ORIGINAL PAPER
Monitoring changes in the shape of the spine in children with
postural disorders
1
Jan Kochanowski University, Kielce, Poland
Submission date: 2022-12-04
Final revision date: 2023-02-06
Acceptance date: 2023-04-19
Publication date: 2023-06-30
Medical Studies 2023;39(2):132-139
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Due to numerous complications of an abnormal shape of the spine, it is extremely important to systematically monitor its shape. A precise and routine method of measurement enables comparison of the scores obtained over time and possible early intervention to avoid complications.
Aim of the research:
To present the pattern for monitoring changes in the shape of the spine in children with postural deformities.
Material and methods:
The study group consisted of patients with diagnosed shape of the spine deformity, who underwent a 4-month therapy, supervised by a physiotherapist. The control group comprised children with no shape of spine deformity. The children in the study group underwent a 3-dimensional computer analysis of the shape of the spine. The DIERS test was performed in both groups. In the study group it was performed 4 times. It involved the measurement of complete assessment of body posture.
Results:
Statistically significant scores of the Friedman test for imbalance, pelvic tilt, kyphosis angle, lordosis angle, and lateral deviation were observed. Therefore, a series of post-hoc analyses were performed using Dunn-Bonferroni tests. It was observed that changes in individual parameters analysed in the authors’ study arise at different speeds.
Conclusions:
Detailed monitoring of the parameters describing the position of the spine makes it possible to control the course of the treatment process of patients with disorders of the position of the spine. The dynamics of changes taking place within the spine position varies for the individual parameters analysed.
Due to numerous complications of an abnormal shape of the spine, it is extremely important to systematically monitor its shape. A precise and routine method of measurement enables comparison of the scores obtained over time and possible early intervention to avoid complications.
Aim of the research:
To present the pattern for monitoring changes in the shape of the spine in children with postural deformities.
Material and methods:
The study group consisted of patients with diagnosed shape of the spine deformity, who underwent a 4-month therapy, supervised by a physiotherapist. The control group comprised children with no shape of spine deformity. The children in the study group underwent a 3-dimensional computer analysis of the shape of the spine. The DIERS test was performed in both groups. In the study group it was performed 4 times. It involved the measurement of complete assessment of body posture.
Results:
Statistically significant scores of the Friedman test for imbalance, pelvic tilt, kyphosis angle, lordosis angle, and lateral deviation were observed. Therefore, a series of post-hoc analyses were performed using Dunn-Bonferroni tests. It was observed that changes in individual parameters analysed in the authors’ study arise at different speeds.
Conclusions:
Detailed monitoring of the parameters describing the position of the spine makes it possible to control the course of the treatment process of patients with disorders of the position of the spine. The dynamics of changes taking place within the spine position varies for the individual parameters analysed.
REFERENCES (55)
1.
Pizzigalli L, Cremasco MM, Cremona E. Human postural adaptation to earthly and atypical gravitational environment effects of sport training on stabilometric parameters. Adv Anthropol 2013; 3: 229-236.
2.
Biernat M, Bak-Sosnowska M. The impact of body posture on self-image and psychosocial functioning during adolescence. Paediatr Family Med 2018; 14: 282-285.
3.
Kowalski IM, Protasiewicz-Faldowska H, Jozwiak-Grabysa D, Kiebzak W, Zarzycki D, Lewandowski R, Szarek J. Environmental factors predisposing to pain syndromes among adolescent girls with diagnosed idiopathic scoliosis. J Elementol 2010; 15: 517-530.
4.
Górecki A, Kiwerski J, Kowalski J, Marczyński W, Nowotny J, Rybicka M. Prophylactics of postural deformities in children and youth carried out within the teaching environment – experts recommendations. Pol Ann Med 2009; 16: 168-177.
5.
Dyck M, Piek J. How to distinguish normal from disordered children with poor language or motor skills. Int J Lang Commun Disord 2010; 45: 336-344.
6.
Zwicker JG, Missiuna C, Boyd LA. Neural correlates of developmental coordination disorder: a review of hypotheses. J Child Neurol 2009; 24: 1273-1281.
7.
Dainese R, Serra J, Azpiroz F, Malagelada J. Influence of body posture on intestinal transit of gas. Gut 2003; 52: 971-974.
8.
Peeters G, Burton NW, Brown WJ. Associations between sitting time and range of symtoms in mid-age women. Prev Med (Baltim) 2013; 56: 56-66.
9.
Simao SSS, Romero VU, Baraldil K, Oda AL, Viana CF, de Magahaes Leal Chiappettta AL, Pieri A. Clinical evaluation of the relationship of posture, breathing and swallowing in chronic-state post-stroke patients: case report. Rev CEFAC 2013; 15: 1371-1378.
10.
