Classification system of the sagittal standing alignment in young adolescent girls
Identifieur interne : 000457 ( Main/Exploration ); précédent : 000456; suivant : 000458Classification system of the sagittal standing alignment in young adolescent girls
Auteurs : Mieke Dolphens [Belgique] ; Barbara Cagnie [Belgique] ; Pascal Coorevits [Belgique] ; Andry Vleeming [Belgique, États-Unis] ; Guy Vanderstraeten [Belgique] ; Lieven Danneels [Belgique]Source :
- European Spine Journal [ 0940-6719 ] ; 2013.
Abstract
The purpose of this cohort study was to classify sagittal standing alignment of pre-peak height velocity (pre-PHV) girls, and to evaluate whether identified subgroups were associated with measures of spinal pain. This study further aimed at drawing attention to similarities and differences between the current postural classification and a previous system determined among pre-PHV boys.
557 pre-PHV girls [mean age, 10.6 years (SD, 0.47 years)] participated in the study. Three gross body segment orientation parameters and five specific lumbopelvic characteristics were quantified during habitual standing. Postural subgroups were determined by cluster analysis. Logistic regression was applied to assess the relationship between postural subgroups and spinal pain measures (pain and seeking care, assessed by self-administered questionnaire). Chi-square statistics, independent samples
Among pre-PHV girls, clinically meaningful posture clusters emerged both on the gross body segment and specific lumbopelvic level. The postural subtypes identified among pre-PHV girls closely corresponded to those previously described in pre-PHV boys, thereby allowing the use of the same, working nomenclature. In contrast to previous findings among pre-PHV boys, no associations between posture clusters and spinal pain measures were significant in girls at pre-PHV age. When comparing discrete ‘global’ alignment scores across corresponding posture types, some intriguing differences were found between genders which might involve different biomechanical loading patterns. Whether habitual posture forms a risk factor for developing spinal pain up to adulthood needs evaluation in prospective multifactorial follow-up research.
Url:
DOI: 10.1007/s00586-013-2952-9
PubMed: 23955370
PubMed Central: 3897822
Affiliations:
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Mieke" uniqKey="Dolphens M" first="Mieke" last="Dolphens">Mieke Dolphens</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent</wicri:regionArea><placeName><region type="province" nuts="2">Province de Flandre-Orientale</region><settlement type="city">Gand</settlement></placeName></affiliation></author><author><name sortKey="Cagnie, Barbara" sort="Cagnie, Barbara" uniqKey="Cagnie B" first="Barbara" last="Cagnie">Barbara Cagnie</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent</wicri:regionArea><placeName><region type="province" nuts="2">Province de Flandre-Orientale</region><settlement type="city">Gand</settlement></placeName></affiliation></author><author><name sortKey="Coorevits, Pascal" sort="Coorevits, Pascal" uniqKey="Coorevits P" first="Pascal" last="Coorevits">Pascal Coorevits</name><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Public Health and Research in Advanced Medical Informatics and Telematics, Faculty of Medicine and Health Sciences, Ghent University, Business Complex Groeninghe (Building F), Zwijnaardsesteenweg 314, 9000 Ghent, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Public Health and Research in Advanced Medical Informatics and Telematics, Faculty of Medicine and Health Sciences, Ghent University, Business Complex Groeninghe (Building F), Zwijnaardsesteenweg 314, 9000 Ghent</wicri:regionArea><placeName><region type="province" nuts="2">Province de Flandre-Orientale</region><settlement type="city">Gand</settlement></placeName><orgName type="university">Université de Gand</orgName></affiliation></author><author><name sortKey="Vleeming, Andry" sort="Vleeming, Andry" uniqKey="Vleeming A" first="Andry" last="Vleeming">Andry Vleeming</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent</wicri:regionArea><placeName><region type="province" nuts="2">Province de Flandre-Orientale</region><settlement type="city">Gand</settlement></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff3">Department of Anatomy, Medical Faculty, University of New England College of Osteopathic Medicine, 11 Hills Beach Road, Biddeford, ME 04005 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maine (État)</region></placeName><wicri:cityArea>Department of Anatomy, Medical Faculty, University of New England College of Osteopathic Medicine, 11 Hills Beach Road, Biddeford</wicri:cityArea></affiliation></author><author><name sortKey="Vanderstraeten, Guy" sort="Vanderstraeten, Guy" uniqKey="Vanderstraeten G" first="Guy" last="Vanderstraeten">Guy