Kurzeja Piotr, Gąsienica-Walczak Bartłomiej, Ogrodzka-Ciechanowicz Katarzyna, Prusak Jarosław
Institute of Health Sciences, Podhale State College of Applied Sciences, 34-400 Nowy Targ, Poland.
Institute of Clinical Rehabilitation, Faculty of Motor Rehabilitation, University of Physical Education, 31-571 Krakow, Poland.
J Clin Med. 2022 Mar 16;11(6):1653. doi: 10.3390/jcm11061653.
The study aimed to estimate the ability to tolerate body balance disturbance in relation to selected changes in the sagittal plane of the spine in early school-age children. The study involved 189 children with an average age of 8.3 ± 0.7 years (aged 7−10). The tests included an interview, clinical examination (measurement of body weight and height, assessment of the course of the spinous processes of the thoracic and lumbar vertebrae, assessment of the location of selected anatomical landmarks of the torso), and a physical examination in which the shape of the spine surface was examined with the use of the photogrammetric method and the moiré effect projection. Body balance disturbance tolerance skills (BBDTS) were measured with the rotational test (RT). In the rotational test, the results of body balance disturbance tolerance skills show a slight but statistically significant correlation with the bodyweight of the examined children (Rs = 0.35, p < 0.001). This relationship was also statistically significant in the groups by gender. Among the measured indicators of the curvature of the spine in the sagittal plane, the correlation with the RT test result was mostly related to the α angle and the value was Rs = 0.15 (p = 0.04). In the group of girls, this correlation was stronger and amounted to Rs = 0.26 (p = 0.015). Among other measured correlations, the dependence of variables such as the bodyweight of the subjects and the α angle was shown. In conclusion, increasing lumbar lordosis results in the deterioration of balance disturbance tolerance skills. As body weight increases, body balance disturbance tolerance skills decrease.
该研究旨在评估学龄儿童早期脊柱矢状面特定变化与身体平衡干扰耐受性之间的关系。该研究涉及189名平均年龄为8.3±0.7岁（7至10岁）的儿童。测试包括访谈、临床检查（测量体重和身高、评估胸椎和腰椎棘突的走向、评估躯干选定解剖标志的位置）以及体格检查，其中使用摄影测量法和莫尔效应投影来检查脊柱表面形状。通过旋转测试（RT）测量身体平衡干扰耐受技能（BBDTS）。在旋转测试中，身体平衡干扰耐受技能的结果与受试儿童的体重呈轻微但具有统计学意义的相关性（Rs = 0.35，p < 0.001）。这种关系在按性别划分的组中也具有统计学意义。在矢状面脊柱曲率的测量指标中，与RT测试结果的相关性主要与α角有关，其值为Rs = 0.15（p = 0.04）。在女孩组中，这种相关性更强，达到Rs = 0.26（p = 0.015）。在其他测量的相关性中，显示了诸如受试者体重和α角等变量之间的依赖性。总之，腰椎前凸增加会导致平衡干扰耐受技能下降。随着体重增加，身体平衡干扰耐受技能下降。