Lin F, Parthasarathy S, Taylor SJ, Pucci D, Hendrix RW, Makhsous M. Effect of difrent sitting postures on lung capacity, expiratory flow, and lumar lordosis. Arch Phys Med. Rehabil 2006; 87: 504-509.
11.
Landers M, Barker G, Wallentine S, McWhorter JW, Peel C. A comparison of tidal volume, breatching frequency, and minute ventilation between two sitting postures in healthy adults. Physiother Theory Pract 2003; 19: 109-119.
12.
Dunsirn S, Smyser C, Liao S, Inder T, Pineda R. Defining the nature and implications of head turn preference in the preterm infant. Early Hum Dev 2016; 96: 53-60.
13.
Dey A, Barnsley N, Mohan R, McCormick M, McAuley JH, Moseley GL. Are children who play a sport or a musical instrument better at motor imagery than children who do not? Br J Sports Med 2012; 46: 923-926.
14.
Esch T, Stefano GB. Endogenous reward mechanisms and their importance in stress reduction, exercise and the brain. Arch Med Sci 2010; 6: 447-455.
15.
Punt M, Jong MDE, de Groot E, Hadders-Algra M. Minor neurological dysfunction in children with dyslexia. Dev Med Child Neurol 2010; 52: 1127-32.
16.
Mrozkowiak M, Szark-Eckardt M, Żukowska H, Zu- kow W. Review of methods for assessing body posture. Part 2. J Health Sci 2014; 4: 95-102.
17.
Radziminska A, Szyper S, Bulatowicz I, Srokowski G, Kazmierczak U, Strojek K, Kaliszewska M, Dzierzanowski M, Zukow W. Prevention of flat feet in preschool children. J Health Sci 2012; 2: 25-40.
18.
Kotwicki T, Chowanska J, Kinel E, Czaprowski D, Tomaszewski M, Janusz P. Optimal management of idiopathic scoliosis in adolescence. Adolesc Health Med Ther 2013; 4: 59-73.
19.
Grivas TB, Vasiliadis ES, Polyzois VD, Mouzakis V. Trunk asymmetry and handedness in 8245 school children. Pediatr Rehabil 2006; 9: 259-266.
20.
Stolinski L, Kotwicki T. Trunk asymmetry in one thousand school children aged 7-10 years. Stud Health Technol Inform 2012; 176: 259-263.
21.
Szulc P, Wendt M, Przydanek J, Bartkowiak P, Waszak M, Cieślik K, Lewandowski J. Evaluation of the effects of musculofascial therapy on the degree values for physiological spine curvatures, altered due to long-term kick-boxing training. Archives of Budo 2015; 11: 209-215.
22.
Piriyaprasarth P, Morris ME, Winter A, Bialocerko- wski AE. The reliability of knee joint position testing using electrogoniometry. BMC Musculoskelet Disord 2008; 9: 6.
23.
Skomudek A, Szczegielniak J, Skomudek W. The possibility of using thermal imaging in the diagnosis of the rehabilitation process after cardiology by-pass burgery. Acta Biooptica et Informatica Medica 2013; 19: 32-39.
24.
Kowalski IM, Protasiewicz-Fałdowska H, Dwornik M, Pierożyński B, Raistenskis J, Kiebzak W. Objective parallel-forms reliability assessment of 3 dimension real time body posture screening tests. BMC Pediatr 2014; 14: 221.
25.
Saltikov JA, van Schaik P, Bell JA, Warren JG, Wojcik AS, Papastefanou SL. 3D back shape in normal young adults. Stud Health Technol Inform 2004; 88: 81-85.
26.
Mardjetko, S, Knott P, Rollet M, Baute S, Riemenschnei- der M, Muncie L. Evaluating the reproducibility of the formetric 4D measurements for scoliosis. Eur Spine J 2010; 19: 241-242.
27.
Chowańska J, Kotwicki T, Rosadziński K, Śliwiński Z. School screening for scoliosis: can surface topography replace examination with scoliometer? Scoliosis 2012; 7: 9.
28.
Rosa K, Muszkieta R, Zukow W, Napierała M, Cieślicka M. The incidence of defects posture in children from classes I to III Elementary School. J Health Sci 2013; 3: 107-136.
29.
Massimiliano M, Raimondi P, Paoloni M, Pellanera S, Di Michele A, Di Renzo S, Vanadia M, Dimaggio M, Mur- gia M, Santilli V. Vertebral rotation in adolescent idiopathic scoliosis calculated by radiograph and back surface analysis-based methods: correlation between the Raimondi method and rasterstereography. European Spine Jurnal 2013; 22: 367-371.
30.
Weiss HR, Werkmann M: Treatment of chronic low back pain in patients with spinal deformities using a sagittal re-alignment brace. Scoliosis 2009; 4: 7-10.
31.
