Penha Patrícia Jundi, Penha Nárima Lívia Jundi, De Carvalho Bárbarah Kelly Gonçalves, Andrade Rodrigo Mantelatto, Schmitt Ana Carolina Basso, João Sílvia Maria Amado
Department of Physical Therapy, Speech and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
Department of Physical Therapy, Speech and Occupational Therapy, University of São Paulo, São Paulo, Brazil.
J Manipulative Physiol Ther. 2017 Jul-Aug;40(6):441-451. doi: 10.1016/j.jmpt.2017.03.013.
The objective of this study was to describe the posture patterns of adolescents diagnosed with adolescent idiopathic scoliosis (AIS) in a scoliosis school screening (SSS).
Two-dimensional photogrammetry was used to assess the posture of 37 adolescents diagnosed with scoliosis (scoliosis group, SG) (Cobb angle ≥10°) and 76 adolescents with a false positive diagnosis (false positive group, FPG) (Cobb angle <10°, angle of trunk rotation ≥7°). In total, 2562 10- to 14-year-old adolescents were enrolled in the SSS, which was performed in public schools in the cities of Amparo, Pedreira, and Mogi Mirim in the state of São Paulo, Brazil. Their posture was analyzed using Postural Analysis Software. Continuous variables were tested using Student t test, and categorical variables were tested using a χ2 test. The SG, FPG, simple curve group, and double curve group were all compared. Bivariate analysis was used to identify associations between postural deviations and scoliosis. The adopted significance level was α = .05.
The SG (2.7 ± 1.9°) had greater shoulder obliquity than the FPG (1.9 ± 1.4°) (P = .010), and this deviation was associated with scoliosis (odds ratio [95% CI] P = 1.4 [1.1-1.8] 0.011). The SG had asymmetry between the right- and left-side lower limb frontal angle, shoulder sagittal alignment, and knee angle. The double curve group (3 ± 1.7°) presented a greater value of the vertical alignment of the torso than the simple curve group did (1.9 ± 1°; P = .032).
Adolescents diagnosed with AIS in an SSS had greater shoulder obliquity and asymmetry between the right and left sides. Shoulder obliquity was the only postural deviation associated with AIS.
本研究的目的是描述在脊柱侧弯学校筛查（SSS）中被诊断为青少年特发性脊柱侧弯（AIS）的青少年的姿势模式。
采用二维摄影测量法评估37例被诊断为脊柱侧弯的青少年（脊柱侧弯组，SG）（Cobb角≥10°）和76例假阳性诊断青少年（假阳性组，FPG）（Cobb角<10°，躯干旋转角≥7°）的姿势。共有2562名10至14岁的青少年参加了在巴西圣保罗州安帕罗、佩德雷拉和莫吉米林市的公立学校进行的SSS。使用姿势分析软件对他们的姿势进行分析。连续变量采用Student t检验，分类变量采用χ2检验。对SG、FPG、单曲线组和双曲线组进行了比较。采用双变量分析确定姿势偏差与脊柱侧弯之间的关联。采用的显著性水平为α = 0.05。
SG（2.7±1.9°）的肩部倾斜度大于FPG（1.9±1.4°）（P = 0.010），且这种偏差与脊柱侧弯相关（优势比[95%CI]P = 1.4[1.1 - 1.8]0.011）。SG在左右下肢额角、肩部矢状位对齐和膝关节角度方面存在不对称。双曲线组（3±1.7°）的躯干垂直对齐值高于单曲线组（1.9±1°；P = 0.032）。
在SSS中被诊断为AIS的青少年肩部倾斜度更大，左右两侧存在不对称。肩部倾斜度是与AIS相关的唯一姿势偏差。
