Objective parallel-forms reliability assessment of 3 dimension real time body posture screening tests

BMC Pediatrics

Wojciech Kiebzak²  Juozas Raistenskis¹  Bogusław Pierożyński³  Michał Dwornik⁴  Halina Protasiewicz-Fałdowska⁵  Ireneusz M Kowalski⁵ 

[1] Department of Rehabilitation, Physical and Sports Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania;Institute of Physiotherapy, Faculty of Health Science on University of Jan Kochanowski, Kielce, Poland;Department of Chemistry, Faculty of Environmental Management and Agriculture, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland;Department of Osteopathic Medicine and Department of Physiotherapy, Medical College of Podkowa Lesna, Podkowa Lesna, Poland;Department of Rehabilitation, Faculty of Medical Science, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland

关键词: Topography;    Screening tests;    Spinal deformities;    Postural defects;   

Others  :  1135406
DOI  :  10.1186/1471-2431-14-221

 received in 2014-03-10, accepted in 2014-08-22,  发布年份 2014

【 摘 要 】

Background

Screening tests play a significant role in rapid and reliable assessment of normal individual development in the entire population of children and adolescents. Body posture screening tests carried out at schools reveal that 50-60% of children and adolescents demonstrate body posture abnormalities, with 10% of this group at risk for progressive spinal deformities. This necessitates the search for effective and economically feasible forms of screening diagnosis. The aim of this study was to assess the reliability of clinical evaluation of body posture compared to objective assessment with the Zebris CMS-10 system (Zebris Medical GmbH).

Methods

The study enrolled 13-15-year-old pupils attending a junior secondary school (mean age 14.2 years). The study group consisted of 138 participants, including 71 girls and 67 boys, who underwent a clinical evaluation of the body posture and an examination with the Zebris CMS 10 system.

Results

Statistically significant discrepancies between the clinical and objective evaluation were noted with regard to lumbar lordosis in boys (n = 67) and thoracic kyphosis in girls (n = 71). No statistically significant differences in both groups were noted for pelvic rotation and trunk position in the frontal plane.

Conclusions

1. The finding of significant discrepancies between the results of assessment in the sagittal plane obtained in the clinical examination and Zebris CMS-10-based assessment suggests that clinical evaluation should be used to provide a general estimation of accentuation or reduction of spinal curvatures in the sagittal plane.

2. The clinical evaluation of posture is reliable with regard to assessment in the frontal plane.

3. The Zebris CMS-10 system makes the clinical examination significantly more objective with regard to assessment of the physiological curvatures and may be used to make screening tests more objective with regard to detecting postural defects.

【 授权许可】

   
2014 Kowalski et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

Figure 6.

Figure 7.

Figure 8.

Figure 9.

