scholarly journals Evaluation of the prevalence of sagittal plane changes in the spine of elementary students in the city of Ceres, Brazil

2021 ◽  
Vol 10 (13) ◽  
pp. e362101319362
Author(s):  
Sheila Oliveira Feitosa ◽  
Dhecyeny Alves Ferreira ◽  
Daise Fernanda Santos Souza Escobar ◽  
Priscilla Rayanne e Silva Noll ◽  
Matias Noll

Background: Adolescence is the period when postural changes occur, as it is a phase when the body develops and grows. It is also the most appropriate time to evaluate and detect postural problems, and preventive measures may help to avoid these possible changes. However, studies evaluating the postural changes in this age group are lacking. Objective: The objective of this study was to evaluate thoracic kyphosis and lumbar lordosis changes in the spine of 9th grade students at a state military school in Goiás, Brazil. Methods: A total of 113 students (54 boys and 59 girls) participated in the study. A radiation-free three-dimensional scanning system was used to evaluate the students’ spine. The equipment emits a light on the participants’ back and uses its topography to automatically calculate asymmetries. Results: The prevalence of increased thoracic kyphosis was 14%, increased lumbar lordosis 2% and 72% straightening of the curvature of the lumbar lordosis. Thoracic kyphosis was reported by 9% of male students and 19% of female students. Students of both sexes had increased lumbar lordosis (2%). Females had a higher prevalence of rectified lumbar lordosis (59%) than males (11%). Conclusion: The prevalence of postural changes, especially lumbar lordosis, was very high in the elementary students.

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Vrushali P. Panhale ◽  
Prachita P. Walankar ◽  
Aishwarya Sridhar

Abstract Background Gaining proficiency in Bharatanatyam dance form necessitates maintenance of different postures for prolonged duration. These repetitive movements place tremendous physical demands on the body at young age and may alter the postural profile of the dancer. The study aimed to evaluate the differences in terms of posture between female Bharatanatyam dancers and age-matched non-dancers. A cross-sectional study was conducted in 40 female Bharatanatyam dancers and 40 age-matched female non-dancers in the age group of 18 to 30 years. Analysis of erect standing posture of dancers and non-dancers was conducted in a reserved environment using a photogrammetric method. Static photographs of the subjects were taken in the sagittal plane. The measurement of the angles of the digitized photographs was performed using KINOVEA 0.8.15 software. Head protrusion angle, cervical lordosis angle, thoracic kyphosis angle, lumbar lordosis angle, and pelvic tilt angle were evaluated. Results There was no significant difference between the dancers and non-dancers with respect to head protrusion angle (p = 0.081), cervical lordosis (p = 0.15), and thoracic kyphosis (p = 0.33). Significant differences were identified between the dancers and non-dancers for lumbar lordosis (p = 0.00) and pelvic tilt (p = 0.00) using independent t test with dancers. Higher values of lumbar lordosis and pelvic tilt were observed in dancers. Conclusion Increased lumbar lordosis and anterior pelvic tilt were observed in Bharatanatyam dancers as compared to non-dancers. Hence, it is vital to establish preventive measures like postural re-education, muscular balance, and flexibility to prevent erroneous postural patterns capable of causing pain and injuries.


2021 ◽  
pp. 98-105
Author(s):  
Katarzyna Wódka ◽  
Eliza Smoła ◽  
Marta Bibro ◽  
Małgorzata Łaczek-Wójtowicz ◽  
Agnieszka Jankowicz-Szymańska