Vanderstraeten</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent</wicri:regionArea><placeName><region type="province" nuts="2">Province de Flandre-Orientale</region><settlement type="city">Gand</settlement></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff4">Department of Physical and Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans (UZ, 1P5), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Physical and Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans (UZ, 1P5), De Pintelaan 185, 9000 Ghent</wicri:regionArea><placeName><region type="province" nuts="2">Province de Flandre-Orientale</region><settlement type="city">Gand</settlement></placeName><orgName type="university">Université de Gand</orgName></affiliation></author><author><name sortKey="Danneels, Lieven" sort="Danneels, Lieven" uniqKey="Danneels L" first="Lieven" last="Danneels">Lieven Danneels</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Artevelde University College, Ghent University, Campus Heymans (UZ, 3B3), De Pintelaan 185, 9000 Ghent</wicri:regionArea><placeName><region type="province" nuts="2">Province de Flandre-Orientale</region><settlement type="city">Gand</settlement></placeName></affiliation></author></analytic><series><title level="j">European Spine Journal</title><idno type="ISSN">0940-6719</idno><idno type="eISSN">1432-0932</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The purpose of this cohort study was to classify sagittal standing alignment of pre-peak height velocity (pre-PHV) girls, and to evaluate whether identified subgroups were associated with measures of spinal pain. This study further aimed at drawing attention to similarities and differences between the current postural classification and a previous system determined among pre-PHV boys.</p></sec><sec><title>Methods</title><p>557 pre-PHV girls [mean age, 10.6 years (SD, 0.47 years)] participated in the study. Three gross body segment orientation parameters and five specific lumbopelvic characteristics were quantified during habitual standing. Postural subgroups were determined by cluster analysis. Logistic regression was applied to assess the relationship between postural subgroups and spinal pain measures (pain and seeking care, assessed by self-administered questionnaire). Chi-square statistics, independent samples <italic>T</italic> test, and distribution-based methods were used for comparison with postural categorization in pre-PHV boys.</p></sec><sec><title>Results and conclusion</title><p>Among pre-PHV girls, clinically meaningful posture clusters emerged both on the gross body segment and specific lumbopelvic level. The postural subtypes identified among pre-PHV girls closely corresponded to those previously described in pre-PHV boys, thereby allowing the use of the same, working nomenclature. In contrast to previous findings among pre-PHV boys, no associations between posture clusters and spinal pain measures were significant in girls at pre-PHV age. When comparing discrete ‘global’ alignment scores across corresponding posture types, some intriguing differences were found between genders which might involve different biomechanical loading patterns. Whether habitual posture forms a risk factor for developing spinal pain up to adulthood needs evaluation in prospective multifactorial follow-up research.</p></sec></div></front></TEI><affiliations><list><country><li>Belgique</li><li>États-Unis</li></country><region><li>Maine (État)</li><li>Province de Flandre-Orientale</li></region><settlement><li>Gand</li></settlement><orgName><li>Université de Gand</li></orgName></list><tree><country name="Belgique"><region name="Province de Flandre-Orientale"><name sortKey="Dolphens, Mieke" sort="Dolphens, Mieke" uniqKey="Dolphens M" first="Mieke" last="Dolphens">Mieke Dolphens</name></region><name sortKey="Cagnie, Barbara" sort="Cagnie, Barbara" uniqKey="Cagnie B" first="Barbara" last="Cagnie">Barbara Cagnie</name><name sortKey="Coorevits, Pascal" sort="Coorevits, Pascal" uniqKey="Coorevits P" first="Pascal" last="Coorevits">Pascal Coorevits</name><name sortKey="Danneels, Lieven" sort="Danneels, Lieven" uniqKey="Danneels L" first="Lieven" last="Danneels">Lieven Danneels</name><name sortKey="Vanderstraeten, Guy" sort="Vanderstraeten, Guy" uniqKey="Vanderstraeten G" first="Guy" last="Vanderstraeten">Guy Vanderstraeten</name><name sortKey="Vanderstraeten, Guy" sort="Vanderstraeten, Guy" uniqKey="Vanderstraeten G" first="Guy" last="Vanderstraeten">Guy Vanderstraeten</name><name sortKey="Vleeming, Andry" sort="Vleeming, Andry" uniqKey="Vleeming A" first="Andry" last="Vleeming">Andry Vleeming</name></country><country name="États-Unis"><region name="Maine (État)"><name sortKey="Vleeming, Andry" sort="Vleeming, Andry" uniqKey="Vleeming A" first="Andry" last="Vleeming">Andry Vleeming</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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