Czaprowski Dariusz, Tyrakowski Marcin, Bloda Justyna, Waś Jakub, Dembińska Anna, Ewertowska Paulina, Kotwicki Tomasz
Department of Physiotherapy, Józef Rusiecki University College in Olsztyn, Bydgoska, Poland.
Department of Rehabilitation and Physiotherapy, University of Medical Sciences, Poznan, Poland.
J Back Musculoskelet Rehabil. 2019;32(5):731-738. doi: 10.3233/BMR-170948.
Body height (BH) measurement is an important part of the clinical evaluation of children with idiopathic scoliosis (IS) as its progression is defined based on the observation of a growth spurt.
The aim of the study is to assess diurnal variation of BH in children with IS.
BH was measured in 98 children with IS (Cobb angle: 10∘-52∘, mean 21.2∘± 9.9∘) both in standing and sitting position. The measurements were performed 4 times a day - between: (1) 7:00 and 8:00; (2) 11:00 and 12:00; (3) 15:00 and 16:00 and (4) 19:00 and 20:00.
A significant decrease in BH during the day was observed in both standing and sitting positions (p< 0.001). The highest decrease in height was observed between the measurements performed between 7:00 and 8:00 and measurements carried out in the evening (19:00-20:00). For standing, the mean loss of height was 0.7 cm (± 0.7), i.e. 0.43% of initial standing height, for sitting the mean decrease in height was 0.7 cm (± 0.7), i.e. 0.79% of initial sitting height.
BH decreases in children with IS during daytime. Due to diurnal BH variation, the time of the day should be recorded when measuring patients with IS.
身高（BH）测量是特发性脊柱侧凸（IS）儿童临床评估的重要组成部分，因为其进展是基于生长突增的观察来定义的。
本研究的目的是评估IS儿童身高的昼夜变化。
对98例IS儿童（Cobb角：10°-52°，平均21.2°±9.9°）进行站立位和坐位的身高测量。测量在一天内进行4次，分别在：（1）7:00至8:00；（2）11:00至12:00；（3）15:00至16:00；（4）19:00至20:00之间。
站立位和坐位时，白天身高均显著下降（p<0.001）。在7:00至8:00之间进行的测量与晚上（19:00-20:00）进行的测量之间，身高下降最为明显。站立位时，平均身高损失为0.7厘米（±0.7），即初始站立身高的0.43%；坐位时，平均身高下降为0.7厘米（±0.7），即初始坐位身高的0.79%。
IS儿童白天身高会下降。由于身高的昼夜变化，在测量IS患者时应记录测量时间。
