REVIEW PAPER
Analysis of diagnostic methods in trunk deformities in the developmental age
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1
Department of Rehabilitation, Faculty of Medical Science, University of Warmia and Mazury in Olsztyn, Poland
 
2
Department of Pediatric Orthopedics and Traumatology, University of Medical Sciences, Poznan, Poland
 
 
Submission date: 2013-04-16
 
 
Acceptance date: 2013-06-14
 
 
Online publication date: 2013-06-21
 
 
Publication date: 2020-04-07
 
 
Corresponding author
Piotr Siwik   

Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Żołnierska 18A, 10-561 Olsztyn, Poland. Tel.: +48 89 539 32 83; fax: +48 89 524 61 14.
 
 
Pol. Ann. Med. 2013;20(1):43-50
 
KEYWORDS
ABSTRACT
Introduction:
Postural disorders are classified as simple, often called faulty posture, and complex, which are associated with spine curvature disorders. Postural disorders correctable with passive and active correction need to be distinguished from severe spinal disorders such as idiopathic scoliosis, Scheuermann's disease and congenital spine deformities.

Aim:
The aim of this research was to prove the necessity of combined clinical and instrumental examination in the diagnosis of trunk deformities.

Material and methods:
Trunk abnormalities and deformities in the developmental age affect approximately 50%–60% of population, depending on the region of Poland. In this study, clinical and instrumental diagnosis of trunk deformities was analyzed.

Results:
Clinical assessment with the use of instrumental methods is fundamental in diagnosis of trunk deformities. Causes of faulty posture need to be identified, both in terms of location within the musculoskeletal system and etiology, and pathologies that require different diagnostic and therapeutic approaches need to be excluded.

Discussion:
Diagnosis of the cause of faulty posture is frequently possible only after a clinical and instrumental evaluation is performed. It results in isolating a group of children with structural deformities of musculoskeletal system that require a separate, specific treatment, from a group of children with postural disorders that require physiotherapy.

Conclusions:
There is a need for implementing combined clinical and instrumental examination in the diagnosis of trunk deformities in the developmental age.

ACKNOWLEDGEMENTS
This work was partially supported by the research fund of the Polish Ministry of Science and Higher Education for 2011–2014.
CONFLICT OF INTEREST
None declared.
 
REFERENCES (23)
1.
Berryman F, Pynsent P, Fairbank J, Disney S. A new system for measuring three-dimensional back shape in scoliosis. Eur Spine J. 2008;17(5):663–672.
 
2.
Dyszkiewicz A. Posturometria w diagnostyce dzieci z wadami postawy. Cz. II. Przegląd wybranych metod pomiaru [Posturometry in the diagnosis of children with postural disorders. Part II. A review of certain measurement methods]. Rehabil Prakt. 2007;1:16–18.
 
3.
Fotiadis E, Kenanidis E, Samoladas E, Christodoulou A, Akrit- opoulos P, Akritopoulou K. Scheuermann's disease: focus on weight and height role. Eur Spine J. 2008;17(5):673–678.
 
4.
Grevitt M, Kamath V, Avadhani A, Rajasekaran S. Correction of thoracic kyphosis with Ponte osteotomy. Eur Spine J. 2010;19(2):351–352.
 
5.
Górecki A, Kiwerski J, Kowalski IM, Marczyński W, Nowotny J, Rybicka M, et al. Profilaktyka wad postawy u dzieci i młodzieży w środowisku nauczania i wychowania – rekomendacje ekspertów [Prophylactics of postural deformities in children and youth carried out within the teaching environment – experts recommendations]. Pol Ann Med. 2009;16(1):168–177.
 
6.
Hogrel JY. Clinical applications of surface electromyography in neuromuscular disorders. Neurophysiol Clin. 2005;35(2–3):59–71.
 