The aim of this study has been to determine the relationship between the shape of the thoracic kyphosis, lumbar lordosis and sagittal trunk inclination, and the longitudinal and transverse arches of the feet, the position of the hallux and the fifth toe in women with normal and excessive body weight. Material and methods: Eighty nine women aged from 57 to 84 were studied. The shape of the spine was examined using the Zebris pointer ultrasound system, and the shape of feet was evaluated with a podoscope with a 3D scanner. The data analysis was performed using the Statistica v13 software, frequency tables, descriptive statistics, the Kruskal-Wallis test, the post hoc Tukey test, and Spearman’s rank-order correlations coefficient. Obesity has been reported to increase thoracic kyphosis, increase the forward lean of the trunk and flatten the longitudinal arch of the feet. It was found that there is a relationship between the forward lean of the body and the reduction in the longitudinal and transverse arch of the feet and the valgus position of the hallux, and between the degree of thoracic kyphosis and the valgus position of the hallux. Excess body weight, to a greater extent than age, influences the position of the trunk and the shape of feet in older women. A feature of the body posture that is characteristic of older women is the progression of thoracic kyphosis and lumbar lordosis, the forward lean of the body and the lowering of the arch of the feet.


2014 ◽  
Vol 13 (1) ◽  
pp. 13-15
Author(s):  
Rodrigo Augusto do Amaral ◽  
Robert Meves ◽  
Maria Fernanda Silber Caffaro ◽  
Ricardo Shigueaki Galhego Umeta ◽  
Luciano Antônio Nassar Pelegrino ◽  
...  

OBJECTIVE: To examine the sagittal curves of patients treated with CD instrumentation using exclusively pedicle screws. METHODS: Image analysis of medical records of 27 patients (26 M and 1 F) with a minimum follow-up of 6 months, who underwent surgical treatment in our service between January 2005 and December 2010. The curves were evaluated on coronal and sagittal planes, taking into account the potential correction of the technique. RESULTS: In the coronal plan the following curves were evaluated: proximal thoracic (TPx), main thoracic (TPp), and thoracolumbar; lumbar (TL, L), and the average flexibility was 52%, 52%, and 92% and the capacity of correction was 51%, 72%, and 64%, respectively. In the sagittal plane there was a mean increase in thoracic kyphosis (CT) of 41% and an average reduction of lumbar lordosis (LL) of 17%. Correlation analysis between variables showed Pearson coefficient of correlation of 0.053 and analysis of dispersion of R2 = <0.001. CONCLUSION: The method has shown satisfactory results with maintenance of kyphosis correction in patients with normal and hyper kyphotic deformities.


Author(s):  
Elizabeta Ramova ◽  
Leonid Ramov

Abstract Introduction: In the new millennium, the medical community still deals with the treatment of idiopathic scoliosis as a three-dimensional (3D) curvature known in India before Hippocrates. However, we doctors that deal with deformities of the spine, stick to Reichalt's rule for treatment according to the size of the curvature and its progression. The aim of our study is to explain our own opinion for progression of bad posture in school children according to physical inactivity and use of video terminals (VT). Materials and methods: We have made some researches about standards of school screening for bad posture and its impact on morphological and functional changes in them. Results: Most of school children spend more than 2 hours in front of video terminals, they have increased body weight, and postural changes in sagittal plane. Discussion: Some postural bad positions in age of intensive growth can became structural. In the era of fast technology development the future generation shall have functional changes on body like result of long standing in bad position. Conclusion: The future studies for bad posture in school children should be aimed to find how much long sitting in front of VT can affect their health in the adult age.


2019 ◽  
Vol 29 (87) ◽  
pp. 39-46
Author(s):  
Marta Bibro ◽  
Łucja Laskowska ◽  
Anita Ziemba ◽  
Agnieszka Jankowicz-Szymańska

Aim: Faulty body postures is a significant problem affecting the reduction of quality of health and life in every age group. Currently, more and more attention is paid to the importance of respiratory muscles, and above all the diaphragm in stabilizing posture. The aim of the study was to determine the relationship between selected features of the position of the torso and chest mobility. Basic procedures: 33 young adults were included in the study. Body weight and height were measured, BMI was calculated and body weight status was determined. The chest circumferences at rest, maximum inspiration and maximum exhalation at three heights was measured. Three-dimensional torso settings were evaluated using the Zebris Pointer Ulrtrasound System. The collected data were subjected to statistical analysis. Results: The majority of examined women had normal body weight, while excessive body weight occurred in nearly 1/3 of men. The most significant difference in the position of the torso was the greater depth of lumbar lordosis in women. A significant correlation was found between the lumbar spine position and the chest circumferences. The results indicate a decrease in chest mobility along with an increase in the depth of lumbar lordosis. Conclusions: Respiratory kinesitherapy should be an important part of the process of correction of spinal shape in sagittal plane.


