The prevalence of posture pathology in school-aged children (results of a population-based study with the use of the computerized photo-geometric program “Posture”)

Authors

  • I. O. Afanasieva Bogomolets National Medical University, Kyiv, Ukraine,
  • M. V. Khaitovych Bogomolets National Medical University, Kyiv, Ukraine,
  • V. S. Potaskalova Bogomolets National Medical University, Kyiv, Ukraine,
  • I. V. Andrushchenko SI “Institute of Nuclear Medicine and Diagnostic Radiology of the NAMS of Ukraine”, Scientific Secretary, Kyiv, https://orcid.org/0000-0001-8199-9941
  • V. V. Yevminov Yevminov Vertebral Therapeutic Center, Kyiv, Ukraine,
  • I. O. Kudelia National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2020.3.204948

Keywords:

screening, schoolchildren, scoliosis, incidence

Abstract

 

Pathology of posture in children remains currently unresolved problem. According to foreign studies in the general population, the occurrence of idiopathic scoliosis in adolescents with an angle above 10º according to Cobb accounts for 0.93 % to 12.00 %. In Ukraine, the prevalence of posture pathology is not known.

The purpose of the work – to study the prevalence of posture pathology among school-aged children.

Material and methods. 1922 schoolchildren of 6–17 years, residents of Kyiv (Ukraine), were examined with the computerized photo-geometric program “Posture” between 2017 and early 2019.

Results. Deviation of the spinal column from the midline in the frontal, sagittal plane (functional and organic disorders of posture) was observed in 75.3 % of children. Among them, signs of scoliotic spinal deformity were found in 72.5 % of children, in girls – 1.5 times more often. The angle of maximum deflection of the scoliotic arch from the median line was ≥5º in 13.7 % of children with scoliosis and in 9.9 % of all the examined children.

Conclusions. Sensitivity (95 %) and specificity (85 %) of the computerized photo-geometric program “Posture” were determined, which points to the necessity to be applied in health care maintaining practice. The pathology of posture in schoolchildren of the city of Kyiv was determined in 75.3 %, among them the signs of scoliotic spinal deformity were noted in 72.5 %. The scoliosis incidence with a deflection angle of spinal deformity ≥5º was 9.9 %. It attests to the fact that it is necessary to develop medical and social programs for the prevention and treatment of posture pathology in children.

 

References

Karimi, M. T., & Rabczuk, T. J. (2018). Scoliosis conservative treatment: A review of literature. Journal of Craniovertebral Junction and Spine, 9(1), 3-8. https://doi.org/10.4103/jcvjs.JCVJS_39_17

Negrini, S., Donzelli, S., Aulisa, A. G., Czaprowski, D., Schreiber, S., de Mauroy, J. C., Diers, H., Grivas, T. B., Knott, P., Kotwicki, T., Lebel, A., Marti, C., Maruyama, T., O’Brien, J., Price, N., Parent, E., Rigo, M., Romano, M., Stikeleather, L., … Zaina, F. (2018). 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis and Spinal Disorders, 13, Article 3. https://doi.org/10.1186/s13013-017-0145-8

Bozzola, E., Spina, G., Ruggiero, M., Memo, L., Agostiniani, R., Bozzola, M., Corsello, G., & Villani, A. (2018). Media devices in pre-school children: the recommendations of the Italian pediatric society. Italian Journal of Pediatrics, 44(1), Article 69. https://doi.org/10.1186/s13052-018-0508-7

Jada, A., Mackel, C. E., Hwang, S. W., Samdani, A. F., Stephen, J. H., Bennett, J. T., & Baaj, A. A. (2017). Evaluation and management of adolescent idiopathic scoliosis: a review. Neurosurgical Focus, 43(4), Article E2. https://doi.org/10.3171/2017.7.focus17297

Cobetto, N., Aubin, C.-E., & Parent, S. (2018). Surgical Planning and Follow-up of Anterior Vertebral Body Growth Modulation in Pediatric Idiopathic Scoliosis Using a Patient-Specific Finite Element Model Integrating Growth Modulation. Spine Deformity, 6(4), 344-350. https://doi.org/10.1016/j.jspd.2017.11.006

Fletcher, R. H., Fletcher, S. W., & Wagner, E. H. (1998). Klinicheskaya epidemiologiya. Osnovy dokazatel'noi meditsiny [Clinical epidemiology. The essentials] (3rd ed.). Mediya Sfera. [in Russian].

