2 =0.558, p < 0.001, CCC = 0.972, r = 0.763). Despite gold-standard methods reducing error evaluation, physicians and kinesiologists may consider photogrammetry as a good method for spinal curve prediction.
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Affiliation(s)
- Guido Belli
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy; (G.B.); (S.T.); (P.M.L.)
| | - Luca Russo
- Department of Human Sciences, IUL Telematic University, 50122 Florence, Italy;
| | - Mario Mauro
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy; (G.B.); (S.T.); (P.M.L.)
| | - Stefania Toselli
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy; (G.B.); (S.T.); (P.M.L.)
| | - Pasqualino Maietta Latessa
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy; (G.B.); (S.T.); (P.M.L.)
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5
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Kochman M, Cmela G, Kasperek W, Guzik A, Drużbicki M. Body Posture and Low Back Pain: Differences between Folk and Ballroom Dancers. Healthcare (Basel) 2024; 12:137. [PMID: 38255027 PMCID: PMC10815755 DOI: 10.3390/healthcare12020137] [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: 11/28/2023] [Revised: 01/03/2024] [Accepted: 01/04/2024] [Indexed: 01/24/2024] Open
Abstract
(1) Background: Dance is extremely diverse in its styles. Each of them presents different training, dynamics, and figures that may impact the body posture and the occurrence of low back pain. This observational study aimed to compare the sagittal curvatures and the range of motion (ROM) of the spine, as well as the low back pain occurrence and its intensity between folk and ballroom dancers. (2) Methods: Fifty-one participants took part in the study (nineteen folk dancers, fifteen ballroom dancers, and seventeen non-dancers) aged 18-32. Study groups did not differ in anthropometric parameters as well as in dancing experience and training frequency. Study procedures included a self-administered questionnaire and a physical examination of the sagittal spine curvatures and ROM. The questionnaire included questions about epidemiological data and the occurrence of chronic pain and its intensity using a Visual Analogue Scale (VAS). (3) Results: There was a significant difference in thoracic kyphosis angle between study groups (p = 0.02). The greatest angle was found in folk dancers and the lowest in ballroom dancers (40 vs. 33 respectively). We have found no significant differences in spine ROM, low back pain occurrence, and intensity between study groups (p > 0.05). We have found no correlation between low back pain and spine curvatures and ROM in dancers (p > 0.05), however, we found a very strong and negative correlation between thoracic spine range of motion and the pain intensity in non-dancers (R= -0.95, p = 0.003). The analysis also revealed that only in folk dancers, but not in ballroom dancers, the BMI correlates positively with dancing experience (R = 0.67, p = 0.002). (4) Conclusions: There are no differences in low back pain occurrence and pain intensity between folk and ballroom dancers, however, the prevalence of low back pain in dancers is very high. Folk dancers seem to have more flexed body posture compared to ballroom dancers.
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Affiliation(s)
- Maciej Kochman
- Physiotherapy Department, Institute of Health Sciences, College of Medical Sciences, University of Rzeszów, 35-215 Rzeszów, Poland
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6
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Tekin S, Yagci G, Topuz S, Demirkiran G. Comparison of gait and sagittal plane arm swing between individuals with adolescent idiopathic scoliosis and healthy individuals. Acta Orthop Belg 2023; 89:727-734. [PMID: 38205767 DOI: 10.52628/89.4.11444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2024]
Abstract
Arm swing and energy consumption play an important role in the realization of an effective gait. However, research on arm swing and energy consumption during gait in individuals with adolescent idiopathic scoliosis (AIS) is limited. The aim of this study was to investigate the spatiotemporal characteristics of gait, arm swing angles in the sagittal plane, energy consumption in individuals with AIS, to compare them with their healthy peers in this regard. 26 diagnosed with AIS and 21 healthy were included in this study. Evaluation measures were based on the Cobb angle, axial trunk rotation, trunk symmetry, sagittal curve measurements, spatiotemporal characteristics of gait with the GAITRite electronic walkway, sagittal plane arm swing with two video-camera recordings, and energy consumption. There were a decrease in right- sided sagittal arm swing, an increase in energy consumption, in left-side step time and right-side double support time in the scoliosis group compared to the control group. The other spatiotemporal characteristics of the gait were similar in both groups. The evaluation of arm swing, energy consumption, and gait of individuals with AIS may contribute to the development of rehabilitation programs by better identifying the deficiencies of individuals with AIS.
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Trandzhiev M, Vezirska DI, Maslarski I, Milev MD, Laleva L, Nakov V, Cornelius JF, Spiriev T. Photogrammetry Applied to Neurosurgery: A Literature Review. Cureus 2023; 15:e46251. [PMID: 37908958 PMCID: PMC10614469 DOI: 10.7759/cureus.46251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2023] [Indexed: 11/02/2023] Open
Abstract
Photogrammetry refers to the process of creating 3D models and taking measurements through the use of photographs. Photogrammetry has many applications in neurosurgery, such as creating 3D anatomical models and diagnosing and evaluating head shape and posture deformities. This review aims to summarize the uses of the technique in the neurosurgical practice and showcase the systems and software required for its implementation. A literature review was done in the online database PubMed. Papers were searched using the keywords "photogrammetry", "neurosurgery", "neuroanatomy", "craniosynostosis" and "scoliosis". The identified articles were later put through primary (abstracts and titles) and secondary (full text) screening for eligibility for inclusion. In total, 86 articles were included in the review from 315 papers identified. The review showed that the main uses of photogrammetry in the field of neurosurgery are related to the creation of 3D models of complex neuroanatomical structures and surgical approaches, accompanied by the uses for diagnosis and evaluation of patients with structural deformities of the head and trunk, such as craniosynostosis and scoliosis. Additionally, three instances of photogrammetry applied for more specific aims, namely, cervical spine surgery, skull-base surgery, and radiosurgery, were identified. Information was extracted on the software and systems used to execute the method. With the development of the photogrammetric method, it has become possible to create accurate 3D models of physical objects and analyze images with dedicated software. In the neurosurgical setting, this has translated into the creation of anatomical teaching models and surgical 3D models as well as the evaluation of head and spine deformities. Through those applications, the method has the potential to facilitate the education of residents and medical students and the diagnosis of patient pathologies.
