scholarly journals Generalised Joint Hypermobility in Caucasian Girls with Idiopathic Scoliosis: Relation with Age, Curve Size, and Curve Pattern

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Dariusz Czaprowski
Keyword(s):  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Joint Hypermobility ◽  
Control Group ◽  
Healthy Controls ◽  
Curve Pattern ◽  
Thoracic Scoliosis ◽  
Severe Scoliosis ◽  
Double Curve ◽  
B Test

The aim of the study was to assess the prevalence of generalised joint hypermobility (GJH) in 155 girls with idiopathic scoliosis (IS) (age 9–18 years, mean 13.8 ± 2.3). The control group included 201 healthy girls. The presence of GJH was assessed with Beighton (B) test. GJH was diagnosed in 23.2% of IS girls and in 13.4% of controls (P=0.02). The prevalence of GJH was significantly (P=0.01) lower in IS girls aged 16–18 years in comparison with younger individuals. There was no difference regarding GJH occurrence between girls with mild (11–24°), moderate (25–40°), and severe scoliosis (>40°) (P=0.78), between girls with single thoracic, single lumbar, and double curve scoliosis (P=0.59), and between girls with thoracic scoliosis length ≤7 and >7 vertebrae (P=0.25). No correlation between the number of points in B and the Cobb angle (P=0.93), as well as between the number of points in B and the number of the vertebrae within thoracic scoliosis (P=0.63), was noticed. GJH appeared more often in IS girls than in healthy controls. Its prevalence decreased with age. No relation between GJH prevalence and curve size, curve pattern, or scoliosis length was found.

scholarly journals The Measurement of Health-Related Quality of Life of Girls with Mild to Moderate Idiopathic Scoliosis—Comparison of ISYQOL versus SRS-22 Questionnaire

2021 ◽  
Vol 10 (21) ◽  
pp. 4806
Author(s):  
Edyta Kinel ◽  
Krzysztof Korbel ◽  
Mateusz Kozinoga ◽  
Dariusz Czaprowski ◽  
Łukasz Stępniak ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Research Society ◽  
Life Questionnaire ◽  
Curve Pattern ◽  
Scoliosis Research Society ◽  
Related Quality ◽  
Double Curve

This study aimed to compare the Italian Spine Youth Quality of Life Questionnaire (ISYQOL-PL) versus the Scoliosis Research Society-22 (SRS-22) questionnaire scores evaluating the validity of the concurrent and known-groups. Eighty-one girls (mean age 13.5 ± 1.8 years) with idiopathic scoliosis (IS) with a mean Cobb angle of 31.0 (±10.0) degrees were examined, all treated with a corrective TLSO brace for an average duration of 2.6 (±1.9) years. The patients’ scores were compared as follows: (1) age: ≤13 years vs. >13 years); (2) scoliosis severity: mild (Cobb angle 10–30°) vs. moderate (Cobb angle >30°); (3) single curve pattern vs. double curve pattern. Lin’s concordance correlation coefficient was used to evaluate the strength of the association between ISYQOL-PL and SRS-22 scores. T-tests were applied to assess if the ISYQOL-PL measure and SRS-22 total score were significantly different in the different groups of patients. The concurrent validity analysis showed a moderate correlation (Lin pccc = 0.47). The ISYQOL-PL showed a significantly better quality of life in mild than moderate scoliosis. The severity of scoliosis but not the age or the curve pattern demonstrated a direct statistically significant effect on patients’ quality of life only when evaluated using the ISYQOL-PL.

scholarly journals Evaluation of a relationship between malocclusion and idiopathic scoliosis in children and adolescents

2019 ◽  
Vol 13 (6) ◽  
pp. 600-606
Author(s):  
M. Laskowska ◽  
D. Olczak-Kowalczyk ◽  
M. Zadurska ◽  
J. Czubak ◽  
M. Czubak-Wrzosek ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Clinical Symptoms ◽  
Open Bite ◽  
Control Group ◽  
Level Of Evidence ◽  
Prospective Longitudinal Study ◽  
Stomatognathic System ◽  
Main Thoracic ◽  
Prospective Longitudinal

