Browsing by Subject "Sagittal morphotype"

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    Classification System of the Sagittal Integral Morphotype in Children from the Region of Murcia (Spain): ISQUIOS Programme
    (MDPI, 2020-04-04) Collazo Diéguez, Mónica; Andújar, Pilar; Santonja Medina, Fernando; Martínez Romero, María Teresa; Rodríguez Ferrán, Olga; Aparicio Sarmiento, Alba; Cejudo Palomo, Antonio; Sainz de Baranda Andújar, Pilar; Actividad Física y Deporte
    The sagittal spinal morphology presents 4 physiological curvatures that increase endurance to axial compression forces and allow adequate postural balance. These curves must remain within normal ranges to achieve a static and dynamic balance, a correct functioning of the muscles and an adequate distribution of the loads, and thus minimize the injury risk. The purpose of this study was to categorize the sagittal spinal alignment according to the different morphotypes obtained for each curve in standing, slump sitting, and trunk forward bending positions in schoolchildren. It was a cross-sectional study. Sagittal spinal curvatures were assessed in 731 students from 16 elementary schools. In the sagittal standing position assessment, 70.45% and 89.06% of schoolchildren presented a “normal” morphotype for both dorsal and lumbar curves, respectively. After the application of the “Sagittal Integral Morphotype” protocol according to the morphotypes obtained in the three positions assessment (standing, slump sitting, and trunk forward bending), it was observed how the frequency of normal morphotypes for the dorsal and lumbar curve decreased considerably (only 32% and 6.6% of children obtained a “normal sagittal integral morphotype” for the thoracic and lumbar curvatures, respectively). These results show how it is necessary to include the slump sitting and trunk forward bending assessment as part of the protocol to define the “integral” sagittal alignment of the spine and establish a correct diagnosis. The use of the diagnostic classification presented in this study will allow early detection of misalignment not identified with the assessment of standing position.
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    Sitting posture, sagittal spinal curvatures and back pain in 8 to 12-year-old children from the Region of Murcia (Spain): ISQUIOS Programme
    (MDPI, 2020-04-09) Collazo Diéguez, Mónica; Hurtado Avilés, José; Andújar, Pilar; Sainz de Baranda Andújar, Pilar; Cejudo Palomo, Antonio; Martínez Romero, María Teresa; Aparicio Sarmiento, Alba; Rodríguez Ferrán, Olga; Santonja Medina, Fernando; Actividad Física y Deporte
    To explore sagittal spinal alignment and pelvic disposition of schoolchildren in a slump sitting position is needed in order to establish preventive educational postural programs. The purposes of this study were to describe sagittal spinal alignment and pelvic tilt (LSA) in a slump sitting position and to explore the association of sagittal spine and pelvic tilt with back pain (BP) among 8–12-year-old children. It was a cross-sectional study. Sagittal spinal curvatures, BP and pelvic tilt were assessed in 582 students from 14 elementary schools. It was found that 53.44% of children had slight thoracic hyperkyphosis and that 48.80% presented moderate lumbar hyperkyphosis and 38.66% presented slight lumbar hyperkyphosis. Those who did not suffer from BP in any part of the back had a higher lumbar kyphosis (24.64 ±7.84) or a greater LSA (107.27 ±5.38) than children who had some type of BP in the previous year or week (lumbar kyphosis: 23.08 ±8.06; LSA: 105.52 ±6.00), although with no clinically relevant differences. In fact, neither sufferers nor those who did not have BP presented normal mean values for lumbar kyphosis or LSA according to normality references. This study demonstrates the need to assess sagittal morphotype in childhood since schoolchildren remain incorrectly seated for many hours and it greatly affects their spinal curvatures