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Affiliation(s)
- Martin Trandzhiev
- Department of Neurosurgery, Acibadem City Clinic University Hospital Tokuda, Sofia, BGR
| | - Donika I Vezirska
- Department of Neurosurgery, Acibadem City Clinic University Hospital Tokuda, Sofia, BGR
| | - Ivan Maslarski
- Department of Anatomy and Histology, Pathology, and Forensic Medicine, University Hospital Lozenetz, Medical Faculty, Sofia University, Sofia, BGR
| | - Milko D Milev
- Department of Neurosurgery, Acibadem City Clinic University Hospital Tokuda, Sofia, BGR
| | - Lili Laleva
- Department of Neurosurgery, Acibadem City Clinic University Hospital Tokuda, Sofia, BGR
| | - Vladimir Nakov
- Department of Neurosurgery, Acibadem City Clinic University Hospital Tokuda, Sofia, BGR
| | - Jan F Cornelius
- Department of Neurosurgery, University Hospital of Düsseldorf, Heinrich Heine University, Düsseldorf, DEU
| | - Toma Spiriev
- Department of Neurosurgery, Acibadem City Clinic University Hospital Tokuda, Sofia, BGR
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Belli G, Toselli S, Mauro M, Maietta Latessa P, Russo L. Relation between Photogrammetry and Spinal Mouse for Sagittal Imbalance Assessment in Adolescents with Thoracic Kyphosis. J Funct Morphol Kinesiol 2023; 8:jfmk8020068. [PMID: 37218864 DOI: 10.3390/jfmk8020068] [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: 03/31/2023] [Revised: 05/13/2023] [Accepted: 05/17/2023] [Indexed: 05/24/2023] Open
Abstract
The evaluation of postural alignment in childhood and adolescence is fundamental for sports, health, and daily life activities. Spinal Mouse (SM) and photogrammetry (PG) are two of the most debated tools in postural evaluation because choosing the proper instrument is also important to avoid false or misleading data. This research aims to find out the best linear regression models that could relate the analytic kyphosis measurements of the SM with one or more PG parameters of body posture in adolescents with kyphotic posture. Thirty-four adolescents with structural and non-structural kyphosis were analyzed (13.1 ± 1.8 years; 1.59 ± 0.13 m; 47.0 ± 12.2 kg) using SM and PG on the sagittal plane in a standing and forward-bending position, allowing us to measure body vertical inclination, trunk flexion, and sacral inclination and hip position during bending. The stepwise backward procedure was assessed to estimate the variability of the grade of inclination of the spine and thoracic spine curvature with fixed upper and lower limits, evaluated with SM during flexion. In both models, the PG angle between the horizontal line and a line connecting the sacral endplate-C7 spinous process and the PG hip position were the best regressors (adjusted-R2 SM bend = 0.804, p < 0.001; adjusted-R2 SM fixed bending = 0.488, p < 0.001). Several Spinal Mouse and photogrammetry parameters showed significant correlations, especially when the Spinal Mouse measurements were taken when the adolescents were in the forward-bending position. Physicians and kinesiologists may consider photogrammetry as a good method for spinal curve prediction.
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Affiliation(s)
- Guido Belli
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
| | - Stefania Toselli
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
| | - Mario Mauro
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
| | | | - Luca Russo
- Department of Human Sciences, IUL Telematic University, 50122 Florence, Italy
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Emir A, Tarakci D, Atilgan E, Tarakci E. Comparing body posture and postural control in children with intellectual disability and dyslexia to typically developing children using technology‑based assessments. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2023. [DOI: 10.12968/ijtr.2022.0007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2023]
Abstract
Background/Aims Children with intellectual disability and dyslexia have poor academic and behavioural skills related to social participation, as well as poor motor skills compared to typically developing children. Most training programmes for these children focus on the academic and behavioural aspects of special education, overlooking musculoskeletal and motor development needs. The aim of this study was to investigate body posture and postural control in children with intellectual disability and dyslexia compared to typically developing children using technology-based assessments. Methods A total of 77 children (36 with dyslexia, 21 with intellectual disability and 20 typically developing children) took part in the study. The PostureScreen Mobile app was used to evaluate body posture and the Fizyosoft Balance System was used to assess postural control. Results Significant postural differences were observed in children with intellectual disability when compared to typically developing children. Head, shoulder and knee translations in the sagittal plane were significantly higher in children with intellectual disability than typically developing children. Centre of pressure velocities were significantly higher in children with dyslexia. Centre of pressure displacements showed non-significant differences in the children with dyslexia compared to the children with intellectual disability and typically developing children. Conclusions The present study found that children with dyslexia had poor postural control and children with intellectual disability had poor quality of posture compared to typically developing children. The authors believe that motor and physical assessments with objective outcome measurements should be conducted for children with dyslexia and intellectual disability to help improve their motor development.
