The Influence of the “Straighten Your Back” Command on the Sagittal Spinal Curvatures in Children with Generalized Joint Hypermobility

Czaprowski, Dariusz; Pawłowska, Paulina; Kolwicz-Gańko, Aleksandra; Sitarski, Dominik; Kędra, Agnieszka

doi:10.1155/2017/9724021

Cited by 9 publications

(11 citation statements)

References 27 publications

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“…It has been established that the shape of the spine in the sagittal plane is associated with stages of ontogenetic development [ 12 ], physical fitness [ 13 ], type of physical activity [ 14 – 17 ], body weight [ 18 ], possible overloading [ 19 ] and body positioning [ 20 ]. Changes in the shape of one section of the spine tend to entail changes in the ones adjacent to or remote from the location of the original change [ 21 , 22 ]. The shape of the spine plays an important role in neural regulation [ 23 ], while a reduction in spinal curvature in the sagittal plane changes loading of the spine and its mobility, causing degeneration of intervertebral disks at each level [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Spinal Curvatures in the Sagittal Plane, as Well as Body Height and Mass in Polish Children and Adolescents Examined in the Late 1950s and in the Early 2000s

2018

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BackgroundHumans are exposed to various stimuli which lead to somatic modifications and changes in body posture, negatively affecting many of its characteristics. The purpose of this study was to assess significant alterations which occurred in selected morphological features and spinal curvatures in children and adolescents over a period of 40 years.Material/MethodsThe total of 7041 subjects, aged 4–18 years (mean age 11.3 years) were included in the study, which was designed to compare measurements performed in year 1959 (Group 1, n=3235 individuals) and in year 2003 (Group 2, n=3806 individuals). The children were examined for body height, body mass, as well as thoracic and lumbar curvatures. In 1959, the measurements were carried out using a spherodorsimeter, while in 2003, the CQ System photogrammetry was used, producing corresponding results. The Mann-Whitney U test and the Student’s t-test were used for statistical analysis.ResultsThe findings showed a significant decrease in the angle of lumbar lordosis and in sacral inclination as well as an increase in body height and mass, particularly in prepubertal children. On the other hand, the angle of thoracic kyphosis and the partial angles of physiological spinal curvatures changed only to a small degree over the 40-year period.ConclusionsThis study provides evidence related to changes which occurred during the relevant period of over 40 years, namely a decrease in both the angle of lumbar lordosis and the sacral inclination angle, as well as an increase in body height and mass. These changes should be taken into consideration in selecting norms and standards applied in healthcare services, and the findings suggest it is necessary to regularly update such standards.

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Section: Introductionmentioning

confidence: 99%

Comparison of Spinal Curvatures in the Sagittal Plane, as Well as Body Height and Mass in Polish Children and Adolescents Examined in the Late 1950s and in the Early 2000s

2018

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“…Moderate 3. Severe Scheper, 2017 [ 100 ] (2) Cluster 2: Orthopedic implications of GJH A: Involved joints Joint of interest Condition Age References Spine and scoliosis Back pain 13–17 Fairbank, 1984 [ 46 ] Idiopathic scoliosis 13–19 Fernandez-Bermejo, 1993 [ 51 ] Idiopathic scoliosis 9–18 Czaprowski, 2012 [ 34 ] Sagittal spine profiles 10–13 Czaprowski, 2013 [ 32 ] Sagittal spine curvature 10–14 Czaprowski, 2017 [ 33 ] Sagittal body alignment in a sitting position 8–14 Czaprowski, 2021 [ 35 ] Back mobility 5–17 Woolston, 2012 [ 114 ] Idiopathic scoliosis 10–15 Bozkurt, 2019 [ 25 ] Knee Knee ROM and gait 8–15 Fatoye, 2011 [ 49 ] Knee function 10 Juul-Kristensen, 2012; Jensen, 2013 [ 62 , 65 ] Knee injuries 9–14 Junge, 2015 [ ...…”

Section: Resultsmentioning

confidence: 99%

Hypermobility prevalence, measurements, and outcomes in childhood, adolescence, and emerging adulthood: a systematic review