【 参考文献 】

• [1]Kiebzak W, Szmigiel C, Kowalski I, Sliwiński Z: Importance of risk factors in detecting psychomotor development disorders in children during their first year of life. Postepy Rehabilitacji 2008, 22(4):29-33.
• [2]Sitarz K, Senderek T, Kirenko J, Olszewski J, Taczała J: Sensomotoric development assessment in 10 years old children with posture defects. Fizjoterapia Polska 2007, 3(4):232-240.
• [3]Błaszczyk JW, Cieślinska-Świder J, Plewa M, Zahorska-Markiewicz B, Markiewicz A: Effects of excessive body weight on postural control. J Biomech 2009, 42(9):1295-1300.
• [4]Kowalski IM, Protasiewicz-Fałdowska H, Siwik P, Zaborowska-Sapeta K, Dąbrowska A, Kluszczyński M, Raistenskis J: Analysis of the sagittal plane in standing and sitting position in girls with left lumbar idiopathic scoliosis. Pol Ann Med 2013, 20(1):30-34.
• [5]Dyszkiewicz A, Kucharz EJ, Rumanowski M: Biomechanical aspects of axial function of the spine in the human body. Fizjoterapia 2006, 14(4):79-92.
• [6]Wierzbicka-Damska I, Samołyk A, Jethon Z, Murawska-Ciołowicz E, Wiercińska J, Swadźba D, Szafraniec R: Physical efficiency of 10-16-year-old boys with hearing impairment. Fizjoter Pol 2005, 5(2):143-148.
• [7]Kowalski IM, Protasiewicz-Fałdowska H: Trunk measurements in the standing and sitting posture according to Evidence Based Medicine (EBM). J Spine Surg 2013, 1(5):66-79.
• [8]Komro KA, Tobler AL, Delisle AL, O’Mara RJ, Wagenaar AC: Beyond the clinic: improving child health through evidence-based community development. BMC Pediatr 2013, 13:172. BioMed Central Full Text
• [9]Górecki A, Kiwerski J, Kowalski IM, Marczyński W, Nowotny J, Rybicka M, Jarosz U, Suwalska M, Szelachowska-Kluza W: Prophylactics of postural deformities in children and youth carried out within the teaching environment- experts recommendations. Pol Ann Med 2009, 16(1):168-177.
• [10]Kotwicki T, Durmała J, Czaprowski D, Głowacki M, Kołban M, Snela S, Śliwiński Z, Kowalski IM: Conservative management of idiopathic scoliosis - guidelines based on SOSORT 2006 Consensus. Ortop Traumatol Rehab 2009, 11(5):379-395.
• [11]Zaborowska-Sapeta K, Kowalski I, Kotwicki T, Protasiewicz-Fałdowska H, Kiebzak W: Effectiveness of Cheneau brace treatment for idiopathic scoliosis: prospective study in 79 patients followed to skeletal maturity. Scoliosis 2011, 6(1):2-5. BioMed Central Full Text
• [12]Zaborowska- Sapeta K, Kowalski IM, Protasiewicz-Fałdowska H, Wolska O: Evaluation the effectiveness of Cheneau brace treatment for idiopathic scoliosis - own observations. Pol. Ann. Med 2010, 17(1):44-53.
• [13]Kuklo TR, Lenke LG, Graham EJ, Won DS, Sweet FA, Blanke KM, Bridwell KH: Correlation of radiographic, clinical, and patient assessment of shoulder balance following fusion versus nonfusion of the proximal thoracic curve in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 2002, 27(18):2013-2020.
• [14]Vogt L, Banzer W: Dynamic testing of the motor stereotype in prone hip extension from neutral position. Clin Biomech (Bristol, Avon) 1997, 12(2):122-127.
• [15]Malmström EM, Karlberg M, Melander A, Magnusson M: Zebris versus Myrin: a comparative study between a three-dimensional ultrasound movement analysis and an inclinometer/compass method: intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variability. Spine 2003, 28(21):E433-E440.
• [16]Czaprowski D, Pawłowska P, Gębicka A, Sitarski D, Kotwicki T: Intra- and interobserver repeatability of the assessment of anteroposterior curvatures of the spine using Saunders digital inclinometer. Ortop Traumatol Rehabil 2012, 14(2):145-153.
• [17]Leobl WY: Measurement of spinal posture and spinal movements. Ann Phys Med 1967, 9:104-110.
• [18]Giglio CA, Volpon JB: Development and evaluation of thoracic kyphosis and lumbar lordosis during growth. J Child Orthop 2007, 1(3):187-193. doi:10.1007/s11832-007-0033-5. Epub 2007 Jul 28
• [19]Quinlan JF, Mullett H, Stapleton R, McCornack D: The use of the Zebris motion analysis system for measuring cervical spine movements in vivo. IMech E 2006, 220:889-896.
• [20]Kowalski IM, Kotwicki T, Siwik P: Analysis of diagnostic methods in trunk deformities in the developmental age. Pol Ann Med 2013, 20(1):43-50.
• [21]Takasaki J: Moire topography. Apel Optics 1970, 9:1457-1472.
• [22]Blondel B, Schwab F, Patel A, Demakakos J, Moal B, Farcy JP, Lafage V: Sacro-femoral-pubic angle: a coronal parameter to estimate pelvic tilt. Eur Spine J 2012, 21(4):719-724.
• [23]Kluszczyński M, Czernicki J: The evaluation of dorsal asymmetry in children and adolescents: ten years’ follow-up. Ortop Traumatol Rehabil. 2012, 14(3):239-249.
• [24]Dzimira-Pyzio J, Demczuk-Włodarczyk E, Bieć E: Evaluation of postural balance in standing position in deaf children aged 11–13 years (2007). Fizjoterapia 2007, 15(1):40-43.
• [25]Teeple T, Castañeta M, Deluzio K, Bryant T: Pendulum-based method for determining the temporal accuracy of digital video-based motion capture systems. Gait Posture 2009, 29(2):349-353.
• [26]Lan AF, Stokes IAF: Three–dimensional terminology of spinal deformity: A report presented to the Scoliosis Research Society Working group on 3–D terminology of spinal deformity. Spine 1994, 19:236-248.
• [27]Radzevič V, Raistenskis J, Ragelien L, Kowalski IM: Relationship between physical activity and functional ability in school-aged children with hemophilia. Pol Ann Med 2013, 20(1):13-18.
• [28]Walicka- Cupryś K, Puszczałowska-Lizis E, Maziarz K: The forming of anterior-posterior spinal curvatures in young people from junior high schools and grammar schools. Rehab. Med. 2008, 12(4):28-36.