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Affiliation(s)
- Ahmet Emir
- Department of Physiotherapy and Rehabilitation, Graduate School of Health Sciences, Istanbul Medipol University, Istanbul, Turkey
| | - Devrim Tarakci
- Department of Ergotherapy, School of Health Sciences, Istanbul Medipol University, Istanbul, Turkey
| | - Esra Atilgan
- Department of Orthotics and Prostetics, School of Health Sciences, Istanbul Medipol University, Istanbul, Turkey
| | - Ela Tarakci
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University - Cerrahpasa, Istanbul, Turkey
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Ludwig O, Dindorf C, Kelm J, Simon S, Nimmrichter F, Fröhlich M. Reference Values for Sagittal Clinical Posture Assessment in People Aged 10 to 69 Years. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20054131. [PMID: 36901144 PMCID: PMC10001505 DOI: 10.3390/ijerph20054131] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 02/22/2023] [Accepted: 02/23/2023] [Indexed: 06/01/2023]
Abstract
Poor posture is a well-known problem in all age groups and can lead to back pain, which in turn can result in high socio-economic costs. Regular assessment of posture can therefore help to identify postural deficits at an early stage in order to take preventive measures and can therefore be an important tool for promoting public health. We measured the posture of 1127 symptom-free subjects aged 10 to 69 years using stereophotogrammetry and determined the sagittal posture parameters flèche cervicale (FC), flèche lombaire (FL), and kyphosis index (KI) as well as the values standardized to the trunk height (FC%, FL%, KI%). FC, FC%, KI, and KI% showed an increase with age in men but not in women, and a difference between the sexes. FL remained largely constant with age, although FL% had significantly greater values in women than men. Postural parameters correlated only moderately or weakly with body mass index. Reference values were determined for different age groups and for both sexes. Since the parameters analyzed can also be determined by simple and non-instrumental methods in medical office, they are suitable for performing preventive checks in daily medical or therapeutic practice.
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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
| | - Jens Kelm
- Chirurgisch-Orthopädisches Zentrum, 66557 Illingen, Germany
| | - Steven Simon
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
| | - Felix Nimmrichter
- Institute of Sport Science, Universität des Saarlandes, 66041 Saarbrücken, Germany
| | - Michael Fröhlich
- Department of Sport Science, Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau (RPTU), 67663 Kaiserslautern, Germany
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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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Reliability and Convergent Validity of Digital Photography in Assessing Postural Orientation of Children with Cerebral Palsy: A Methodological Study. ARCHIVES OF NEUROSCIENCE 2022. [DOI: 10.5812/ans-129929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: This study aimed to assess the test-retest intra-rater reliability and convergent validity of digital photography (DP) in detecting the postural orientation of children with cerebral palsy (CP). Methods: The study recruited children with various types of CP with the Gross Motor Function Classification System level I or II and spasticity < 2 on the Ashworth Scale, without any visual or cognitive impairments. Children who had undergone any surgical intervention or received a botulinum toxin injection within the previous six months were excluded. A digital camera was fixed at 1.5 meters from the participants at the height of 90 cm. Non-reflective markers were attached to eight anatomical landmarks to localize the upper and lower center of mass on both sides. The same examiner took three digital photos to detect intra-rater reliability using the intraclass correlation coefficient (ICC). Pearson's correlation and linear regression analysis were used to assess the convergent validity of the DP method compared with the Pediatric Balance Scale (PBS) scores. Results: Thirty children (7.44 ± 2.38 years) were assessed to test the reliability of DP, and 55 others (8.06 ± 2.19 years) participated in the convergent validity study. Intra-rater reliability was found to be perfect (ICC > 0.995) and there was a strong significant negative correlation between DP measures and PBS scores (Pearson's correlation > 0.75) with high adjusted R2 (R2 > 0.567), indicating goodness of fit between the measures. Conclusions: Digital photography (DP) is a reliable and valid method for assessing postural orientation in children with various types of CP.
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13
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Jefferds MED, Mei Z, Palmieri M, Mesarina K, Onyango D, Mwando R, Akelo V, Liu J, Zhou Y, Meng Y, Bougma K. Acceptability and Experiences with the Use of 3D Scans to Measure Anthropometry of Young Children in Surveys and Surveillance Systems from the Perspective of Field Teams and Caregivers. Curr Dev Nutr 2022; 6:nzac085. [PMID: 35755937 PMCID: PMC9213209 DOI: 10.1093/cdn/nzac085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 04/01/2022] [Accepted: 04/14/2022] [Indexed: 11/15/2022] Open
Abstract
Background Portable systems using three-dimensional (3D) scan data to calculate young child anthropometry measurements in population-based surveys and surveillance systems lack acceptability data from field workers and caregivers. Objective The aim was to assess acceptability and experiences with 3D scans measuring child aged 0-59 mo anthropometry in population-based surveys and surveillance systems in Guatemala, Kenya, and China (0-23 mo only) among field teams and caregivers of young children as secondary objectives of an external effectiveness evaluation. Methods Manual data were collected twice and 12 images captured per child by anthropometrist/expert and assistant (AEA) field teams (individuals/country, n = 15/Guatemala, n = 8/Kenya, n = 6/China). Caregivers were interviewed after observing their child's manual and scan data collection. Mixed methods included an administered caregiver interview (Guatemala, n = 465; Kenya, n = 496; China, n = 297) and self-administered AEA questionnaire both with closed- and open-ended questions, and 6 field team focus group discussions (FGDs; Guatemala, n = 2; Kenya, n = 3; China, n = 1). Qualitative data were coded by 2 authors and quantitative data produced descriptive statistics. Mixed-method results were compared and triangulated. Results Most AEAs were female with secondary or higher education. Approximately 80-90% of caregivers were the child's mother. To collect all anthropometry data, 62.1% of the 29 AEAs preferred scan, while 31% preferred manual methods. In FGDs, a key barrier for manual and scan methods was lack of child cooperation. Across countries, approximately 30% to almost 50% of caregivers said their child was bothered by each manual and scan method, while ≥95% of caregivers were willing to have their child measured by scans in the future. Conclusions Use of 3D scans to calculate anthropometry measurements was generally at least as acceptable as manual anthropometry measurement among AEA field workers and caregivers of young children aged <60 mo, and in some cases preferred.