Author(s):  
Ying Yue Zhang ◽  
Gusztáv Fekete ◽  
Justin Fernandez ◽  
Yao Dong Gu

To determine the influence of the unstable sole structure on foot kinematics and provide theoretical basis for further application.12 healthy female subjects walked through a 10-meter experimental channel with normal speed wearing experimental shoes and control shoes respectively at the gait laboratory. Differences between the groups in triplanar motion of the forefoot, rearfoot and hallux during walking were evaluated using a three-dimensional motion analysis system incorporating with Oxford Foot Model (OFM). Compare to contrast group, participants wearing experimental shoes demonstrated greater peak forefoot dorsiflexion, forefoot supination and longer halluces plantar flexion time in support phase. Additionally, participants with unstable sole structure also demonstrated smaller peak forefoot plantarflexion, rearfoot dorsiflexion and range of joint motion in sagittal plane and frontal plane.. The difference mainly appeared in sagittal and frontal plane. With a stimulation of unstable, it may lead to the reinforcement of different flexion between middle and two ends of the foot model. The greater forefoot supination is infered that the unstable element structure may affect the forefoot motion on the frontal plane and has a control effect to strephexopodia people. The stimulation also will reflexes reduce the range of rearfoot motion in sagittal and frontal planes to control the gravity center of the body and keep a steady state in the process of walking.


2019 ◽  
Vol 16 (2) ◽  
pp. 749
Author(s):  
Bojan Jorgić ◽  
Petra Mančić ◽  
Saša Milenković ◽  
Nikola Jevtić ◽  
Mladen Živković

Scoliosis is a multifactorial three-dimensional (3D) spinal deformation which always includes elementary deformations on three planes: a lateral curvature on the frontal plane, loss of natural physiological curvature on the sagittal plane and, in most cases, increase of lordosis in the lumbosacral joint (hyperlordosis), and a (very typical) vertebral axial rotation on the horizontal plane. One of the best methods in scoliosis correction is the Schroth method. In view of the above, the objective of this study is to identify the effects of the Schroth method on correcting functional-motor status in children with adolescent idiopathic scoliosis (IS). The participant sample comprised 20 children, of an average age of 14.5, who took part in the 10-day Schroth Camp. The following measure instruments were used for the assessment of the effect of the Schroth method: the Sorensen test, the Sit-and-reach test, and height assessment. Statistically significant improvements were identified across the results of all three tests, for the Sorensen test: 45.6±19.29 s, the Sit-and-reach test: 4.05±2.25 cm, and height 1.4±0.66 cm. It can be concluded that the conducted Schroth method exercise program exerted a positive effect on improving motor functionality, as well as enhancing flexibility and isometric endurance of the lumbar extensors of the spine. Additionally, there was an increase in height, which indicates a positive effect in terms of the functionality and symmetry of the left and right sides of the body, and in terms of improved posture on the frontal and sagittal planes.


Author(s):  
Jose Ramón Alvero-Cruz ◽  
Fernando Santonja-Medina ◽  
Jose Manuel Sanz-Mengibar ◽  
Pilar Sainz de Baranda

