STUDY ON TRUNK ASYMMETRY IN CHILDREN AGED 10-15 YEARS
Keywords:
trunk asymmetry, school screening, scoliosis, scoliometer measurement.Abstract
Background: A school screening for trunk asymmetries was performed in 2015, to assess children and teenage population the prevalence of these asymmetries. Objectives: To report the prevalence of trunk asymmetry in normal children and adolescents in Cluj-Napoca, by a cross-sectional study. Methods: The traditional Adam’s forward bending test and scoliometer readings were used during the screening program to collect quantitative data. The angle of trunk rotation was measured to quantify the existing trunk asymmetry. A number of 373 subjects (199 male and 174 female) were screened, with a mean age of 13.0 ±1.48 (girls 12.73±1.51; boys 13.26±1.41). Results: The subjects were divided into two groups according to the severity of trunk asymmetry. In the first group, asymmetry was 1 to 6 degrees and in the second group was 7 or more degrees. The mean frequency of (severe) asymmetry of 7 or more degrees was 1.84% in boys and 7.28% in girls. The mean frequency of symmetric (angle of trunk rotation = 0 degrees) boys and girls was 70.5% and 66.7%, respectively. Conclusions: 47.7% of boys and 41.7% of girls were found to be absolutely symmetric in all regions of the spine. Girls are found to have a higher frequency of asymmetry than boys do. Right trunk asymmetry was more common than left. These findings are also supported by several studies from other European regions.
Studiul asimetriei trunchiului la copiii cu vârsta cuprinsă între 10-15 ani. Introducere: În 2015 a fost efectuat un screening școlar pentru depistarea asimetriei trunchiului, cu scopul de a raporta prevalența acestei asimetrii la copiilor de vârstă școlară. Obiective: Raportarea prevalenței asimetriilor trunchiului la copiii și adolescenții sănătoși la Cluj-Napoca, printr-un studiu transversal. Metode: În cadrul acestui program de depistare au fost folosite testul Adam’s – testul înclinării spre înainte - și măsurarea scoliometrică pentru a colecta date cantitative. Unghiul de rotație a trunchiului a fost măsurat pentru a cuantifica distorsiunile torsului. Au fost incluși 373 de subiecți (199 băieți și 174 fete), vârsta medie a elevilor fiind 13,0 ±1,48 (fete 12,73±1,51; băieți 13,26±1,41). Rezultate: Subiecții au fost împărțiți în două grupuri în funcție de severitatea asimetriei trunchiului. În primul grup au fost clasați cei cu asimetrii între 1 și 6 grade, iar în al doilea cei cu asimetria de 7° sau de la 7° în sus. Frecvența asimetriilor severe (7°≤) este de 1,84% la băieți și de 7,28% la fete. Frecvența spatelui simetric (unghiul de rotație a trunchiului = 0°) la băieți este de 70,5% și respectiv de 66,7% la fete. Concluzii: Din această cercetare reiese că fetele sunt mai afectate de asimetriile spatelui decât băieții. Asimetria toracică dreaptă este mult mai des întâlnită, decât cea stângă. Aceste constatări sunt susținute și de alte studii făcute în regiunile Europei.
Cuvinte-cheie: asimetria trunchiului, screening școlar, scolioză, măsurare scoliometrică.
References
Amendt, L. E., Ause-Ellias, K. L., Eybers, J. L., Wadsworth, C. T., Nielsen, D. H., & Weinstein, S. L. (1990, February). Validity and Reliability Testing of the Scoliometer. Physical Therapy, 70(2), 108-17.
Avramescu-Oprițoiu, L. (2008). Study Regarding the Incidence of Physical Deficiencies of the Vertebral Column at Puberty. Timisoara Physical Education and Rehabilitation Journal, 1(1).
Bunnell, W. P. (1984, December). An Objective Criterion for Scoliosis Screening. Journal of Bone and Joint Surgery. American Volume., 66(9), 1381-7.
Bunnell, W. P. (1993, October). Outcome of Spinal Screening. Spine, 18(12), 1572-80.
Câmpeanu, M., Vădan, A., Crișan, B., Nemeti, O. M., & Varga, A. (2013, October-December). The Incidence of Physical Deficiencies Among 11-12 Year-old Children, in Relation with Body Weight Category. Palestrica of the Third Millenium - Civilization and Sport, 14(4), 292-296.