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Affiliation(s)
| | - Zuguo Mei
- Nutrition Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Mireya Palmieri
- Nutrition and Micronutrients Unit, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala
| | - Karla Mesarina
- Nutrition and Micronutrients Unit, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala
| | | | - Rael Mwando
- Kisumu County Department of Health, Kisumu, Kenya
| | - Victor Akelo
- Office of the Director, Center for Global Health, Centers for Disease Control and Prevention, Kisumu, Kenya
| | - Jianmeng Liu
- Institute of Reproductive and Child Health, Peking University, Beijing, China
- National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing, China
| | - Yubo Zhou
- Institute of Reproductive and Child Health, Peking University, Beijing, China
- National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing, China
| | - Ying Meng
- Institute of Reproductive and Child Health, Peking University, Beijing, China
- National Health Commission Key Laboratory of Reproductive Health, Peking University, Beijing, China
| | - Karim Bougma
- Centers for Disease Control and Prevention Foundation, Atlanta, GA, USA
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14
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Zhai M, Huang Y, Zhou S, Feng J, Pei C, Wen L. Effects of a postural cueing for head and neck posture on lumbar lordosis angles in healthy young and older adults: a preliminary study. J Orthop Surg Res 2022; 17:199. [PMID: 35379258 PMCID: PMC8981642 DOI: 10.1186/s13018-022-03090-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 03/22/2022] [Indexed: 11/21/2022] Open
Abstract
Background Postural rehabilitation plays an important role in the treatment of non-specific low back pain. Although pelvic inclination has been widely used to improve lumbar lordosis, the effect of cervical anterior inclination on lumbar lordosis in young and older adults in sitting and standing posture is still unclear. This preliminary study was designed to examine the influence of changing the cervical anterior angle on the lumbar lordosis angle, through alterations of the head position under the natural sitting and standing conditions, aiming to provide a basis for establishing a new postural rehabilitation strategy. Methods Thirty-six young (24.0 ± 2.2 years, 14 females and 22 males) and 38 older (68.4 ± 5.9 years, 36 females and 2 males) healthy adults participated in this study. The four spinal regional angles—cervical anterior angle, thoracic kyphosis angle, lumbar lordosis angle, and pelvic forward inclination angle, were measured in standing and relaxed sitting postures to determine the effects of a postural cueing for the head and neck posture, “inclining head backward and performing chin tuck,” on lumbar lordosis angle. Results In the standing posture, the pelvic forward inclination angle in the older adult group was significantly smaller (P < 0.001, by ANOVA) than that in the young adult group and increased significantly (P < 0.001) in response to the postural cueing. In addition, the thoracic kyphosis angle in the standing (P = 0.001) and sitting (P = 0.003) positions was significantly reduced in response to the postural cueing. However, the lumbar lordosis angle in response to the postural cueing increased significantly in both the standing position (P < 0.001) and sitting position (P < 0.001). Conclusion The results suggest that increasing the cervical anterior angle can increase the lumbar lordosis angle, and the cervical anterior inclination can be used as an alternative to pelvic forward inclination to improve the lumbar lordosis angle. Furthermore, the change in head and neck posture can reduce the thoracic kyphosis angle, making it possible to establish a new noninvasive body posture rehabilitation strategy. Supplementary Information The online version contains supplementary material available at 10.1186/s13018-022-03090-9.
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Affiliation(s)
- Meiling Zhai
- School of Sports and Health, Nanjing Sport Institute, No.8 Linggusi road, Nanjing, 210014, Jiangsu, China.,Institute of Exercise and Health, Tianjin University of Sport, No.16 Donghai Road, West Tuanbo New Town, Jinghai District, Tianjin, 301617, China
| | - Yongchao Huang
- School of Sports and Health, Nanjing Sport Institute, No.8 Linggusi road, Nanjing, 210014, Jiangsu, China.,Institute of Exercise and Health, Tianjin University of Sport, No.16 Donghai Road, West Tuanbo New Town, Jinghai District, Tianjin, 301617, China
| | - Shi Zhou
- Sport and Exercise Science, Faculty of Health, Southern Cross University, P Block, Military Road, East Lismore, NSW, 2480, Australia
| | - Jiayun Feng
- Institute of Sports Training, Tianjin University of Sport, No.16 Donghai Road, West Tuanbo New Town, Jinghai District, Tianjin, 301617, China
| | - Chaolei Pei
- Institute of Sports Training, Shanxi Normal University, No.339 Taiyu Road, Xiaodian District, Taiyuan City, 030000, China
| | - Li Wen
- School of Sports and Health, Nanjing Sport Institute, No.8 Linggusi road, Nanjing, 210014, Jiangsu, China.
