Analysis of Anteroposterior Spinal Curvatures in Child Violinists from Music Schools

2017 ◽  
Vol 32 (3) ◽  
pp. 176-179 ◽  
Author(s):  
Anna Cygańska ◽  
Aleksandra Truszczyńska-Baszak ◽  
Justyna Drzał-Grabiec ◽  
Adam Tarnowski

Young musicians often report problems with their upper limbs and spine due to their specific and asymmetric positions and actions while playing, which may contribute to overloading these structures. Diagnosing any disorders to the upper limbs or spine early may help to minimize the risk of developing any serious instrument-related health problems in the future. The aim of this study was to assess the anteroposterior (AP) spinal curvatures in children learning to play the violin. Previous studies have shown anthropomorphic differences in young adult musicians, and our study examined if these differences appeared early or late in the musician’s career. METHODS: Body posture of 101 children, aged 7–12 yrs (mean 11.09±1.48), was assessed. The study population consisted of 49 child violinists and a control group of 52 children who did not play any musical instrument. There were 81.19% girls and 18.81% boys. Body posture was analyzed using the MORA 4G. RESULTS: The violinist group showed significant differences in the thoracolumbar region angle (p=0.004) compared to the non-musical children. The remaining parameters did not reveal significant differences between groups. The parameter characterizing the location of kyphosis peak calculated from the spinous process of the C7 vertebra was significantly higher in the study population. CONCLUSIONS: Changes in body posture in children who play the violin appear early in their training. Body postures when playing the violin lead to some changes in parameters characterizing AP spinal curvatures in the sagittal plane.

2015 ◽  
Vol 23 (1) ◽  
pp. 45-53
Author(s):  
I. Doroniewicz ◽  
M. Matyja ◽  
J. Durmała ◽  
J. Pastuszak

AbstractBackground: Regular physical therapy of people with Down syndrome improves the efficiency of such treatment. However, it remains unclear whether a discontinuation of the therapy over the period of summer holiday influences the effects of the therapeutic process. The aim of this study was to evaluate the effect of summer holiday on postural tone and quantitative parameters of body posture (angle of trunk rotation in the transverse plane and the spinal curvatures such as kyphosis or lordosis in the sagittal plane) in young people with Down syndrome.Material/Methods: Twenty one people aged 14 to 24 years were examined, with IQ scores from 54 to 35 on the Wechsler Intelligence scale. The experimental group was young people with Down syndrome whereas the control group were people with moderate intellectual disability without additional neurological, orthopaedic and other genetic disorders. The postural tone coefficient (PTC) and values of the spinal curvature (lordosis and kyphosis) and angle of trunk rotation (ATR) were evaluated twice. The first measurement was performed after 10 months of regular neurorehabilitation according to the neurodevelopment concept while the second - after 2 months of summer holiday.Results: During the holiday, the PTC value reduced significantly in the controls, from 0.40 to 0.37 (p=0.02), whereas in young people with Down syndrome, postural tone did not change significantly (p=0.33). In terms of the parameters of body posture, one significant change was observed in the group of patients with Down syndrome (kyphosis, p=0.00).Conclusions: No significant correlations were found between postural tone and values of kyphosis, lordosis and angle of trunk rotation, except for the relationship between PTC and angle of trunk rotation obtained in the main thoracic measurement (Th5- Th12, p=0.03).


2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Justyna Drzał-Grabiec ◽  
Aleksandra Truszczyńska

Summary Study aim: martial arts can be traced back thousands of years. Karate is one of the most common martial arts, and both children and adults practice it. The aim of the study was to evaluate selected body posture parameters in children aged 7–10 years who regularly practice karate. Material and method: the study population (Group I) consisted of 50 children aged 7–10 years, mean age 8.1 ± 1.5 years, who had been practicing karate more than two years. The control group consisted of 50 children of the same age (Group II). Body posture was assessed with photogrammetric method based on the phenomenon of the projective moiré pattern, using CQ Elektronik equipment. Results: on the basis of analysis of the inclination of the thoracolumbar section of the spine in both the study population and the control group, a statistically significant difference was found. Analysis revealed a statistically significant difference between the SIT parameter measurements of the two groups (p < 0.05). There is a similar difference regarding the measurements of depth of thoracic kyphosis and depth of lumbar lordosis (p < 0.001 and p < 0.05, respectively). Analysis also revealed a statistically significant difference between the mean shoulder line inclination angle parameter measurements for the two groups of children (p < 0.01). Conclusion: karate training children had a significant deepening of physiological thoracic kyphosis and lumbar lordosis. The body posture in karate training children is characterised by a greater angle of thoracolumbar region and a smaller shoulder asymmetry.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12185
Author(s):  
Małgorzata Grabara