Purpose Idiopathic scoliosis is a developmental deformation of the vertebral column of an unknown aetiology. Its clinical symptoms and hypothetical causative factors may affect the stomatognathic system. The aim of this study was to analyse the relationships between the prevalence and type of malocclusions, and the presence of idiopathic scoliosis, its location and severity. Methods This was a prospective longitudinal study. The study group consisted of 80 patients with idiopathic scoliosis and the control group of 61 healthy individuals. Standard standing long-cassette radiographs were taken of all of the patients in the idiopathic scoliosis group in order to confirm diagnosis, to determine localization and the Cobb angle of the curve. Both groups underwent standard clinical dental examination. Results The most commonly observed types included right main thoracic (R-MT) and thoracolumbar or left lumbar scoliosis (Cobb angle 11° to 125°). In the idiopathic scoliosis group, prevalence of malocclusions was greater than in the control group (95% versus 82%). In the idiopathic scoliosis group more than one type of malocclusion was observed with a higher incidence than that in the control group (63.8% versus 37.7%; p = 0.002). A correlation between the left proximal thoracic (L-PT) curve with anterior partial open bite was demonstrated (p = 0.323), between thoracic dextroscoliosis main thoracic with lateral partial cross bite (p = 0.230) and a correlation between scoliosis severity and malocclusion in the event of L-PT and anterior partial open bite (p = 0.330) and R-MT and scissors bite (p = 0.248). Conclusion The incidence of malocclusions is greater in children with idiopathic scoliosis than in their healthy peers Level of Evidence III

scholarly journals Electromyographic Assessment of Functional Symmetry of Paraspinal Muscles during Static Exercises in Adolescents with Idiopathic Scoliosis

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Wiesław Chwała ◽  
Agnieszka Koziana ◽  
Tadeusz Kasperczyk ◽  
Robert Walaszek ◽  
Maciej Płaszewski
Keyword(s):  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Muscle Tension ◽  
Bioelectrical Activity ◽  
Paraspinal Muscles ◽  
Rest Position ◽  
Therapeutic Exercises ◽  
Double Curve ◽  
Functional Symmetry ◽  
Isometric Work

Background. The question of how to correct and rehabilitate scoliosis remains one of the most difficult problems of orthopaedics. Controversies continue to arise regarding various types of both symmetric and asymmetric scoliosis-specific therapeutic exercises.Objective. The aim of the present paper was to conduct an electromyographic assessment of functional symmetry of paraspinal muscles during symmetric and asymmetric exercises in adolescents with idiopathic scoliosis.Materials and Methods. The study was conducted in a group of 82 girls, mean age 12.4 ± 2.3 years with single- or double-major-idiopathic scoliosis, Cobb angle 24 ± 9.4°. The functional biopotentials during isometric work of paraspinal muscles in “at rest” position and during two symmetric and four asymmetric exercises were measured with the use of the Muscle Tester ME 6000 electromyograph.Results. In general, asymmetric exercises were characterised by larger differences in bioelectrical activity of paraspinal muscles, in comparison with symmetric exercises, both in the groups of patients with single-curve and double-curve scoliosis.Conclusion. During symmetric and asymmetric exercises, muscle tension patterns differed significantly in both groups, in comparison with the examination at rest, in most cases generating positive corrective patterns. Asymmetric exercises generated divergent muscle tension patterns on the convex and concave sides of the deformity.

scholarly journals Body Height Correction in Scoliosis Patients for Pulmonary Function Test