The goal of this study was to describe the integrated spinal assessment of the sagittal morphotype in rowers to determine whether the intense practice of rowing causes a modification of the sagittal curvatures of the spine, its relationship with the rowing technique, and training background. The second goal was to analyse how the dorsal and lumbar curves behave in the three phases of the rowing gesture, and to determine which phases can be detrimental to the correct development of the spine during growth. We analysed the spine curvatures in the sagittal plane of 29 females and 82 males, which were measured with an inclinometer in standing, slump sitting, maximal trunk flexion and during rowing performance. The average value of thoracic kyphosis in the rowers was 30° (mean, 30 + 8.27°). Thoracic hyperkyphosis was found in only two rowers (1.8%). Lumbar lordosis was within normal range in 84.1% of the males (mean, 27 + 9.57°) and 75.9% of female rowers (mean, 33°). Functional thoracic hyperkyphosis was observed in 57.4% of the males and 17.1% of the females. Functional lumbar hyperkyphosis was observed in 28 of the 69 males (40.5%) and five of 22 females (17.2%). Rowing seems to provide adequate spine alignment in the sagittal plane on standing. The integrated spinal assessment of the sagittal morphotype showed that half or our rowers presented with functional thoracic hyperkyphosis, and 43.2% presented with functional lumbar hyperkyphosis. Spine behaviour during the rowing technique shows that the thoracic kyphosis (98.2%) and lumbar spine (91%) perform within normative ranges and could explain the adequate positioning of the spine in the sagittal plane on standing. Years of rowing training tend to reduce thoracic kyphosis in males.


2020 ◽  
Vol 30 (90) ◽  
pp. 55-62
Author(s):  
Michał Fałatowicz ◽  
Agnieszka Jankowicz-Szymańska ◽  
Angelika Kaczor

Introduction: Postural defects and accompanying dysfunctions are one of the greatest existing health problems. It is necessary to define factors responsible for the formation of incorrect body posture and strive to eliminate or modify them. The aim of the study was to determine changes in trunk positioning depending on the way of carrying a small handbag (the bag weighing 2.7 kg). Materials and methods: The study comprised 32 volunteers aged 21.75±2.00 years. The ZEBRIS Pointer system was used to test the body posture. The Statistica v13 program was applied for data compilation. Normality of distribution regarding variables was tested with the Shapiro-Wilk test. Differences between repeated measures were estimated using ANOVA, Friedman’s rank test and post hoc tests. The level of statistical significance was α=0.05. Results: Placing the bag on one shoulder significantly increased thoracic kyphosis, while wearing the bag diagonally across the trunk caused a significant increase in both thoracic kyphosis and lumbar lordosis. Other observed changes concerned the balance of the trunk in the sagittal plane, the position of the shoulder blades, symmetry of shoulder position and pelvic rotation. Conclusions: Carrying even a small load in the form of a bag significantly changes quality of body posture. Furthermore, changes in body posture depend on the way of carrying the load. Wearing the bag diagonally across the trunk is not better than carrying it asymmetrically on one shoulder.


2021 ◽  
Vol 15 (2) ◽  
pp. 9-14
Author(s):  
Eliza Smoła ◽  
Katarzyna Wódka ◽  
Marta A. Bibro ◽  
Agnieszka Jankowicz-Szymańska

<p><b>Introduction: </b>The objective of the study was to assess the flexibility of the hamstring muscles and their relationship with the position of the spine, shoulder and pelvic girdles in individual planes in boys training football. <p><b>Material and methods: </b>The study included 28 boys aged 10-14, training football 3 times a week for at least 2 years. The subjects were divided into two groups: correct bilateral flexibility of the hamstring muscles, bilateral shortening of the hamstring muscles. Body height and weight were measured and BMI was calculated. The three-dimensional position of the trunk was examined using the Zebris pointer ultrasound system. The passive straightleg- raising test was used to assess the flexibility of the hamstring muscles. <p><b>Results: </b>32% of people were diagnosed with the correct length of both hamstring muscles, 57% had shortened muscles in both limbs. Mean values determining the depth of thoracic kyphosis indicated its deepening in each of the groups, however, lower values were recorded in boys with reduced flexibility of the hamstring muscle mass. This group was also characterised by a better balance of the trunk in the sagittal plane. The average depth of lumbar lordosis in both groups was within the normal range. In the frontal plane, in both groups of footballers there was a tendency to lift the left shoulder (more frequent in the group with normal flexibility), the pelvis on the left side and shift the trunk to the right. <p><b>Conclusion: </b>Shortening of the hamstring muscles is common in boys who train football, but no evidence of a relationship between the limited flexibility of these muscles and the position of the trunk was found.


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