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A clinical postural model of sagittal alignment in young adolescents before age at peak height velocity

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A clinical postural model of sagittal alignment in young adolescents before age at peak height velocity

Auteurs : Mieke Dolphens ; Barbara Cagnie ; Andry Vleeming ; Guy Vanderstraeten ; Pascal Coorevits ; Lieven Danneels

Source :

European Spine Journal [ 0940-6719 ] ; 2012.

RBID : PMC:3481087

Abstract

Introduction

From a clinical point of view, knowledge of customary standing positions among healthy young adolescents is of primary importance. The purpose of this study was to document the correlations between sagittal standing posture parameters in a pre-peak height velocity (pre-PHV) cohort.

Materials and methods

This cohort study included 639 pre-PHV boys (age 12.6 [SD, 0.54] years) and 557 pre-PHV girls (age 10.6 [SD, 0.47] years). Gross body segment orientations and spinopelvic orientation/shape indexes were quantified using a clinical screening protocol. Pearson’s correlation coefficients were determined for all sagittal standing plane alignment parameters, and a postural model was used to analyze the correlations between parameters.

Results

Both at the gross body segment and spinopelvic level, an interdependence was found between postural parameters. No correlations were observed between ‘global’ parameters related to the pelvis, trunk or body anteroposterior translation postures and ‘local’ spinopelvic geometries. A similar pattern and strength of correlations was obtained in pre-PHV boys and girls, except for the reciprocal relationships between the craniovertebral angle and adjacent anatomic segment characteristics and between thoraco-lumbar geometries.

Conclusions

Although the correlation schemes do not imply a causal relationship, the proposed postural model allows conjecture about standing posture to be organized slightly differently in pre-PHV boys and girls. Whereas the standing posture in pre-PHV boys might be organized predominantly according to an ascending mode, bottom-up and top-down organizations appear to coexist in pre-PHV girls.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3481087

