IRCCS Don Carlo Gnocchi Foundation, P.le Morandi, 8, 20121, Milan, Italy.
ISICO, Italian Scientific Spine Institute, Milan, Italy.
Eur J Med Res. 2017 Sep 29;22(1):36. doi: 10.1186/s40001-017-0280-y.
The literature did not show clearly if a correlation between trunk and facial asymmetry exists. The aim of this study was to verify the association between trunk and facial asymmetries, and trunk and facial sagittal configuration in adolescents.
This is a cross-sectional screening study. It was carried out in a small town in Northern Italy, from February to April 2014. Healthy children met the inclusion criteria. Exclusion criteria were subjects with physical and cognitive disability, genetic disease, and polymorphism. All subjects underwent a three phases for postural screening program.
1029 healthy children were 491 females and 538 males with mean age: 12 (range 11-16) years. The association of facial and trunk asymmetry had a point prevalence rate around 1% for the various regions of the spine, the association on the sagittal plane of almost 1.3% for hyperkyphosis and hyperlordosis. Overall, results showed a very low sensitivity, specificity, and predictive values of facial anomalies for trunk asymmetry and sagittal spinal posture.
While correlations between jaw position and body posture for cervical spine can exist, our study denied association with trunk and back in a general population: postural compensatory mechanism may have minimized the effects of one area on the other, if any existed.
文献并未明确显示躯干和面部不对称之间是否存在相关性。本研究旨在验证青少年躯干和面部不对称以及躯干和面部矢状面形态之间的相关性。
这是一项横断面筛查研究。于 2014 年 2 月至 4 月在意大利北部的一个小镇进行。符合纳入标准的健康儿童参与了本研究。排除标准为身体和认知残疾、遗传疾病和多态性的受试者。所有受试者均接受了为期三期的姿势筛查方案。
1029 名健康儿童中，491 名为女性，538 名为男性，平均年龄为 12 岁（范围 11-16 岁）。脊柱各部位的面部和躯干不对称的关联率约为 1%，脊柱矢状面的关联率约为 1.3%，表现为脊柱后凸和脊柱前凸。总体而言，面部异常与躯干不对称和脊柱矢状面姿势之间的相关性具有非常低的敏感性、特异性和预测值。
尽管下颌位置和颈椎体姿势之间可能存在相关性，但我们的研究否认了在一般人群中躯干和背部之间的关联：如果存在的话，姿势补偿机制可能会最小化一个区域对另一个区域的影响。