Śliwiński Z, Kufel W, Halat B, Michalak B, Śliwińska D, Śliwiński G. Radiological progress report of curing scoliosis according to the fed method based on own material. Scoliosis 2014; 9: 14.
32.
Lee BK. Influence of the proprioceptive neuromuscular facilitation exercise programs on idiopathic scoliosis patient in the early 20s in terms of curves and balancing abilities: single case study. J Exercise Rehabil 2016; 12: 567-574.
33.
Wilczyński J. A body posture in the sagittal plane measured among girls aged 12 to 15 from the świetokrzyskie province. Studia Medyczne 2009; 13: 37-39.
34.
Stępień A, Fabian K, Graff K, Podgurniak M, Wit A. An immediate effect of PNF specific mobilization on the angle of trunk rotation and the Trunk-Pelvis-Hip Angle range of motion in adolescent girls with double idiopathic scoliosis – a pilot study. Scoliosis and Spinal Disorders 2017; 12: 29.
36.
Kinel E, Gajewska E, Surowinska J, Lisinski P. Proposition of functional examination according vojta’s concept in children with scoliosis. Scoliosis 2014; 9: O17.
37.
Charan, J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med 2013; 35: 121-126.
38.
Maciałczyk-Paprocka K, Dudzińska J, Stawińska-Witoszyńska B, Krzyżaniak A. Incidence of scoliotic posture in school screening of urban children and adolescents: the case of Poznań, Poland. Anthropol Rev 2018; 81: 341-350.
39.
Razali NM, Wah YB. Power comparisons of Shapiro-Wilk, Kolmogorov-Smirnov, Lilliefors and Anderson-Darling tests. J Statistical Modeling Analytics 2011; 2: 21-33.
40.
Winter J, Dodu D. Five-Point Likert Items: t test versus Mann-Whitney-Wilcoxon. Practical Assessment Research Evaluation 2012; 15: 11.
41.
Benavoli A, Corani G, Mangili F. Should we really use post-hoc tests based on mean-ranks? J Machine Learning Res 2016; 17: 1-10.
42.
Dunn OJ. Estimation of the medians for dependent variables. Ann Mathem Stat 2017, 30: 192-197.
43.
Weiss HR, Klein R. Improving excellence in scoliosis rehabilitation: a controlled study of matched pairs. Pediatr Rehabil 2006; 9: 190-200.
44.
Lee BK. Influence of the proprioceptive neuromuscular facilitation exercise programs on idiopathic scoliosis patient in the early 20s in terms of curves and balancing abilities: single case study. J Exerc Rehabil 2016; 12: 567-574.
45.
Zmyślna A, Kiebzak W, Żurawski A, Pogorzelska J, Kote- la I, Kowalski TJ, Śliwiński Z, Śliwiński G. Effect of physiotherapy on spinal alignment in children with postural defects. Int J Occup Med Environ Health 2019; 32: 25-32.
46.
Misuk C, Wontae G. The effects of dynamic exercise using the proprioceptive neuromuscular facilitation pattern on posture in healthy adults. J Phys Ther Sci 2017; 29: 1070-1073.
48.
Kiebzak W, Dwornik M, Żurawska J, Żurawski A. sEMG assessment of the activity of the rectus abdominis and multifidus muscles in different sitting postures. FP 2017; 17: 52-62.
49.
Weiss HR, Werkmann M. Unspecific chronic low back pain – a simple functional classification tested in a case series of patients with spinal deformities. Scoliosis 2009; 4: 4-10.
50.
Nakano H, Kihara H, Nakano J, Konishi Y. The influence of positioning on spontaneus movements of preterm infants. J Phys Ther Sci 2010; 22: 337-344.
51.
Franjoine MR, Darr N, Held SL, Kott K, Young BL. The performance of children developing typically on the pediatric balance scale. Pediatr Phys Ther 2010; 22: 350-359.
52.
Van Loon PJ, Kühbauch BA, Thunnissen FB. Forced lordosis on the thoracolumbar junction can correct coronal plane deformity in adolescents with double major curve pattern idiopathic scoliosis. Spine 2008; 33: 797-801.
53.
Perriman DM, Scarvell JM, Hughes AR, Lueck CJ, Dear KB, Smith PN. Thoracic hyperkyphosis: a survey of Australian physiotherapists. IJPR 2012; 17: 167-178.
54.
Koch S, Arnold S, Zeckay R, Sliwinski G, Thiele C, Ku- fel W, Sliwinski Z, Malberg H. Analysis of the distribution of pressure patterns in children with postural deformities. Biomed Engineering 2012; 57: 1082-1085.
55.
Wilczyński J, Bieniek K, Margiel K, Sobolewski PK, Wilczyński I, Zieliński R. Correlations between variables of posture and postural stability in children. Medical Studies 2022; 38: 6-13.
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