DOI: 10.1007/s00586-012-2416-7
PubMed: 22763558
PubMed Central: 3481087

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PMC:3481087

Le document en format XML

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<author><name sortKey="Dolphens, Mieke" sort="Dolphens, Mieke" uniqKey="Dolphens M" first="Mieke" last="Dolphens">Mieke Dolphens</name>
<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
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<author><name sortKey="Cagnie, Barbara" sort="Cagnie, Barbara" uniqKey="Cagnie B" first="Barbara" last="Cagnie">Barbara Cagnie</name>
<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
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<author><name sortKey="Vleeming, Andry" sort="Vleeming, Andry" uniqKey="Vleeming A" first="Andry" last="Vleeming">Andry Vleeming</name>
<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2">Department of Anatomy, Medical Faculty, University of New England, Biddeford Campus, 11 Hills Beach Road, Biddeford Maine, ME 04005 USA</nlm:aff>
</affiliation>
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<author><name sortKey="Vanderstraeten, Guy" sort="Vanderstraeten, Guy" uniqKey="Vanderstraeten G" first="Guy" last="Vanderstraeten">Guy Vanderstraeten</name>
<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">Department of Physical and Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans (1P5), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
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<author><name sortKey="Coorevits, Pascal" sort="Coorevits, Pascal" uniqKey="Coorevits P" first="Pascal" last="Coorevits">Pascal Coorevits</name>
<affiliation><nlm:aff id="Aff4">Department of Public Health and Research in Advanced Medical Informatics and Telematics, Ghent University, c/o Business Complex Groeninghe (Building F), Zwijnaardsesteenweg 314, 9000 Ghent, Belgium</nlm:aff>
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<author><name sortKey="Danneels, Lieven" sort="Danneels, Lieven" uniqKey="Danneels L" first="Lieven" last="Danneels">Lieven Danneels</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A clinical postural model of sagittal alignment in young adolescents before age at peak height velocity</title>
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<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
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<author><name sortKey="Cagnie, Barbara" sort="Cagnie, Barbara" uniqKey="Cagnie B" first="Barbara" last="Cagnie">Barbara Cagnie</name>
<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
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<author><name sortKey="Vleeming, Andry" sort="Vleeming, Andry" uniqKey="Vleeming A" first="Andry" last="Vleeming">Andry Vleeming</name>
<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff2">Department of Anatomy, Medical Faculty, University of New England, Biddeford Campus, 11 Hills Beach Road, Biddeford Maine, ME 04005 USA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Vanderstraeten, Guy" sort="Vanderstraeten, Guy" uniqKey="Vanderstraeten G" first="Guy" last="Vanderstraeten">Guy Vanderstraeten</name>
<affiliation><nlm:aff id="Aff1">Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="Aff3">Department of Physical and Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans (1P5), De Pintelaan 185, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Coorevits, Pascal" sort="Coorevits, Pascal" uniqKey="Coorevits P" first="Pascal" last="Coorevits">Pascal Coorevits</name>
<affiliation><nlm:aff id="Aff4">Department of Public Health and Research in Advanced Medical Informatics and Telematics, Ghent University, c/o Business Complex Groeninghe (Building F), Zwijnaardsesteenweg 314, 9000 Ghent, Belgium</nlm:aff>
</affiliation>
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<series><title level="j">European Spine Journal</title>
<idno type="ISSN">0940-6719</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>From a clinical point of view, knowledge of customary standing positions among healthy young adolescents is of primary importance. The purpose of this study was to document the correlations between sagittal standing posture parameters in a pre-peak height velocity (pre-PHV) cohort.</p>
</sec>
<sec><title>Materials and methods</title>
<p>This cohort study included 639 pre-PHV boys (age 12.6 [SD, 0.54] years) and 557 pre-PHV girls (age 10.6 [SD, 0.47] years). Gross body segment orientations and spinopelvic orientation/shape indexes were quantified using a clinical screening protocol. Pearson’s correlation coefficients were determined for all sagittal standing plane alignment parameters, and a postural model was used to analyze the correlations between parameters.</p>
</sec>
<sec><title>Results</title>
<p>Both at the gross body segment and spinopelvic level, an interdependence was found between postural parameters. No correlations were observed between ‘global’ parameters related to the pelvis, trunk or body anteroposterior translation postures and ‘local’ spinopelvic geometries. A similar pattern and strength of correlations was obtained in pre-PHV boys and girls, except for the reciprocal relationships between the craniovertebral angle and adjacent anatomic segment characteristics and between thoraco-lumbar geometries.</p>
</sec>
<sec><title>Conclusions</title>
<p>Although the correlation schemes do not imply a causal relationship, the proposed postural model allows conjecture about standing posture to be organized slightly differently in pre-PHV boys and girls. Whereas the standing posture in pre-PHV boys might be organized predominantly according to an ascending mode, bottom-up and top-down organizations appear to coexist in pre-PHV girls.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">Eur Spine J</journal-id>
<journal-id journal-id-type="iso-abbrev">Eur Spine J</journal-id>
<journal-title-group><journal-title>European Spine Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0940-6719</issn>
<issn pub-type="epub">1432-0932</issn>
<publisher><publisher-name>Springer-Verlag</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22763558</article-id>
<article-id pub-id-type="pmc">3481087</article-id>
<article-id pub-id-type="publisher-id">2416</article-id>
<article-id pub-id-type="doi">10.1007/s00586-012-2416-7</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>A clinical postural model of sagittal alignment in young adolescents before age at peak height velocity</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Dolphens</surname>
<given-names>Mieke</given-names>
</name>
<address><phone>+32-933-25503</phone>
<fax>+32-933-23811</fax>
<email>mieke.dolphens@ugent.be</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cagnie</surname>
<given-names>Barbara</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vleeming</surname>
<given-names>Andry</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Vanderstraeten</surname>
<given-names>Guy</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Coorevits</surname>
<given-names>Pascal</given-names>
</name>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Danneels</surname>
<given-names>Lieven</given-names>
</name>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000 Ghent, Belgium</aff>
<aff id="Aff2"><label>2</label>
Department of Anatomy, Medical Faculty, University of New England, Biddeford Campus, 11 Hills Beach Road, Biddeford Maine, ME 04005 USA</aff>
<aff id="Aff3"><label>3</label>
Department of Physical and Rehabilitation Medicine, Faculty of Medicine and Health Sciences, Ghent University, Campus Heymans (1P5), De Pintelaan 185, 9000 Ghent, Belgium</aff>
<aff id="Aff4"><label>4</label>
Department of Public Health and Research in Advanced Medical Informatics and Telematics, Ghent University, c/o Business Complex Groeninghe (Building F), Zwijnaardsesteenweg 314, 9000 Ghent, Belgium</aff>
</contrib-group>
<pub-date pub-type="epub"><day>5</day>
<month>7</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>11</month>
<year>2012</year>
</pub-date>
<volume>21</volume>
<issue>11</issue>
<fpage>2188</fpage>
<lpage>2197</lpage>
<history><date date-type="received"><day>13</day>
<month>12</month>
<year>2011</year>
</date>
<date date-type="rev-recd"><day>13</day>
<month>5</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>17</day>
<month>6</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>© Springer-Verlag 2012</copyright-statement>
</permissions>
<abstract id="Abs1"><sec><title>Introduction</title>
<p>From a clinical point of view, knowledge of customary standing positions among healthy young adolescents is of primary importance. The purpose of this study was to document the correlations between sagittal standing posture parameters in a pre-peak height velocity (pre-PHV) cohort.</p>
</sec>
<sec><title>Materials and methods</title>
<p>This cohort study included 639 pre-PHV boys (age 12.6 [SD, 0.54] years) and 557 pre-PHV girls (age 10.6 [SD, 0.47] years). Gross body segment orientations and spinopelvic orientation/shape indexes were quantified using a clinical screening protocol. Pearson’s correlation coefficients were determined for all sagittal standing plane alignment parameters, and a postural model was used to analyze the correlations between parameters.</p>
</sec>
<sec><title>Results</title>
<p>Both at the gross body segment and spinopelvic level, an interdependence was found between postural parameters. No correlations were observed between ‘global’ parameters related to the pelvis, trunk or body anteroposterior translation postures and ‘local’ spinopelvic geometries. A similar pattern and strength of correlations was obtained in pre-PHV boys and girls, except for the reciprocal relationships between the craniovertebral angle and adjacent anatomic segment characteristics and between thoraco-lumbar geometries.</p>
</sec>
<sec><title>Conclusions</title>
<p>Although the correlation schemes do not imply a causal relationship, the proposed postural model allows conjecture about standing posture to be organized slightly differently in pre-PHV boys and girls. Whereas the standing posture in pre-PHV boys might be organized predominantly according to an ascending mode, bottom-up and top-down organizations appear to coexist in pre-PHV girls.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Postural balance</kwd>
<kwd>Growth and development</kwd>
<kwd>Spine</kwd>
<kwd>Pelvis</kwd>
<kwd>Clinical protocols</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer-Verlag Berlin Heidelberg 2012</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>

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A clinical postural model of sagittal alignment in young adolescents before age at peak height velocity

A clinical postural model of sagittal alignment in young adolescents before age at peak height velocity

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