Côté, P., Kreitz, B. G., Cassidy, J. D., Dzus, A. K., & Martel, J. (1998, April 1). A Study of the Diagnostic Accuracy and Reliability of the Scoliometer and Adam's Forward Bend Test. Spine, 23(7), 796-802.
Grivas, T. B., Vasiliadis, E. S., Koufopoulos, G., Segos, D., Triantafyllopoulos, G., & Mouzakis, V. (2006, November 30). Study of Trunk Asymmetry in Normal Children and Adolescents. Scoliosis, 1(19).
Grivas, T. B., Vasiliadis, E. S., Mihas, C., & Savvidou, O. (2007). The Effect of Growth on the Correlation Between the Spinal and Rib Cage Deformity: Implications on Idiopathic Scoliosis Pathogenesis. Scoliosis, 14(2), 11.
Grivas, T. B., Vasiliadis, E. S., Mihas, C., Triantafyllopoulos, G., & Kaspiris, A. (2008, September 23). Trunk Asymmetry in Juveniles. Scoliosis, 3(13).
Grivas, T. B., et al. (2007). SOSORT Consensus Paper: School Screening for Scoliosis. Where Are We Today? Scoliosis, 2(17).
Ionescu, A. (1961). Despre atitudinea corectă a corpului. București: Editura Sport-Turism.
Kotwicki, T., Chowanska, J., Kinel, E., Czaprowski, D., Tomaszewski, M., & Janusz, P. (2013, July 22). Optimal Management of Idiopathic Scoliosis in Adolescence. Adolescent Health, Medicine and Therapeutics, 4, 59-73.
Labelle, H., et al. (2013, October 31). Screening for Adolescent Idiopathic Scoliosis: an Information Statement by the Scoliosis Research Society International Task Force. Scoliosis, 8(17). http://doi.org/10.1186/1748-7161-8-17
Maroti, Ș., Antal, C., Indrieș, M., Costea, A., & Dragoș, P. (2001, May). Studiu privind dezvoltarea toracelui la elevii clasei a V-a din unele școli orădene. Analele Universității de Vest Timișoara - Seria EFS, 3(1), 79-84.
Murrell, G. A., Coonrad, R., Moorman, C. T., & Fitch, R. D. (1993, May). An Assessment of the Reliability of the Scoliometer. Spine, 18(6), 709-712.
Nissinen, M. J., Heliövaara, M. M., Seitsamo, J. T., Könönen, M. H., Hurmerinta, K. A., & Poussa, M. S. (2000, March 1). Development of Trunk Asymmetry in a Cohort of Children Aged 11 to 22. Spine, 25(5), 570-4.
Nissinen, M., Heliovaara, M., Ylikoski, M., & Poussa, M. (1993, January). Trunk Asymmetry and Screening for Scoliosis: a Longitudinal Cohort Study of Pubertal Schoolchildren. Acta Paediatrica, 82(1), 77-82.
Patias, P., Grivas, T. B., Kaspiris, A., Aggouris, C., & Drakoutos, E. (2012). A Review of the Trunk Surface Metrics Used as Scoliosis and Other Deformities Evaluation Indices. Scoliosis, 5(12).
Renshaw, T. (1988). Screening School Children for Scoliosis. Clin Orthop, 229, 26-33.
Vercauteren, M., Van Beneden, M., Verplaetse, R., Croene, P., Uyttendaele, D., & Verdonk, R. (1982, Nov-Dec). Trunk Asymmetries in a Belgian School Population. Spine, 7(6), 555-62.
Willner, S. (1984, August). Development of Trunk Asymmetries and Structural Scoliosis in Prepuberal School Children in Malmö: Follow-up Study of Children Aged 10 to 14. J Pediatr Orthop, 4(4), 452-5.
Willner, S., & Udén, A. (1982, April). A Prospective Prevalence Study of Scoliosis in Southern Sweden. Acta Ortopaedica Scandinavica, 53(2), 233-7.
Yong, F., Wong, H. K., & Chow, K. Y. (2009, December). Prevalence of Adolescent Idiopathic Scoliosis Among Female School Children in Singapore. Annals of the Academy of Medicine, Singapore, 38(12), 1056-63.
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