2000 ◽  
Vol 8 (1) ◽  
pp. 19-26 ◽  
Author(s):  
K Kono ◽  
T Asazuma ◽  
N Suzuki ◽  
T Ono
Keyword(s):  
Pulmonary Function ◽  
Cobb Angle ◽  
Pulmonary Function Test ◽  
Body Height ◽  
Correction Method ◽  
Curve Pattern ◽  
Function Test ◽  
Double Curve ◽  
The Difference ◽  
Special Curve

We studied standing anteroposterior roentgenograms from 140 scoliosis patients and obtained a correction equation for body height by Cobb angle. This equation is applicable to patients with a double curve or special curve pattern as well as patients with a single curve. The repeatability of the method examined with this equation was higher than that with the previous correction method for body height by Cobb angle, and the difference between the corrected values and the measured values was small. Therefore, this method is considered to be more reliable.

scholarly journals Joint hypermobility in girls with idiopathic scoliosis: relation with age, curve pattern and curve size

Scoliosis ◽  
2013 ◽  
Vol 8 (S2) ◽  
Author(s):  
Dariusz Czaprowski ◽  
Tomasz Kotwicki ◽  
Paulina Pawłowska ◽  
Łukasz Stoliński ◽  
Mateusz Kozinoga ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Joint Hypermobility ◽  
Curve Pattern

scholarly journals CHD7 gene polymorphisms in female patients with idiopathic scoliosis

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Karolina Borysiak ◽  
Piotr Janusz ◽  
Mirosław Andrusiewicz ◽  
Małgorzata Chmielewska ◽  
Mateusz Kozinoga ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Gene Polymorphisms ◽  
Control Group ◽  
Polymorphism Analysis ◽  
Progression Rate ◽  
Study Group ◽  
Wild Allele ◽  
Genetic Examination ◽  
Curve Severity

Abstract Background The CHD7 (chromosome domain helicase DNA binding protein 7) gene has been associated with familial idiopathic scoliosis (IS) in families of European descent. The CHD7 single-nucleotide polymorphisms have never been studied in Polish Caucasian IS patients. Methods The aim of this study was to investigate the relationship of CHD7 gene polymorphisms with susceptibility to or progression of IS in Polish Caucasian females. The study group comprised 211 females who underwent clinical, radiological and genetic examination. The study group was analyzed in three subgroups according to: (1) Cobb angle (Cobb angle ≤30° vs. Cobb angle ≥35°), (2) age of diagnosis (adolescent IS vs. early-onset IS) and (3) rate of progression (non-progressive vs. slowly progressive vs. rapidly progressive IS). The control group comprised 83 females with no scoliosis and with a negative family history who underwent clinical and genetic examination. In total six CHD7 gene polymorphisms were examined. Three polymorphisms (rs1017861, rs13248429, and rs4738813) were examined by RFLP (restriction fragment length polymorphism) analysis, and three were quantified by Sanger sequencing (rs78874766, rs4738824, and rs74797613). Results In rs13248429, rs78874766, and rs74797613 polymorphisms only the wild allele was present. The rs1017861 polymorphism demonstrated an association with IS susceptibility (p < 0.01). Two polymorphisms, rs1017861 and rs4738813, were associated with curve severity and progression rate (p < 0.05). None of the evaluated polymorphisms in CHD7 gene showed any association with the age of IS onset. Conclusions The polymorphism rs1017861 in CHD7 gene showed an association with IS susceptibility. Two polymorphisms (rs1017861 and rs4738813) were associated with curve severity and progression rate. None of the evaluated polymorphisms in CHD7 gene showed any association with the age of IS onset. Further evaluation of CHD7 gene should be considered as IS modifying factor.

scholarly journals Optimization Correction Strength Using Contra Bending Technique without Anterior Release Procedure to Achieve Maximum Correction on Severe Adult Idiopathic Scoliosis

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Ahmad Jabir Rahyussalim ◽  
Ifran Saleh ◽  
Dyah Purnaning ◽  
Tri Kurniawati
Keyword(s):  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Posterior Approach ◽  
Normal Activity ◽  
Male Adult ◽  
Anterior Release ◽  
Main Thoracic ◽  
Double Curve ◽  
Thoracic Approach ◽  
Mature Patient

