Czaprowski Dariusz, Pawłowska Paulina
Physiotherapy Faculty, Józef Rusiecki University College, Olsztyn, Poland.
Ortop Traumatol Rehabil. 2013 Nov-Dec;15(6):545-53. doi: 10.5604/15093492.1091510.
Children commonly attend exercise programs to correct abnormal sagittal curvatures of the spine. The presence of generalized joint hypermobility (JH) is often disregarded during exercise planning. The aim of the study was to assess the influence of JH on the sagittal curvatures of the spine.
The JH group included 38 girls and 37 boys aged 10-13 years with known JH (Beighton test cut-off ≥ 5 points for girls, and ≥ 4 for boys). A control group included 197 girls and 150 boys. The children were matched for age, height, weight and BMI. The sacral slope (SS), lumbar lordosis (LL), thoracic kyphosis (TK), distal thoracic kyphosis (DK), and proximal thoracic kyphosis (PK) were assessed with a Saunders inclinometer. The results in children with and without JH were compared.
There were no significant (p>0.05) differences between girls with and without JH with respect to SS (22.5° ± 9.9 vs 23.0° ± 8.0), LL (31.0° ± 14.0 vs 33.0° ± 10.0), TK (39.0° ± 10.4 vs 39.6° ± 10.0), DK (8.7° ± 6.9 vs 7.9° ± 7.8) or PK (31.3° ± 7.1 vs 32.3° ± 7.3). The differences among boys were similarly non-significant (p>0.05) (19.0° ± 7.9 vs 19.7° ± 6.6; 30.6° ± 9.0 vs 31.9° ± 8.4; 42.7° ± 8.0 vs 40.6° ± 8.7; 9.7° ± 7.9 vs 8.2° ± 7.8; 33.7° ± 5,0 vs 32.8° ± 7.0, for SS, LL, TK, DK and PK, respectively).
儿童通常参加运动项目以纠正脊柱矢状面异常弯曲。在制定运动计划时，常忽略全身关节活动过度（JH）的情况。本研究旨在评估JH对脊柱矢状面弯曲的影响。
JH组包括38名女孩和37名年龄在10 - 13岁的男孩，已知患有JH（女孩Beighton试验临界值≥5分，男孩≥4分）。对照组包括197名女孩和150名男孩。根据年龄、身高、体重和BMI对儿童进行匹配。使用桑德斯倾角仪评估骶骨倾斜度（SS）、腰椎前凸（LL）、胸椎后凸（TK）、胸段远端后凸（DK）和胸段近端后凸（PK）。比较有和没有JH的儿童的结果。
有和没有JH的女孩在SS（22.5°±9.9对23.0°±8.0）、LL（31.0°±14.0对33.0°±10.0）、TK（39.0°±10.4对39.6°±10.0）、DK（8.7°±6.9对7.9°±7.8）或PK（31.3°±7.1对32.3°±7.3）方面无显著差异（p>0.05）。男孩之间的差异同样不显著（p>0.05）（SS、LL、TK、DK和PK分别为19.0°±7.9对19.7°±6.6；30.6°±9.0对31.9°±8.4；42.7°±8.0对40.6°±8.7；9.7°±7.9对8.2°±7.8；33.7°±5.0对32.8°±7.0）。