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15
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Belli G, Toselli S, Latessa PM, Mauro M. Evaluation of Self-Perceived Body Image in Adolescents with Mild Idiopathic Scoliosis. Eur J Investig Health Psychol Educ 2022; 12:319-333. [PMID: 35323209 PMCID: PMC8947275 DOI: 10.3390/ejihpe12030023] [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] [Received: 01/31/2022] [Revised: 02/28/2022] [Accepted: 03/04/2022] [Indexed: 11/29/2022] Open
Abstract
Adolescent idiopathic scoliosis (AIS) is the most prevalent types of scoliosis, affecting up to 3% of children around the world. The progression of AIS can cause alteration in psychological components such as self-perceived body image and self-identity, which negatively affect the teenager quality of life (QoL). The mainly aim of this cross-sectional study is to investigate how mild AIS impacts self-perceived body image in young people. Fifteen participants (mean age = 14.47 ± 2.825) of both sexes (male = 5; female = 10) with a curve magnitude from 10° up to 25° completed the Scoliosis Research Society Patient Questionnaire (SRS-22), the Trunk Appearance Perception Scale (TAPS) and were subject to spinal analysis and photogrammetry. Results display statistical differences between self-perceived body image and other SRS-22 domains (Hotelling t2= 70.29; F(3,12) = 20.08; p < 0.001). Additionally, the regression model, which better explained the self-perceived variability, was fit by function/activity, pain, and mental health domains (F(4,10) = 4.39; p = 0.029; R2 = 0.545). Although AIS was not severe, it negatively affected participants self-perceived body image. More attention in AIS qualify of life is needed, and early treatments could be necessary to prevent psychological impairments self-perception related.
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Affiliation(s)
- Guido Belli
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy; (G.B.); (P.M.L.); (M.M.)
| | - Stefania Toselli
- Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy
- Correspondence:
| | - Pasqualino Maietta Latessa
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy; (G.B.); (P.M.L.); (M.M.)
| | - Mario Mauro
- Department of Sciences for Life Quality Studies, University of Bologna, 47921 Rimini, Italy; (G.B.); (P.M.L.); (M.M.)
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16
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Kozinoga M, Stoliński Ł, Korbel K, Politarczyk K, Janusz P, Kotwicki T. Regular School Sport versus Dedicated Physical Activities for Body Posture-A Prospective Controlled Study Assessing the Sagittal Plane in 7-10-Year-Old Children. J Clin Med 2022; 11:jcm11051255. [PMID: 35268346 PMCID: PMC8911120 DOI: 10.3390/jcm11051255] [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] [Received: 09/17/2021] [Revised: 02/19/2022] [Accepted: 02/22/2022] [Indexed: 02/05/2023] Open
Abstract
Body posture develops during the growing period and can be documented using trunk photography. The study aims to evaluate the body posture in children aged 7-10 years undergoing a dedicated physical activities program versus regular school sport. A total of 400 children, randomly chosen from a cohort of 9300 participating in a local scoliosis screening program, were evaluated twice at a one-year interval. A total of 167 children were involved in regular school sport (control group), while 233 received both school sport and a dedicated physical activities program (intervention group). Standardized photographic habitual body posture examination was performed at enrollment (T0) and one-year after (T1). Sacral slope (SS), lumbar lordosis (LL), thoracic kyphosis (TK), chest inclination (CI), and head protraction (HP) were measured. At T0, the body posture parameters did not differ between groups. At T1 in the controls, all five parameters tended to deteriorate (insignificant): SS p = 0.758, LL p = 0.38, TK p = 0.328, CI p = 0.081, and HP p = 0.106. At T1 in the intervention group, the SS decreased (p = 0.001), the LL tended to decrease (p = 0.0602), and the TK, CI, and HP remained unaltered. At T1, the SS and LL parameter differed between groups statistically (p = 0.0002 and p = 0.0064, respectively) and clinically (2.52° and 2.58°, respectively). In 7-10-year-old children, participation in dedicated physical activities tends to improve their body posture compared to regular school sport.
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Affiliation(s)
- Mateusz Kozinoga
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 61-545 Poznan, Poland; (K.P.); (P.J.); (T.K.)
- Correspondence:
| | | | - Krzysztof Korbel
- Department of Physiotherapy, University of Medical Sciences, 61-545 Poznan, Poland;
| | - Katarzyna Politarczyk
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 61-545 Poznan, Poland; (K.P.); (P.J.); (T.K.)
| | - Piotr Janusz
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 61-545 Poznan, Poland; (K.P.); (P.J.); (T.K.)
| | - Tomasz Kotwicki
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 61-545 Poznan, Poland; (K.P.); (P.J.); (T.K.)
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17
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Neurodynamic Functions and Their Correlations with Postural Parameters in Adolescents with Idiopathic Scoliosis. J Clin Med 2022; 11:jcm11041115. [PMID: 35207387 PMCID: PMC8880101 DOI: 10.3390/jcm11041115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 01/10/2022] [Accepted: 02/17/2022] [Indexed: 11/24/2022] Open
Abstract
Knowledge about neurodynamic functions of the nervous system (NS) in patients with idiopathic scoliosis (IS) is limited. This study aimed to assess the mechanosensitivity of the NS structures (MNS) in adolescents with IS. The study included 69 adolescents with IS and 57 healthy peers aged 10–15 years. The Upper Limb Neurodynamic Test 1 (ULNT1), straight leg raise (SLR) test, and slump test (SLUMP) were used to assess MNS. The spinal curvatures in the sagittal plane and selected ranges of motion were measured. The data were analysed using the Mann–Whitney U test and Spearman’s rank correlation. Increased MNS assessed by ULNT1 and SLUMP tests was observed in participants with IS. Values of the neurodynamic tests correlated significantly with the sagittal profile of the spine and the mobility of the spine and lower limbs in both groups. In conclusion, increased MNS occurs in adolescents with IS. Therefore, the examination of adolescents with IS should include an assessment of MNS with the neurodynamic tests. Future studies should investigate this issue to better understand the mechanisms that coexist with IS.