Purpose The angles of thoracic kyphosis and lumbar lordosis determine the spinal alignment in the sagittal plane. The aim of this study was to compare the thoracic kyphosis and lumbar lordosis of male and female yoga practitioners with non-practicing participants and to determine the possible dependencies between sagittal spinal curvatures and somatic parameters, time spent on yoga exercise, and undertaking other physical activities in yoga practitioners. Methods The study involved 576 women and 91 men ages 18–68 years (mean = 38.5 ± 9) who were practicing yoga, and 402 women and 176 men ages 18–30 years (mean = 20.2 ± 1.3) as a control group. The angles of thoracic kyphosis and lumbar lordosis were measured using a Plurimeter-V gravity inclinometer. Results The two-way ANOVA demonstrated the influence of group (p < .0001) and sex (p = .03) on the angle of thoracic kyphosis, as well as the influence of group (p < .0001) and sex (p < .0001) on the angle of lumbar lordosis. It was noted that yoga practitioners had less pronounced thoracic kyphosis and lumbar lordosis and were more often characterized by normal or smaller thoracic kyphosis and lumbar lordosis than students from the control group. In yoga practitioners, the angle of thoracic kyphosis was positively correlated with age, body mass, BMI, and undertaking other forms of physical activity. The angle of lumbar lordosis was negatively correlated with body height and body mass. Conclusions The results suggest that yoga exercises can affect the shape of the anterior-posterior curves of the spine and may be an efficient training method for shaping proper posture in adults.


2020 ◽  
Vol 48 (4) ◽  
pp. 329-334
Author(s):  
Soo Jin Han ◽  
Seung Mi Lee ◽  
Sohee Oh ◽  
Subeen Hong ◽  
Jeong Won Oh ◽  
...  

AbstractBackgroundIn monochorionic twin pregnancy, placental anastomosis and inter-twin blood transfusion can result in specific complications, such as twin-twin transfusion syndrome (TTTS) and twin anemia-polycythemia sequence (TAPS). It is well established that adverse outcomes are increased in TTTS, but reports on the neonatal and long-term outcomes of TAPS are lacking. The objective of this study was to evaluate the neonatal and neurodevelopmental outcomes in spontaneous TAPS.MethodsThe study population consisted of monochorionic twin pregnancies with preterm birth (24–37 weeks of gestation) between November 2003 and December 2016 and in which cord blood was taken at the time of delivery. According to the result of hemoglobin in cord blood, the study population was divided into two groups: a spontaneous TAPS group and a control group. Neonatal and neurodevelopmental outcomes were compared between the two groups.ResultsDuring the study period, 11 cases were diagnosed as spontaneous TAPS (6.4%). The TAPS group had lower gestational age at delivery and had a higher risk for cesarean delivery. However, neonates with TAPS were not at an increased risk for neonatal mortality and significant neonatal morbidity. In addition, the frequency of severe cerebral lesion during the neonatal period and the risk of cerebral palsy at 2 years of age were not different between the two groups.ConclusionThe spontaneous TAPS diagnosed by postnatal diagnostic criteria was not associated with the increased risk of adverse neonatal and neurodevelopmental outcomes. Further studies are needed to evaluate the morbidity of antenatally diagnosed TAPS.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
F. Huppert ◽  
W. Betz ◽  
C. Maurer-Grubinger ◽  
F. Holzgreve ◽  
L. Fraeulin ◽  
...  

Abstract Background Musculoskeletal disorders (MSD) are a common health problem among dentists. Dental treatment is mainly performed in a sitting position. The aim of the study was to quantify the effect of different ergonomic chairs on the sitting position. In addition, it was tested if the sitting position of experienced workers is different from a non-dental group. Methods A total of 59 (28 m/31f) subjects, divided into two dentist groups according to their work experience (students and dentists (9 m/11f) < 10 years, dentists (9 m/10f) ≥ 10 years) and a control group (10 m/10f) were measured. A three-dimensional back scanner captured the bare back of all subjects sitting on six dentist’s chairs of different design. Initially, inter-group comparisons per chair, firstly in the habitual and secondly in the working postures, were carried out. Furthermore, inter-chair comparison was conducted for the habitual as well as for the working postures of all subjects and for each group. Finally, a comparison between the habitual sitting posture and the working posture for each respective chair (intra-chair comparison) was conducted (for all subjects and for each group). In addition, a subjective assessment of each chair was made. For the statistical analysis, non-parametric tests were conducted and the level of significance was set at 5%. Results When comparing the three subject groups, all chairs caused a more pronounced spinal kyphosis in experienced dentists. In both conditions (habitual and working postures), a symmetrical sitting position was assumed on each chair. The inter-chair comparisons showed no differences regarding the ergonomic design of the chairs. The significances found in the inter-chair comparisons were all within the measurementerror and could, therefore, be classified as clinically irrelevant. The intra-chair comparison (habitual sitting position vs. working sitting position) illustrated position-related changes in the sagittal, but not in the transverse, plane. These changes were only position-related (forward leaned working posture) and were not influenced by the ergonomic sitting design of the respective chair. There are no differences between the groups in the subjective assessment of each chair. Conclusions Regardless of the group or the dental experience, the ergonomic design of the dentist’s chair had only a marginal influence on the upper body posture in both the habitual and working sitting postures. Consequently, the focus of the dentist’s chair, in order to minimize MSD, should concentrate on adopting a symmetrical sitting posture rather than on its ergonomic design.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniela Ohlendorf ◽  
Polyna Sosnov ◽  
Julia Keller ◽  
Eileen M. Wanke ◽  
Gerhard Oremek ◽  
...  