7.
Kiebzak W, Kowalski IM. Wczesna diagnostyka zaburzeń rozwoju psychomotorycznego – inwestycja na przyszłość [Early diagnosis of disorders of psychomotor development – an investment for the future]. Ogólnopol. Inf. Os. Niepełnospr. 2009;13(3):2–5.
 
8.
Kiebzak W, Kowalski IM, Kassolik K, Opuchlik A, Zarzycki D, Kijański M, et al. The influence of pelvic position on pain in heart regions. Kwart Ortop. 2010;77(1):56–66.
 
9.
Kiebzak W, Kowalski IM, Kiebzak M. Model leczniczego usprawnienia [Therapeutic improvement model]. Rehab Med. 2008;12(2):31–33.
 
10.
Kiebzak W, Szmigiel Cz, Kowalski IM, Śliwiński Z. Znaczenie czynników ryzyka w ocenie zaburzeń rozwoju psychoruchowego dzieci w pierwszym roku życia [The importance of risk factors in the assessment of abnormalities of psycho-motor development in the first year of life]. Post Rehab. 2008;22(4):29–33.
 
11.
Kotwicki T, Durmała J, Czaprowski D, Głowacki M, Kołban M, Snela S, et al. Conservative management of idiopathic scoliosis – guidelines based on SOSORT 2006 Consensus. Ortop Traumatol Rehab. 2009;11(5):379–395.
 
12.
Kowalski IM. Urządzenia pomiarowe i diagnostyczne w nowoczesnej rehabilitacji zaburzeń postawy ciała [Measuring and diagnostic devices in modern rehabilitation of postural disorders]. Rehab Prakt. 2011;5(5):18–20.
 
13.
Mannion AF, Knecht K, Balaban G, Dvorak J, Grob D. A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: reliability of measurements and comparison with data reviewed from the literature. Eur Spine J. 2004;13(2):122–136.
 
14.
Nowotny J, Gaździk T, Zawierska D, Podlasiak P. Fotogrametria – mity i rzeczywistość [Photogrammetry – myths and reality]. Ortop Traumatol Rehab. 2002;4(4):498–502.
 
15.
Post RB, Leferink VJ. Spinal mobility: sagittal range of motion measured with the SpinalMouse, a new non-invasive device. Arch Orthop Trauma Surg. 2004;124(3):187–192.
 
16.
Quinlan JF, Mullett H, Stapleton R, McCornack D. The use of the Zebris motion analysis system for measuring cervical spine movements in vivo. Proc Inst Mech Eng Pt H. 2006;220(8):889–896.
 
17.
Skolimowski T. Wykorzystanie termografii do doboru ćwiczeń w bocznych idiopatycznych skrzywieniach kręgosłupa. [The use of thermography in selection of exercises for side-idiopathic scolioses]. Fizjoterapia. 2001;9(3):26–31.
 
18.
Soo CL, Noble PC, Esses SI. Scheuermann kyphosis: long-term follow-up. Spine J. 2002;2(1):49–56.
 
19.
Oblacińska A, Ostręga W, eds. Standardy i metodyka pracy pielęgniarki i higienistki szkolnej [Work standards and work methods of school nurse and dental hygienist]. Warszawa: Instytut Matki i Dziecka; 2003.
 
20.
Taradaj J. Wykorzystanie badań termowizyjnych we współczesnej medycynie [The use of thermal imaging studies in modern medicine]. Rehabil Prakt. 2007;3:16–17.
 
21.
Tokarczyk R, Fotogrametria Mazur T. Zasady działania i zastosowanie w rehabilitacji [Photogrammetry, principles of operation and application in rehabilitation]. Rehabil Med. 2006;10(4):31–38.
 
22.
Wong WY, Wong MS. Trunk posture monitoring with inertial sensors. Eur Spine J. 2008;17(5):743–753.
 
23.
DIERS. Dynamic, spine & posture analysis. 〈http://www.diers.de/Files/Info...; 2013. Accessed 20.01.13.
 
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