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18
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Analysis of postural asymmetry on sagittal plane between right and left side views using photogrammetry. J Bodyw Mov Ther 2022; 29:251-256. [DOI: 10.1016/j.jbmt.2021.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 10/18/2021] [Accepted: 11/05/2021] [Indexed: 11/20/2022]
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19
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Aktan D, Erdoganoglu Y. Effect of Short-Term 3-Dimensional Schroth Exercises In Adolescent Idiopathic Scoliosis: An Observational Study. J Manipulative Physiol Ther 2021; 44:612-620. [DOI: 10.1016/j.jmpt.2022.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 02/15/2022] [Accepted: 02/16/2022] [Indexed: 11/24/2022]
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20
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Kellish AS, Hakim A, Shahi A, Gutowski CJ, Kleiner MT. The Delivery of Orthopaedic Care midst COVID-19 and Social Distancing. THE ARCHIVES OF BONE AND JOINT SURGERY 2021; 9:371-378. [PMID: 34423083 PMCID: PMC8359650 DOI: 10.22038/abjs.2020.48498.2406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Accepted: 11/07/2020] [Indexed: 11/06/2022]
Abstract
In this paper we present the findings of a literature review covering articles published in the last three decades describing the application of telemedicine in orthopaedics. A review of the PubMed Central and Medline provided 75 articles studying the role of telemedicine, the majority directly examining the application of telemedicine in orthopaedic patients. We report the summarized findings of these studies, the financial and HIPAA considerations of using telemedicine, and provide an example of our single urban level-1 trauma center's strategy for incorporating telemedicine into the clinical practice of orthopaedic surgeons during the COVID-19 pandemic.
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Affiliation(s)
- Alec S. Kellish
- Cooper Medical School of Rowan University, Camden New Jersey, USA
| | - Abraham Hakim
- Cooper Medical School of Rowan University, Camden New Jersey, USA
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21
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Mishra N, Ramlan A, Tang KH, Yeo B, Loo LH, Lee NKL, Lim KBL. A novel technique to achieve maximal bending in flexibility assessment by slot-scanning digital radiography in scoliosis - The new gold standard? Eur J Radiol 2021; 141:109805. [PMID: 34098417 DOI: 10.1016/j.ejrad.2021.109805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 05/31/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Neeraj Mishra
- Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore
| | - Azura Ramlan
- Department of Diagnostic and Interventional Imaging, KK Women's & Children's Hospital, Singapore
| | - Kiew Hoon Tang
- Department of Diagnostic and Interventional Imaging, KK Women's & Children's Hospital, Singapore
| | - Beatrice Yeo
- Division of Surgery, KK Women's and Children's Hospital, Singapore
| | - Liang Hui Loo
- Division of Surgery, KK Women's and Children's Hospital, Singapore
| | | | - Kevin Boon Leong Lim
- Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore; Division of Surgery, KK Women's and Children's Hospital, Singapore.
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22
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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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El Gharib MH, El Tohamy AM, Mohamed NE. Determining the relationship between the quadriceps and tibiofemoral angles among adolescents. J Taibah Univ Med Sci 2021; 16:70-76. [PMID: 33603634 PMCID: PMC7858017 DOI: 10.1016/j.jtumed.2020.10.003] [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] [Received: 07/16/2020] [Revised: 10/03/2020] [Accepted: 10/05/2020] [Indexed: 12/03/2022] Open
Abstract
Objectives This study aims to determine the relationship between the quadriceps angle (Q-angle) and tibiofemoral angle (TF-angle) among adolescents. We also compared the angles between both the lower limbs with respect to dominancy, measured the difference between athletic and non-athletic angles, and explored the variations of these features in different sports. Methods We recruited 150 adolescents aged between 12 and 18 years and classified them into two groups; group A (athletic group), including four subgroups of players of different sports, and group B (non-athletic group). We measured the Q-angle and TF-angle via computerized photogrammetry. Results This study showed a strong and statistically significant relationship between Q-angle and TF-angle (p < 0.05). Similarly, we found a statistically significant difference in the Q-angle and TF-angle between both the lower limbs concerning dominance. Lastly, we identified a significant difference between the athletic and non-athletic groups. However, there was no difference among players of different sports (p > 0.05). Conclusion Our study showed a strong relationship between the Q-angle and the TF-angle. The Q-angle and the TF-angle should be measured bilaterally and the nature of sports should also be considered.
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Affiliation(s)
- Maha H El Gharib
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
| | - Amira M El Tohamy
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
| | - Nanees E Mohamed
- Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
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24
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Wilczyński J, Lipińska-Stańczak M, Wilczyński I. Body Posture Defects and Body Composition in School-Age Children. CHILDREN-BASEL 2020; 7:children7110204. [PMID: 33138013 PMCID: PMC7694094 DOI: 10.3390/children7110204] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Revised: 09/15/2020] [Accepted: 10/16/2020] [Indexed: 12/12/2022]
Abstract
The aim of the study was to assess the relationship between the shape of the anteriorposterior spinal curvature and body composition in schoolchildren. The study included 257 children, aged 11–12. Correct spinal curvature was established in 106 (41.08%) subjects. Other types included: decreased kyphosis and correct lordosis—40 participants (15.50%), correct kyphosis and decreased lordosis—24 individuals (9.30%), increased kyphosis and correct lordosis—17 subjects (6.59%), correct kyphosis and increased lordosis—22 children (8.53%), decreased kyphosis and decreased lordosis—32 people (12.40%), decreased kyphois and increased lordosis—four of the examined subjects (1.55%) increased kyphosis and lordosis—13 people (5.04%). In addition, 134 (51.94%) demonstrated scoliotic posture and eight (3.10%) scoliosis. There were significant relationships between the shape of the anteriorposterior curvatures and body composition in schoolchildren. Those with a strong body build (predominance of mesomorphs) were generally characterised by the correct formation of these curvatures. In contrast, lean subjects (with the predominance of ectomorphic factors) were more likely to experience abnormalities. No correlations with body composition were observed in the group with scoliotic posture or scoliosis. Both in the prevention and correction of postural defects, one should gradually move away from one-sided, usually one-system, therapeutic effects. An approach that takes into account both somatic and neurophysiological factors seems appropriate. With the correct body composition and structure, shaping the habit of correct posture is much easier.
