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The Angle of Trunk Rotation in School Children: A Study from an Idiopathic Scoliosis Screening. Prevalence and Optimal Age Screening Value

Author

Listed:
  • Katarzyna Adamczewska

    (Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland)

  • Marzena Wiernicka

    (Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland)

  • Ewa Malchrowicz-Mośko

    (Poznan University of Physical Education, Faculty of Sport Sciences, 61-871 Poznan, Poland)

  • Joanna Małecka

    (Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland)

  • Jacek Lewandowski

    (Poznan University of Physical Education, Faculty of Health Sciences, Department of Musculoskeletal Rehabilitation, 61-871 Poznan, Poland)

Abstract

(1) Background: Idiopathic scoliosis is a deformity of the growing spine. It affects 2–3% of adolescents; yet its cause is still unknown. At the early stage of idiopathic scoliosis (IS), the signs are not very noticeable. That is why the primarily school-based screening for scoliosis is so important. (2) Methods: This was a cross-sectional analysis of 6850 respondents. Participants were elementary school students in the metropolitan area of Poland. The suspicion of IS was based on detection of three-dimensional deformity of the spine using scoliometer. (3) Results: Respondents were divided into two groups: Angle of trunk rotation (ATR) = 0–3º and ATR > 3º. Presented research using a referral criterion of 5º ATR showed that in the group of participants who had ATR > 3º the largest percentage of 5 degree values was recorded at the second and third measurement level of the spine (30.5%, 31.1%, respectively). Analyzing the differences between the two groups of girls (ATR = 0–3º, ATR > 3º), statistically significant differences were recorded between 9 and 11 years of age ( p = 0.0388). Girls with ATR > 3º at all measuring levels are significantly slimmer than girls with ATR 0–3º; (4) Conclusions: Age; sex, and risk of developing angle of trunk rotation are very closely associated. The main thoracic (level 2) and thoraco-lumbar (level 3) level of measuring of the spine appears to be the most differentiating in the diagnosis of scoliosis. Girls with a lower degree of trunk deformity (4–6º trunk rotation), which can present mild scoliosis and those with a higher degree (7º trunk rotation) have lower body mass than girls within the norm.

Suggested Citation

  • Katarzyna Adamczewska & Marzena Wiernicka & Ewa Malchrowicz-Mośko & Joanna Małecka & Jacek Lewandowski, 2019. "The Angle of Trunk Rotation in School Children: A Study from an Idiopathic Scoliosis Screening. Prevalence and Optimal Age Screening Value," IJERPH, MDPI, vol. 16(18), pages 1-9, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3426-:d:267512
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    Citations

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    Cited by:

    1. Vanja Dimitrijević & Tijana Šćepanović & Nikola Jevtić & Bojan Rašković & Vukadin Milankov & Zoran Milosević & Srđan S. Ninković & Nachiappan Chockalingam & Borislav Obradović & Patrik Drid, 2022. "Application of the Schroth Method in the Treatment of Idiopathic Scoliosis: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    2. Maria E. Alves & Daniel A. Marinho & Duarte N. Carneiro & Jorge Alves & Pedro Forte & Alan M. Nevill & Jorge E. Morais, 2020. "A Visual Scan Analysis Protocol for Postural Assessment at School in Young Students," IJERPH, MDPI, vol. 17(8), pages 1-9, April.
    3. Dalila Scaturro & Claudio Costantino & Pietro Terrana & Fabio Vitagliani & Vincenzo Falco & Daniele Cuntrera & Claudia Emilia Sannasardo & Francesco Vitale & Giulia Letizia Mauro, 2021. "Risk Factors, Lifestyle and Prevention among Adolescents with Idiopathic Juvenile Scoliosis: A Cross Sectional Study in Eleven First-Grade Secondary Schools of Palermo Province, Italy," IJERPH, MDPI, vol. 18(23), pages 1-9, November.
    4. Katarzyna Adamczewska & Marzena Wiernicka & Ewa Kamińska & Joanna Małecka & Agata Dąbrowska & Ewa Malchrowicz-Mośko, 2020. "Annual Observation of Changes in the Angle of Trunk Rotation. Trunk Asymmetry Predictors. A Study from a Scoliosis Screening in School Adolescents," IJERPH, MDPI, vol. 17(6), pages 1-9, March.

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