Ciaccia, M. C. C., Castro, J. S., Rahal, M. A., Penatti, B. S., Selegatto, I. B., Giampietro, J. L. M., & Rullo, V. E. V. (2017). Prevalence of scoliosis in public elementary school students. Revista Paulista de Pediatria, 35(2), 191-198. https://doi.org/10.1590/1984-0462/;2017;35;2;00008

Mahabadi, E. A., Ghandehari, H., Mahdavi, S. M., Vahid Tari, S. H., Sotoudeh, A. S., & Safdari, F. (2015). Adolescent Idiopathic Scoliosis: Males Versus Females. Shafa Orthopedic Journal, 2(2), Article e901. https://doi.org/10.17795/soj-901

Stępień, A., Guzek, K., Czubak, J., Surowińska, J., Stępowska, J., & Kiebzak, W. (2017). Early childhood anomalies of the hip occur at a similar frequency in patients with idiopathic scoliosis and in healthy individuals – questionnaire for parents. Advances in Rehabilitation, (4), 5-18. https://doi.org/10.1515/rehab-2015-0075

Bozkurt, S., Kayalar, G., Tezel, N., Güler, T., Kesikburun, B., Denizli, M., Tan, S., & Yilmaz, H. (2019). Hypermobility Frequency in School Children: Relationship With Idiopathic Scoliosis, Age, Sex and Musculoskeletal Problems. Archives of rheumatology, 34(3), 268-273. https://doi.org/10.5606/ArchRheumatol.2019.7181

Grabala, P. (2019). Idiopathic scoliosis in children and adolescents – a literature review. Journal of Education, Health and Sport, 9(6), 212-217. https://doi.org/10.5281/zenodo.3241930

Zheng, Y., Dang, Y., Wu, X., Yang, Y., Reinhardt, J., He, C., & Wong, M. (2017). Epidemiological study of adolescent idiopathic scoliosis in Eastern China. Journal of Rehabilitation Medicine, 49(6), 512-519. https://doi.org/10.2340/16501977-2240

Guo, Y., Jiang, Q., Tanimoto, T., Kami, M., Luo, C., Leppold, C., Nishimura, K., He, Y., Kato, S., & Ding, X. (2017). Low hospital referral rates of school scoliosis screening positives in an urban district of mainland China. Medicine, 96(14), Article e6481. https://doi.org/10.1097/md.0000000000006481

Cheng, J. C., Castelein, R. M., Chu, W. C., Danielsson, A. J., Dobbs, M. B., Grivas, T. B., Gurnett, C. A., Luk, K. D., Moreau, A., Newton, P. O., Stokes, I. A., Weinstein, S. L., & Burwell, R. G. (2015). Adolescent idiopathic scoliosis. Nature Reviews Disease Primers, 1, Article 15030. https://doi.org/10.1038/nrdp.2015.30

Ortega, Z. F., Fernández, S. M., Fernández, G. R., Schyke, C. E. J., & Morales, Z. L. (2014). Predictors of scoliosis in school-aged children. Gaceta medica de Mexico, 150(6), 533-539. [in Spanish].

Minghelli, B., Nunes, C., & Oliveira, R. (2014). Prevalence of scoliosis in southern Portugal adolescents. Pediatric endocrinology reviews, 11(4), 374-382.

Maciałczyk-Paprocka, K., Stawińska-Witoszyńska, B., Kotwicki, T., Sowińska, A., Krzyżaniak, A., Walkowiak, J., & Krzywińska-Wiewiorowska, M. (2017). Prevalence of incorrect body posture in children and adolescents with overweight and obesity. European Journal of Pediatrics, 176(5), 563-572. https://doi.org/10.1007/s00431-017-2873-4

Dunn, J., Henrikson, N. B., Morrison, C. C., Nguyen, M., Blasi, P. R., & Lin, J. S. (Eds.). (2018). Screening for Adolescent Idiopathic Scoliosis: A Systematic Evidence Review for the U.S. Preventive Services Task Force [Internet]. Agency for Healthcare Research and Quality. Evidence Synthesis, (156). https://www.ncbi.nlm.nih.gov/books/NBK493364/.

Rusnák, R., Kolarová, M., Aštaryová, I., & Kutiš, P. (2019). Screening and Early Identification of Spinal Deformities and Posture in 311 Children: Results from 16 Districts in Slovakia. Rehabilitation Research and Practice, 2019, Article 4758386. https://doi.org/10.1155/2019/4758386

Deepak, A. S., Ong, J. Y., Choon, D., Lee, C. K., Chiu, C. K., Chan, C., & Kwan, M. K. (2017). The Clinical Effectiveness of School Screening Programme for Idiopathic Scoliosis in Malaysia. Malaysian Orthopaedic Journal, 11(1), 41-46. https://doi.org/10.5704/moj.1703.018

Dunn, J., Henrikson, N. B., Morrison, C. C., Blasi, P. R., Nguyen, M., & Lin, J. S. (2018). Screening for Adolescent Idiopathic Scoliosis. Journal of the American Medical Association, 319(2), 173-187. https://doi.org/10.1001/jama.2017.11669

