Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture
Introduction: Poor posture in children and adolescents has a prevalence of 22-65% and is suggested to be responsible for back pain. To assess posture, photometric imaging of sagittal posture is widely used, but usually only habitual posture positions (resting position with minimal muscle activit...
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doaj-c578f31f436a43ffad27ef4d3bf3fadf2020-11-25T03:05:26ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-02-01102SC14SC1710.7860/JCDR/2016/16647.7283Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture Oliver Ludwig0Carola Mazet1Dirk Mazet2Annette Hammes3Eduard Schmitt4Scientific Head, AG Kid-Check, Institute of Sport Sciences, Saarland University, Saarbrücken, Germany.Senior Physiotherapist, AG Kid-Check, Institute of Sport Sciences, Saarland University, Saarbrücken, Germany.Senior Researcher, AG Kid-Check, Institute of Sport Sciences, Saarland University, Saarbrücken, Germany.Senior Researcher, AG Kid-Check, Endokrinologikum, Saarbrücken, Germany.Medical Head AG Kid-Check, Klinik für Orthopädie und orthop. Chirurgie, Universitätsklinikum Homburg, Germany.Introduction: Poor posture in children and adolescents has a prevalence of 22-65% and is suggested to be responsible for back pain. To assess posture, photometric imaging of sagittal posture is widely used, but usually only habitual posture positions (resting position with minimal muscle activity) are analysed. Aim: The objective of this study was 1) to investigate possible changes in posture-describing parameters in the sagittal plane, when the subjects changed from a habitual passive posture to an actively corrected posture, and 2) to investigate the changes in posture parameters when an actively corrected posture was to be maintained with closed eyes. Materials and Methods: In a group of 216 male children and adolescents (average 12.4 ± 2.5 years, range 7.0 – 17.6 years), six sagittal posture parameters (body tilt BT, trunk incline TI, posture index PI, horizontal distances between ear, shoulder and hip and the perpendicular to the ankle joint) were determined by means of photometric imaging in an habitual passive posture position, in an actively erect posture with eyes open, and in active stance with eyes closed. The change in these parameters during the transition between the posture positions was analysed statistically (dependent t-Test or Wilcoxon-Test) after Bonferroni correction (p<0.004). Results: When moving from a habitual passive to an active posture BT, TI, PI, dEar, dShoulder, and dHip decreased significantly(p< 0.004). When the eyes were closed, only the perpendicular distances (dEar, dShoulder, and dHip) increased significantly. The parameters that describe the alignment of the trunk sections in relation to each other (BT, TI, PI), remained unchanged in both actively regulated posture positions. Conclusion: Changes in sagittal posture parameters that occur when a habitual passive posture switches into an active posture or when an active posture is to be maintained while the eyes are closed can be used for diagnostic purposes regarding poor posture and posture regulation.https://jcdr.net/articles/PDF/7283/16647_CE[Ra1]_F(AK)_PF1(BMAK)_PFA(AK)_PF2(AGAK).pdfposture regulationpoor postureposture assessmentposture control |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Oliver Ludwig Carola Mazet Dirk Mazet Annette Hammes Eduard Schmitt |
spellingShingle |
Oliver Ludwig Carola Mazet Dirk Mazet Annette Hammes Eduard Schmitt Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture Journal of Clinical and Diagnostic Research posture regulation poor posture posture assessment posture control |
author_facet |
Oliver Ludwig Carola Mazet Dirk Mazet Annette Hammes Eduard Schmitt |
author_sort |
Oliver Ludwig |
title |
Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture |
title_short |
Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture |
title_full |
Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture |
title_fullStr |
Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture |
title_full_unstemmed |
Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture |
title_sort |
changes in habitual and active sagittal posture in children and adolescents with and without visual input – implications for diagnostic analysis of posture |
publisher |
JCDR Research and Publications Private Limited |
series |
Journal of Clinical and Diagnostic Research |
issn |
2249-782X 0973-709X |
publishDate |
2016-02-01 |
description |
Introduction: Poor posture in children and adolescents has a
prevalence of 22-65% and is suggested to be responsible for
back pain. To assess posture, photometric imaging of sagittal
posture is widely used, but usually only habitual posture
positions (resting position with minimal muscle activity) are
analysed.
Aim: The objective of this study was 1) to investigate possible
changes in posture-describing parameters in the sagittal plane,
when the subjects changed from a habitual passive posture to
an actively corrected posture, and 2) to investigate the changes
in posture parameters when an actively corrected posture was
to be maintained with closed eyes.
Materials and Methods: In a group of 216 male children and
adolescents (average 12.4 ± 2.5 years, range 7.0 – 17.6 years),
six sagittal posture parameters (body tilt BT, trunk incline TI,
posture index PI, horizontal distances between ear, shoulder and
hip and the perpendicular to the ankle joint) were determined by
means of photometric imaging in an habitual passive posture
position, in an actively erect posture with eyes open, and in
active stance with eyes closed. The change in these parameters
during the transition between the posture positions was analysed
statistically (dependent t-Test or Wilcoxon-Test) after Bonferroni
correction (p<0.004).
Results: When moving from a habitual passive to an active
posture BT, TI, PI, dEar, dShoulder, and dHip decreased
significantly(p< 0.004). When the eyes were closed, only the
perpendicular distances (dEar, dShoulder, and dHip) increased
significantly. The parameters that describe the alignment of the
trunk sections in relation to each other (BT, TI, PI), remained
unchanged in both actively regulated posture positions.
Conclusion: Changes in sagittal posture parameters that occur
when a habitual passive posture switches into an active posture
or when an active posture is to be maintained while the eyes
are closed can be used for diagnostic purposes regarding poor
posture and posture regulation. |
topic |
posture regulation poor posture posture assessment posture control |
url |
https://jcdr.net/articles/PDF/7283/16647_CE[Ra1]_F(AK)_PF1(BMAK)_PFA(AK)_PF2(AGAK).pdf |
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