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Navarro IJRL, Candotti CT, Furlanetto TS, Dutra VH, do Amaral MA, Loss JF. Validation of a Mathematical Procedure for the Cobb Angle Assessment Based on Photogrammetry. J Chiropr Med 2020; 18:270-277. [PMID: 32952472 DOI: 10.1016/j.jcm.2019.01.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2018] [Revised: 11/25/2018] [Accepted: 01/16/2019] [Indexed: 12/23/2022] Open
Abstract
Objective This prospective study aimed to assess the concurrent validity and diagnostic accuracy of a mathematical procedure for measurement of the spinal inclination angle, analogous to the Cobb angle, by means of photogrammetry. Methods Sixty-one subjects (aged 7 to 18 years), male and female, underwent radiographic (Cobb angle) and photogrammetric (DIPA [Digital Image-based Postural Assessment] angle) evaluations. The measurement of spinal inclination angle obtained through photogrammetry followed the Digital Image-Based Postural Assessment software protocol. Concurrent validity was appraised using Spearman rank correlation, the coefficient of determination, the root-mean-square error, Bland-Altman plot analysis, and receiver operating characteristic analysis, adopting P ≤ .05. Results The analyses were divided according to the topography of the scoliotic curve (thoracic, lumbar, or thoracolumbar). The correlations were excellent (from 0.72 to 0.81) and significant for all the regions of the spine, and the coefficients of determination ranged between 0.75 and 0.88. The root-mean-square error was between 5° and 11°, and the mean difference was very close to 0. The area under the curve was excellent and significant, ranging between 95% and 99%. Conclusion The mathematical procedure presented is valid to evaluate the spinal inclination angle in photogrammetry, analogous to the Cobb angle in radiography.
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Affiliation(s)
| | - Cláudia T Candotti
- Biomechanics Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Tássia S Furlanetto
- Biomechanics Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Vinícius H Dutra
- Biomechanics Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Maiane A do Amaral
- Biomechanics Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Jefferson F Loss
- Biomechanics Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Ludwig O, Kelm J, Hammes A, Schmitt E, Fröhlich M. Neuromuscular performance of balance and posture control in childhood and adolescence. Heliyon 2020; 6:e04541. [PMID: 32775721 PMCID: PMC7398941 DOI: 10.1016/j.heliyon.2020.e04541] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 06/04/2020] [Accepted: 07/20/2020] [Indexed: 12/21/2022] Open
Abstract
This study examined a potential age-dependency of both posture and stability (balance) control in children and adolescents in a healthy population. Body posture with open and closed eyes was examined for a total of 456 test persons (age 6.7–17.6 years. Posture parameters (posture index, upper body tilt, trunk tilt) were assessed in the sagittal plane. Additionally, the oscillation of the center of pressure with open and closed eyes was additionally analyzed in a sub-sample of 318 subjects. Absolute values of stability control parameters changed significantly during childhood and adolescence for both boys (p = 0.005) and girls (p = 0.01). Relative changes of stability and posture parameters when closing the eyes did not change (p > 0.05) and were independent of age, gender or sports activity in healthy children and adolescents. The shifting of the body segments towards each other, as a result of the loss of visual information, does not seem to be primarily responsible for the increase in COP fluctuation. This is a further indication that stability control and posture control are complex interdependent mechanisms whose interaction is not yet fully understood.
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Affiliation(s)
- Oliver Ludwig
- Fachgebiet Sportwissenschaft, Technische Universität Kaiserslautern, 67663 Kaiserslautern, Germany
- Sportwissenschaftliches Institut, Universität des Saarlandes, 66123 Saarbrücken, Germany
- Corresponding author.
| | - Jens Kelm
- Chirurgisch-orthopädisches Zentrum, 66557 Illingen, Germany
| | - Annette Hammes
- Medicover Medizinisches Versorgungszentrum, 66111 Saarbrücken, Germany
| | - Eduard Schmitt
- Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsklinikum des Saarlandes, 66424 Homburg, Germany
| | - Michael Fröhlich
- Fachgebiet Sportwissenschaft, Technische Universität Kaiserslautern, 67663 Kaiserslautern, Germany
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Role of physical fitness and functional movement in the body posture of children with overweight/obesity. Gait Posture 2020; 80:331-338. [PMID: 32599548 DOI: 10.1016/j.gaitpost.2020.04.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2019] [Revised: 03/31/2020] [Accepted: 04/01/2020] [Indexed: 02/02/2023]
Abstract
BACKGROUND Childhood obesity is known to negatively impact body posture with severe consequences for the musculoskeletal system. Physical performance could play a positive role in the body posture conformation of these children, but there is little evidence to date. RESEARCH QUESTION Is physical performance (i.e., physical fitness and functional movement) associated with a better body posture in children with overweight/obesity (OW/OB)? If so, is physical performance more determinant than their obesity degree in the body posture conformation? METHOD A total of 62 children with OW/OB (10.86 ± 1.25 years, 58 % girls) were included. BMI, physical fitness components (one-repetition-maximum (1RM) arms and leg press, and ALPHA test battery), functional movement quality (Functional Movement Screen™) and body posture (two-dimensional photogrammetry) were evaluated. RESULTS Physical fitness components and functional movement were overall associated with a more aligned posture of the head, lumbar and thoracic spines and lower limb. BMI was associated with head protraction, thoracic hyperkyphosis, lumbar hyperlordosis and lower limb valgus. BMI was the best predictor of head and lumbar spine posture, cardiorespiratory fitness of lower limb posture in frontal plane, speed-agility of lower limb posture in the sagittal plane and functional movement of thoracic spine. SIGNIFICANCE Our findings reveal that physical fitness and functional movement are associated with a better global body posture in children with OW/OB, and that in some musculoskeletal structures are even better predictors than their obesity degree.