Afanasieva, I. O., & Yevminov, V. V. (2019). Sposib diahnostyky oporno-rukhovoho aparatu u ditei [Method for diagnosing musculoskeletal system in children] (Ukraine. Patent No. 135078). Ukraina. Derzhavna sluzhba intelektualnoi vlasnosti Ukrainy. https://base.uipv.org/searchINV/search.php?action=viewdetails&IdClaim=259359. [in Ukrainian].

do Rosário, J. L. P. (2014). Photographic analysis of human posture: A literature review. Journal of Bodywork and Movement Therapies, 18(1), 56-61. https://doi.org/10.1016/j.jbmt.2013.05.008

Kokabu, T., Kawakami, N., Uno, K., Kotani, T., Suzuki, T., Abe, Y., Maeda, K., Inage, F., Ito, Y. M., Iwasaki, N., & Sudo, H. (2019). Three-dimensional depth sensor imaging to identify adolescent idiopathic scoliosis: a prospective multicenter cohort study. Scientific Reports, 9(1), Article 9678. https://doi.org/10.1038/s41598-019-46246-0

Pƚaszewski, M., Kotwicki, T., Chwaƚa, W., Terech, J., & Cieśliński, I. (2015). Study protocol and overview of the literature on long-term health and quality of life outcomes in patients treated in adolescence for scoliosis with therapeutic exercises. Journal of Back and Musculoskeletal Rehabilitation, 28(3), 453-462. https://doi.org/10.3233/bmr-140540

Donzelli, S., Zaina, F., & Negrini, S. (2012). In defense of adolescents: They really do use braces for the hours prescribed, if good help is provided. Results from a prospective everyday clinic cohort using thermobrace. Scoliosis, 7(1), Article 12. https://doi.org/10.1186/1748-7161-7-12

Romano, M., Negrini, A., Parzini, S., Tavernaro, M., Zaina, F., Donzelli, S., & Negrini, S. (2015). SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises. Scoliosis, 10, Article 3. https://doi.org/10.1186/s13013-014-0027-2

Ko, J. Y., Suh, J. H., Kim, H., & Ryu, J. S. (2018). Proposal of a new exercise protocol for idiopathic scoliosis. Medicine, 97(49), Article e13336. https://doi.org/10.1097/md.0000000000013336

Burton, D. C., Carlson, B. B., Place, H. M., Fuller, J. E., Blanke, K., Cho, R., Fu, K.-M., Ganju, A., Heary, R., Herrera-Soto, J. A., Larson, A. N., Lavelle, W. F., Nelson, I. W., Vernengo-Lezica, A., & Verska, J. M. (2016). Results of the Scoliosis Research Society Morbidity and Mortality Database 2009–2012: A Report From the Morbidity and Mortality Committee. Spine Deformity, 4(5), 338-343. https://doi.org/10.1016/j.jspd.2016.05.003

Schreiber, S., Parent, E. C., Moez, E. K., Hedden, D. M., Hill, D., Moreau, M. J., Lou, E., Watkins, E. M., & Southon, S. C. (2015). The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis-an assessor and statistician blinded randomized controlled trial: «SOSORT 2015 Award Winner». Scoliosis, 10, Article 24. https://doi.org/10.1186/s13013-015-0048-5

Kuru, T., Yeldan, İ., Dereli, E. E., Özdinçler, A. R., Dikici, F., & Çolak, İ. (2015). The efficacy of three-dimensional Schroth exercises in adolescent idiopathic scoliosis: a randomised controlled clinical trial. Clinical Rehabilitation, 30(2), 181-190. https://doi.org/10.1177/0269215515575745

Kulikov, A. G., Zaytseva, T. N., Pyzhevskaya, O. P., & Ivanova, E. R. (2016). Skolioz u detei: novye podkhody k resheniyu vazhnoi medikosotsial'noi problemy [Scoliosis in children: new approaches to the solution of important medical and social problems]. Mediko-sotsial'naya ekspertiza i reabilitatsiya 19(4), 178-181. [in Russian].

Chiang, H. (Ariel), & Liu, C.-H. (2016). Exploration of the associations of touch-screen tablet computer usage and musculoskeletal discomfort. Work, 53(4), 917-925. https://doi.org/10.3233/wor-162274

Downloads

How to Cite

1.
Afanasieva IO, Khaitovych MV, Potaskalova VS, Andrushchenko IV, Yevminov VV, Kudelia IO. The prevalence of posture pathology in school-aged children (results of a population-based study with the use of the computerized photo-geometric program “Posture”). Zaporozhye Medical Journal [Internet]. 2020Jun.10 [cited 2024Dec.23];22(3). Available from: http://zmj.zsmu.edu.ua/article/view/204948

Issue

Section

Original research