Wilczyński Jacek, Lipińska-Stańczak Magdalena, Wilczyński Igor
Laboratory of Posturology, Collegium Medicum, Jan Kochanowski University in Kielce, 25-369 Kielce, Poland.
Children (Basel). 2020 Oct 29;7(11):204. doi: 10.3390/children7110204.
The aim of the study was to assess the relationship between the shape of the anteriorposterior spinal curvature and body composition in schoolchildren. The study included 257 children, aged 11-12. Correct spinal curvature was established in 106 (41.08%) subjects. Other types included: decreased kyphosis and correct lordosis-40 participants (15.50%), correct kyphosis and decreased lordosis-24 individuals (9.30%), increased kyphosis and correct lordosis-17 subjects (6.59%), correct kyphosis and increased lordosis-22 children (8.53%), decreased kyphosis and decreased lordosis-32 people (12.40%), decreased kyphois and increased lordosis-four of the examined subjects (1.55%) increased kyphosis and lordosis-13 people (5.04%). In addition, 134 (51.94%) demonstrated scoliotic posture and eight (3.10%) scoliosis. There were significant relationships between the shape of the anteriorposterior curvatures and body composition in schoolchildren. Those with a strong body build (predominance of mesomorphs) were generally characterised by the correct formation of these curvatures. In contrast, lean subjects (with the predominance of ectomorphic factors) were more likely to experience abnormalities. No correlations with body composition were observed in the group with scoliotic posture or scoliosis. Both in the prevention and correction of postural defects, one should gradually move away from one-sided, usually one-system, therapeutic effects. An approach that takes into account both somatic and neurophysiological factors seems appropriate. With the correct body composition and structure, shaping the habit of correct posture is much easier.
本研究的目的是评估学童脊柱前后弯曲的形状与身体成分之间的关系。该研究纳入了257名11至12岁的儿童。106名（41.08%）受试者脊柱弯曲正常。其他类型包括：驼背减少且脊柱前凸正常——40名参与者（15.50%），驼背正常且脊柱前凸减少——24人（9.30%），驼背增加且脊柱前凸正常——17名受试者（6.59%），驼背正常且脊柱前凸增加——22名儿童（8.53%），驼背减少且脊柱前凸减少——32人（12.40%），驼背减少且脊柱前凸增加——4名受检受试者（1.55%），驼背增加且脊柱前凸增加——13人（5.04%）。此外，134名（51.94%）表现出脊柱侧弯姿势，8名（3.10%）有脊柱侧弯。学童脊柱前后弯曲的形状与身体成分之间存在显著关系。体型强壮（中胚层体型占优势）的人通常这些弯曲的形成正常。相比之下，瘦弱者（外胚层因素占优势）更易出现异常。在有脊柱侧弯姿势或脊柱侧弯的组中未观察到与身体成分的相关性。在姿势缺陷的预防和矫正中，都应逐渐摒弃片面的、通常是单一系统的治疗方法。一种兼顾躯体和神经生理因素的方法似乎是合适的。拥有正确的身体成分和结构，养成正确姿势的习惯会容易得多。