Adult scoliosis is defined as a spinal deformity in a skeletally mature patient with a Cobb angle of more than 10 degrees in the coronal plain. Posterior-only approach with rod and screw corrective manipulation to add strength of contra bending manipulation has correction achievement similar to that obtained by conventional combined anterior release and posterior approach. It also avoids the complications related to the thoracic approach. We reported a case of 25-year-old male adult idiopathic scoliosis with double curve. It consists of main thoracic curve of 150 degrees and lumbar curve of 89 degrees. His curve underwent direct contra bending posterior approach using rod and screw corrective manipulation technique to achieve optimal correction. After surgery the main thoracic Cobb angle becomes 83 degrees and lumbar Cobb angle becomes 40 degrees, with 5 days length of stay and less than 800 mL blood loss during surgery. There is no complaint at two months after surgery; he has already come back to normal activity with good functional activity.

scholarly journals A comparison of foot posture and walking performance in patients with mild, moderate, and severe adolescent idiopathic scoliosis

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251592
Author(s):  
Feilong Zhu ◽  
Qianqin Hong ◽  
Xiaoqi Guo ◽  
Dan Wang ◽  
Jie Chen ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Center Of Pressure ◽  
Cross Sectional Study ◽  
Spinal Curvature ◽  
Control Group ◽  
Cross Sectional ◽  
Severe Scoliosis ◽  
Foot Posture ◽  
Walking Performance

Background Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis. However, the underlying mechanisms linking spinal curvature in AIS to foot characteristics and walking performance remain unclear. Objective This study aimed to compare walking performance between adolescents with mild, moderate, and severe scoliosis and matched healthy peers with foot posture as covariates. Methods This cross-sectional study of 96 adolescents was conducted between April 2020 to October 2020 in China, with 32 healthy peers in the control group and 64 patients in the AIS group. Foot posture and morphology, plantar pressure distribution, and gait characteristics were analyzed. One-way analysis of variance with Bonferroni correction and a post hoc comparison of the mean differences between the different groups was performed. Multiple analyses of covariance adjusted for age, sex, body mass index, foot posture index (FPI), arch index (AI), and walking speed were performed. Results Of the 64 adolescents with scoliosis, 18 had mild AIS, 32 had moderate AIS, and 14 had severe AIS. The AI and FPI were much higher in the moderate and severe AIS groups (p = 0.018) and the severe AIS group (p<0.001), respectively, than in the control group. The severe AIS group had advanced and longer midstance (p = 0.014) and delayed propulsion phase (p = 0.013) than the control group. Patients with moderate and severe AIS had asymmetrical gait periods in the left and right limbs (p<0.05). Significant differences in the center-of-pressure excursion index (CPEI) were found between the moderate and severe AIS and control groups (p = 0.003). Conclusion Moderate and severe AIS significantly influenced walking performance; however, no significant differences were observed between adolescents with mild AIS and healthy controls. Thus, early intervention could target the prevention of specific functional deficits and prevent it from progressing to a severe state.

scholarly journals Abnormal Skeletal Growth Patterns in Adolescent Idiopathic Scoliosis

2017 ◽  
Vol 1 (4) ◽  
pp. 80-90 ◽  
Author(s):  
Houria Kaced ◽  
Belabbassi Hanene ◽  
Assia Haddouche
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Body Height ◽  
Growth Patterns ◽  
University Hospital ◽  
Growth Spurt ◽  
Control Group ◽  
Healthy Controls ◽  
Anthropometric Parameters ◽  
Significant Difference