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Bago J, Pizones J, Matamalas A, D’Agata E. Clinical photography in severe idiopathic scoliosis candidate for surgery: is it a useful tool to differentiate among Lenke patterns? EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2019; 28:3018-3025. [DOI: 10.1007/s00586-019-06096-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Revised: 07/17/2019] [Accepted: 08/04/2019] [Indexed: 11/25/2022]
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Candotti CT, Gelain GM, Antoniolli A, Araújo LM, Vieira A, Loss JF. Repeatability and Reproducibility of Postural Variables by Photogrammetry. J Manipulative Physiol Ther 2019; 42:372-378. [PMID: 31262579 DOI: 10.1016/j.jmpt.2018.10.006] [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: 05/09/2018] [Revised: 10/01/2018] [Accepted: 10/21/2018] [Indexed: 10/26/2022]
Abstract
OBJECTIVE This study aimed to examine the reliability of postural variables analyzed by photogrammetry obtained at different instances on the same day and between 2 different days. METHODS A sample composed of 24 healthy adult individuals of both sexes was submitted to photogrammetric postural assessment. From 35 seconds of filming, 7 photographs (of time instance at 0 second, 05 seconds, 10 seconds, 15 seconds, 20 seconds, 25 seconds, and 30 seconds) were extracted and digitalized on digital image-based postural assessment software. One factor repeated-measures analysis of variance quantified the alterations in the magnitude of the variables within and between sessions (factor time and factor day, respectively). The intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC) were calculated to verify the repeatability and reproducibility. RESULTS The repeatability shows that postural variables did not present significant differences in the comparison among the 7 instances; all the variables had excellent and significant ICCs, and SEM and MDC values indicated measurement errors lower than 5%. The intrarater reproducibility shows that postural variables did not present significant differences between 2 days of evaluation; most of the variables had excellent and significant ICCs, and SEM and MDC values were between 0.9% and 12.5%. CONCLUSION The results for repeatability and reproducibility show that most of the variables have excellent and significant ICCs. Postural evaluation by photogrammetry can be performed at any time within a 30-second interval counting from the positioning of the participant for assessment. Therefore, we conclude that a single photograph can represent the static posture of an individual in the postural evaluation, which is reliable enough and useful to determine the effects of an intervention either in clinical practice or in research.
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Affiliation(s)
- Cláudia Tarragô Candotti
- Physical Education, Physiotherapy and Dance School of Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Grazielle Martins Gelain
- Physical Education, Physiotherapy and Dance School of Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
| | - Arthur Antoniolli
- Physical Education, Physiotherapy and Dance School of Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Liliane Martini Araújo
- Physical Education, Physiotherapy and Dance School of Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Adriane Vieira
- Physical Education, Physiotherapy and Dance School of Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Jefferson Fagundes Loss
- Physical Education, Physiotherapy and Dance School of Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Matlęga A, Stępowska J, Wiśniewski A, Gajewski J. Assessment of the coronal plane trunk symmetry in children. Physiother Theory Pract 2019; 36:1502-1508. [PMID: 30686095 DOI: 10.1080/09593985.2019.1570574] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objective: To present the use of Posterior Trunk Symmetry Index (POTSI) and Anterior Trunk Symmetry Index (ATSI) for the assessment of the coronal plane trunk symmetry in children; to compare the two measures in individual subjects and to evaluate the possible association of each measure with gender and age (<6 vs. >6 years). Methods: Trunk photographs in uncorrected standing position were taken and analyzed to calculate POTSI and ATSI from measurements in 50 healthy children (64% girls), mean age 7.1 ± 3.38 years. The raw data were normalized. Results: Mean POTSI: 28.45 ± 13.28 (normal values <27); mean ATSI: 35.54 ± 20.81 (normal range not established). No correlation was found between the POTSI and ATSI (r = 0.179; p = 0.21). There were no differences in the POTSI and ATSI between genders and age groups (<6 vs. >6 years). Trunk symmetry in coronal plane may be assessed with POTSI and ATSI parameters in children as young as approximately 2 years old if they cooperate. Conclusion: In healthy children, the values of POTSI and ATSI were independent of gender and chronological age. The combined use of POTSI and ATSI measurements in the same child seems a valuable tool for comprehensive trunk symmetry assessment but its application to physiotherapy practice requires further studies.
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Affiliation(s)
- Anna Matlęga
- Faculty of Physical Education, Józef Piłsudski University of Physical Education in Warsaw , Warsaw, Poland
| | - Jolanta Stępowska
- Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw , Warsaw, Poland
| | | | - Jan Gajewski
- Faculty of Physical Education, Józef Piłsudski University of Physical Education in Warsaw , Warsaw, Poland
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