The relationship between physical activity, structural deformity, and spinal mobility in adolescent idiopathic scoliosis patients

Zucker, C. P.; Cirrincione, P. M.; Hillstrom, H. J.; Thakur, A.; Wisch, J. L.; Groisser, B. N.; Mintz, D. N.; Cunningham, M. E.; Hresko, M. T.; Haddas, R.; Heyer, J. H.; Widmann, R. F.

doi:10.1007/s43390-023-00702-0

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…Some of these studies are consistent with our results [15,17,[40][41][42] . For example, physical activity was not found to be a risk factor for scoliosis in a study by Zucker et al [40] . Meyer et al [17] further found that adolescents who practice gymnastics may be more likely to develop scoliosis, and they attributed this association to higher joint laxity.…”

Section: Discussionsupporting

confidence: 93%

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Mendelian randomization of leisure sedentary behavior, physical activity and scoliosis

Fangjun

2024

Preprint

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Objective: To investigate the relationship between leisure sedentary behavior (LSB), physical activity (PA) and the risk of scoliosis by using two-sample Mendelian randomization (MR). Methods: Genetic variation in television watching time, mobile phone use time, moderate-to-high intensity physical activity (MVPA), and vigorous physical activity (VPA) were used as instrumental variables, and genome-wide association data from a Finnish database of patients with scoliosis were used. The inverse variance weighting (IVW) method was used as the main analysis method, and the weighted median, MR-Egger, MR Multi-effect residual sum and outlier were combined to perform multiple sensitivity analysis. Results: IVW results showed: watching TV time (OR=0.623, 95%CI: 0.616-1.789, P=0.623); Time spent on mobile phones (OR=0.575, 95%CI: 0.169-1.960, P=0.377); MVPA (OR=0.535, 95%CI: 0.09-3.15, P=0.49); VPA (OR=0.623, 95%CI: 0.616-1.789, P=0.623). The results of the primary IVW MR Analysis were consistent with those of the multiple sensitivity MR Analysis. Conclusion: Genetic susceptibility to leisure sedentary behavior and physical activity are not associated with the risk of scoliosis. The observed associations may be the result of shared genetic effects or environmental confounding factors. However, we found a possible correlation between the type of physical activity and scoliosis.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Mendelian randomization of leisure sedentary behavior, physical activity and scoliosis

Fangjun

2024

Preprint

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“…The research findings further indicate significant differences, both in cases of severe scoliosis compared to the control group and in cases of thoracic scoliosis compared to controls [58]. Another study conducted using the same system reveals that patients with severe structural deformity and restricted range of motion do not exhibit a decrease in their physical activity level, as indicated by validated patient activity questionnaires [59]. Additional studies have demonstrated a strong correlation between 3D surface topographic measurements for idiopathic scoliosis and patient selfimage questionnaires [60].…”

Section: State Of the Art Developmentsmentioning

confidence: 65%

Non-Invasive Assessment of Back Surface Topography: Technologies, Techniques and Clinical Utility

Mehta,

Chockalingam,

Shannon

et al. 2023

Sensors

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(1) Background: Frequent exposure to ionising radiation is often used to determine the diagnosis of adolescent idiopathic scoliosis (AIS), a lateral curvature of the spine in those aged between 10 and 18 years, and a treatment plan according to Cobb angle. This narrative review outlines the clinical utility of surface topography (ST), a radiation-free imaging modality. (2) Methods: Publicly available databases were searched to yield literature related to ST. Identified articles were classified based on the equipment used and in order of how it was developed, i.e., historical, recent developments, and state-of-the-art developments. (3) Conclusions: ST is a reliable cost-effective non-invasive technique that provides an alternative to radiation-based imaging to aid with the diagnosis and potential screening of AIS. Several scanning methods are available, which allows ST to be used in several clinical environments. Limitations of inter-reliability and differences of apparatus resulting in variations of data have been noted through this narrative review.

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Preliminary Study of Motion Preservation Following Posterior Dynamic Distraction Device in Adolescent Idiopathic Scoliosis Patients

Todderud,

Milbrandt,

Floyd

et al. 2024

Journal of Pediatric Orthopaedics

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Background: Motion-sparing scoliosis surgeries such as the posterior dynamic distraction device (PDDD) are slowly increasing in use. However, there is limited clinical data documenting postoperative motion across the PDDD construct. With this cohort study, we aim to measure sagittal and coronal motion following PDDD. We hypothesize coronal and sagittal spinal motion will be partially preserved across the construct. Methods: Retrospective review of prospectively collected data. Preoperative and minimum 1-year postoperative coronal range of motion across the instrumented levels was compared. Available flexion/extension radiographs were evaluated postoperatively to assess sagittal arc of motion. Radiographs from latest follow-up were used. Results: At a mean of 1.9 years (1 to 5 y), flexibility radiographs were available on 29 patients treated with PDDD (17 thoracic, 12 lumbar). Mean age at surgery was 16 years (12 to 25). Postoperative coronal arc of motion in PDDD patients was 11 degrees (3 to 19 degrees) in the thoracic spine and 10 degrees (0 to 28 degrees) in the lumbar spine. Compared with preoperative motion, the thoracic arc of motion was maintained by 33% (35 to 11 degrees) and lumbar motion was maintained by 30% (34 to 10 degrees). Flexion-extension radiographs were available on 7 patients. Sagittal arc for the upper instrumented vertebral end plate to the lower instrumented vertebral endplate of the cohort was 10 degrees in the thoracic spine (6 to 18) and 14 degrees in the lumbar spine (5 to 21). Sagittal measurements for the changes in the arc of the upper and lower screws on the construct were 4 degrees in the thoracic group (2 to 8) and 9 degrees in the lumbar group (2 to 17). By latest follow-up 11 patients (38%) underwent reoperation, with most cases due to implant breakage (N=4, 14%), extender misalignment (N=2, 7%), and screw misplacement (N=2, 7%). Conclusion: At mean 1.9 years postoperatively, PDDD preserves measurable spinal motion over the construct both in the coronal and the sagittal plane without evidence for autofusion. Coronal arc of motion averages 10 to 12 degrees and sagittal arc of motion ranged from 4 to 14 degrees, although this varies by patient. This study confirms that PDDD for pediatric scoliosis preserves a measurable degree of postoperative flexibility both in the sagittal and coronal planes. Level of Evidence: Level II—therapeutic study.

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The relationship between physical activity, structural deformity, and spinal mobility in adolescent idiopathic scoliosis patients

Cited by 3 publications

References 23 publications

Mendelian randomization of leisure sedentary behavior, physical activity and scoliosis

Mendelian randomization of leisure sedentary behavior, physical activity and scoliosis

Non-Invasive Assessment of Back Surface Topography: Technologies, Techniques and Clinical Utility

Preliminary Study of Motion Preservation Following Posterior Dynamic Distraction Device in Adolescent Idiopathic Scoliosis Patients

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