Background: Adolescent Idiopathic Scoliosis (AIS) occurs among children during their pubertal growth spurt. Although there is no clear consensus on the difference in body height between AIS and healthy controls, it is generally thought that the development and curve progression in patients with AIS is closely associated with their growth rate. Our aim is to compare the anthropometric parameters of children with AIS and those of a control   group within different age groups ranging from 9 to 16 years old. Methods: It is a prospective, cross-sectional, case-control study which include 431children, 258 girls, 110 with AIS and 148 healthy controls, whereas in the group of males 173, 49 have AIS and 124 don’t have deformity. Anthropometric parameters, clinical examination of the trunk and radiological assessment of the spine are records. The statistical analysis is performed using SPSS package. Children are examined from a school-screening program in our physical medicine department in the university hospital of Douera in Algiers. Measurements are assessed, including anthropometric parameters (body height, body weight, secondary sexual characters using Tanner stage, puberty age), trunk asymmetry and Cobb angle of scoliosis. Results: Girls with AIS are generally taller, with a higher weight than the healthy controls with a significant difference at the age of 12 years old. Otherwise, boys with AIS aged of 14 years are significantly taller than their controls. Conclusion: The growth patterns in terms of tallness with AIS are significantly different from healthy controls at the ages of 12 for girls and 14 for boys.

scholarly journals Does curve pattern impact on the effects of physiotherapeutic scoliosis specific exercises on Cobb angles of participants with adolescent idiopathic scoliosis: A prospective clinical trial with two years follow-up

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245829
Author(s):  
Yunli Fan ◽  
Michael K. T. To ◽  
Eric H. K. Yeung ◽  
Jianbin Wu ◽  
Rong He ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Repeated Measurements ◽  
Prospective Clinical Trial ◽  
Home Exercise ◽  
Testing Time ◽  
Curve Pattern

Background Current clinical evidence suggests that a well-planned physiotherapeutic scoliosis specific exercise (PSSE) program is effective for scoliosis regression. Objectives We investigated the effect of curve patterns on Cobb angles with PSSE. Methods This was a non-randomized prospective clinical trial that recruited participants with adolescent idiopathic scoliosis between January and June 2017. Participants were grouped by curve pattern into major thoracic and major lumbar groups. An outpatient-based PSSE program was conducted with the following schedule of intensive exercise: ≥ 1 session of supervised PSSE per month and > 30min of home exercise 5 days/week in the first 6 months, after which exercise frequency was reduced to 1 session of supervised PSSE every three months and > 30min of home exercise 5 days/week until 2 years after study initiation. Radiographic Cobb angle progressions were identified at the 1, 1.5 and 2-year follow-ups. A mixed model analysis of variance (ANOVA) was performed to examine the differences in Cobb angles between groups at four testing time points. The two-tailed significance level was set to 0.05. Results In total, 40 participants were recruited, including 22 with major thoracic curves (5 males and 17 females; mean age 13.5±1.8 years; Cobb angle 18–45 degrees) and 18 with major lumbar curves (7 males and 11 females; mean age 12.7±1.7 years; Cobb angle 15–48 degrees). Curve regressions, namely the reduction of Cobb angles between 7 to 10 degrees were noted in 9.1% of participants in the major thoracic group; reductions of 6 to 13 degrees were noted in 33.3% of participants in the major lumbar group at the 2-year follow-up. Repeated measurements revealed a significant time effect (F2.2,79.8 = 4.1, p = 0.02), but no group (F2.2,79.8 = 2.3, p = 0.1) or time × group (F1,37 = 0.97, p = 0.3) effects in reducing Cobb angles after 2 years of PSSE. A logistic regression analysis revealed that no correlation was observed between curve pattern and curve regression or stabilization (OR: 0.2, 95% CI: 0.31–1.1, p = 0.068) at the 2-year follow-up. Conclusion This was the first study to investigate the long-term effects of PSSE in reducing Cobb angles on the basis of major curve location. No significant differences in correction were observed between major thoracic and major lumbar curves. A regression effect and no curve deterioration were noted in both groups at the 2-year follow-up. Trial registration ChiCTR1900028073.

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