Blajwajs,

Williams,

Timmons

et al. 2023

Rheumatol Int

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General Joint Hypermobility (GJH) is a common condition found in 2–57% of the population. Of those with GJH, 10% suffer from accompanying physical and/or psychological symptoms. While the understanding of GJH in the general population is unfolding, its implication in a cohort of children, adolescents and young adults are not yet understood. This systematic review explored GJH’s prevalence, tools to measure it, its physical and psychosocial symptoms, with a special interest in aesthetic sports. The CINHAL, MEDLINE, PsycINFO, SPORTDiscus and Scopus databases were searched for relevant studies. Inclusion criteria were (1) Age range of 5–24; (2) Participants had GJH; (3) A measurement for GJH; (4) Studies written in English language. Study screening for title, abstract and full text (when needed) and quality assessment were performed by two independent individuals. 107 studies were included in this review and were thematically grouped into six clusters expressing different foci: (1) GJH’s Core Characteristics; (2) Orthopedic; (3) Physical Other; (4) Psychosocial; (5) Treatment and (6) Aesthetic Sports. The review revealed a growing interest in GJH in this cohort in the last decade, especially regarding non-musculoskeletal physical implications and psychosocial aspects. Prevalence varied between different ethnic groups and as a parameter of age, gender and measurement. The most widespread tool to measure GJH was the Beighton scale, with a cut-off varying between 4 and 7. Children show fewer, but similar GJH implication to those in the general population, however, more research on the topic is warranted, especially regarding psychosocial aspects and treatment.

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“…Each positive test would score 1 point. The assessment was carried out for the left and right sides at the goniometer (MSD, Poland) [1,11]. The rest of the participants were qualified to the control groups.…”

Section: Methodsmentioning

confidence: 99%

“…The pathophysiology of the GJH lays in the disorders of a proportion of collagen, extracellular proteins, and hormones [8]. The lordotic posture, functional and idiopathic scoliosis, or flat feet co-exist with GJH [4,7,[9][10][11]. The symptomatic (painful) form of GJH is called Benign Joint Hypermobility Syndrome (BJHS) [4].…”

Section: Introductionmentioning

confidence: 99%

Assessment of lower limbs in people with Generalized Joint Hypermobility (GJH) - preliminary report

Ewertowska¹,

Kleniewska²,

Wasilewski³

et al. 2021

areh

Self Cite

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Introduction: Generalized Joint Hypermobility (GJH) is defined as an increased range of motion in joints. There is no causal treatment of GJH, therefore the therapy should be based on the individual needs of patients after the comprehensive diagnostic of body posture. The occurrence of deformities of lower limbs in people with GJH should be an indication for the therapy. The aim of this study was the assessment of the impact of Generalized Joint Hypermobility on the lower limbs position. Materials and methods: The research was conducted on 30 children, aged 7-13 (10.1±1.7), 51 adults aged 20-29 (23.2±1.6). The study included the assessment of external and internal rotation of hips, tibial torsion, axis of lower limbs, longitudinal and transverse arch of the feet. Females with ≥5 and males with ≥4 scores in the Beighton test were included in the GJH groups. Results: Both children and adults with GJH presents higher internal rotation of hips in comparison to the control group (p=0.03 for right and p=0.00 for left side, and p=0.00 for right and p=0.00 for left side, for children and adults, respectively). Children with GJH obtained higher values of the Clarke angle for the right foot compared to the control group (p=0.00). Conclusions: Regardless of age, subjects with Generalized Joint Hypermobility are characterized by higher internal rotation of the hip compared to healthy controls. Children with GJH present a higher longitudinal arch of the feet compared to peers, but the results fall within the normative ranges.

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The Influence of the “Straighten Your Back” Command on the Sagittal Spinal Curvatures in Children with Generalized Joint Hypermobility

Cited by 9 publications

References 27 publications

Comparison of Spinal Curvatures in the Sagittal Plane, as Well as Body Height and Mass in Polish Children and Adolescents Examined in the Late 1950s and in the Early 2000s

Comparison of Spinal Curvatures in the Sagittal Plane, as Well as Body Height and Mass in Polish Children and Adolescents Examined in the Late 1950s and in the Early 2000s

Hypermobility prevalence, measurements, and outcomes in childhood, adolescence, and emerging adulthood: a systematic review

Assessment of lower limbs in people with Generalized Joint Hypermobility (GJH) - preliminary report

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