AbstractIn order to classify and analyze the parameters of upper body posture, a baseline in form of standard values is demanded. To this date, standard values have only been published for healthy young women. Data for female adults between 51 and 60 years are lacking. 101 symptom-free female volunteers aged 51–60 (55.16 ± 2.89) years. The mean height of the volunteers was 1.66 ± 0.62 m, with a mean body weight of 69.3 ± 11.88 kg and an average BMI of 25.02 ± 4.55 kg/m2. By means of video raster stereography, a 3D-scan of the upper back surface was measured in a habitual standing position. The confidence interval, tolerance range and ICCs were calculated for all parameters. The habitual standing position is almost symmetrical in the frontal plane the most prominent deviation being a slightly more ventral position of the left shoulder blade in comparison to the right. The upper body (spine position) is inclined ventrally with a minor tilt to the left. In the sagittal plane, the kyphosis angle of the thoracic spine is greater than the lordosis angle of the lumbar spine. The pelvis is virtually evenly balanced with deviations from an ideal position falling under the measurement error margin of 1 mm/1°. There were also BMI influenced postural variations in the sagittal plane and shoulder distance. The ICCs are calculated from three repeated measurements and all parameters can be classified as "almost perfect". Deflections from an ideally symmetric spinal alignment in women aged 51–60 years are small-scaled, with a minimal frontal-left inclination and accentuated sigmoidal shape of the spine. Postural parameters presented in this survey allow for comparisons with other studies as well as the evaluation of clinical diagnostics and applications.


Author(s):  
Aimin Gong ◽  
Mengjie Zeng ◽  
Zhiquan Wu

To observe the difference in clinical effects of scalp-point cluster acupuncture combined with rehabilitation training in treating spastic paralysis of upper limbs after stroke. Using a randomized controlled design, 96 patients with upper limb spastic paralysis after stroke were randomly divided into two groups: treatment group (scalp acupuncture plus rehabilitation training group 48 cases), control group (rehabilitation training group 48 cases). After 2 courses of treatment, it was judged by observing clinical efficacy evaluation, Ashworth classification, and Fugl-Meyer (FMA) score. The total effective rate was 91.7% in the treatment group and 68.7% in the control group; the difference between the two groups was statistically significant (P <0.05). Before treatment, the difference in Ashworth classification between the two groups was not statistically significant (P> 0.05); after treatment, the difference between the two groups was statistically significant (P <0.01). After treatment, the difference between the two groups was statistically significant (P<0.05). The Fugl-Meyer (FMA) scores of the two groups of patients before treatment were comparable (P>0.05), and there were significant differences between the two groups after treatment (P <0.05). The difference of Fugl-Meyer (FMA) scores between the two groups was statistically significant (P < 0.01). Scalp cluster acupuncture therapy is more effective than traditional acupuncture therapy alone in treating vertebral artery type cervical spondylosis. Scalp cluster acupuncture combined with Bobath technique is effective in treating spastic paralysis of upper limbs after stroke, and it is worthy of clinical application.


2017 ◽  
Vol 46 (3) ◽  
pp. 440-453 ◽  
Author(s):  
Hyun-Sil Kim ◽  
Hun-Soo Kim

The purpose of this study was to determine the effects of a musical instrument performance program on emotional intelligence, anxiety, and aggression in Korean elementary school children. A quasi-experimental study design was employed, in which the experimental group ( n = 30) received a weekly group musical instrument performance class with a regular music class, and the control group ( n = 30) received only a regular music class that is part of the elementary school curriculum. We measured emotional intelligence, anxiety, and aggression at the beginning and end of the 24-week intervention using the Emotional Intelligence Scale, the Trait Anxiety Inventory, and the Aggression Scale. The musical instrument performance program improved the ability to perceive emotions, and reduced physical and verbal aggression, but had no statistically significant effect on the level of total emotional intelligence, anxiety, or aggression.


2021 ◽  
Author(s):  
Katarzyna Sędek ◽  
Aleksandra Truszczyńska-Baszak ◽  
Katarzyna Cygańska Anna ◽  
Justyna Drzał-Grabiec

Abstract Background The aim of the study was to assess the prevalence of back pain in non-professional Brazilian jiu-jitsu (BJJ) athletes, and to assess the relationship between their back pain and postural disorders. Methods The study involved 61 subjects: 31 subjects who trained Brazilian jiu-jitsu and 30 subjects who had never trained any martial arts. The mean BJJ training time in the study population was 3.89 ± 4.13 years. The athletes’ trained 4.06 ± 2.8 times a week and took 1.5 hours. Postural assessments were conducted with the use of the photogrammetric method. The assessment of back pain and injuries was conducted with the Oswestry Disability Index (ODI) and with our proprietary questionnaire. Results Among both populations, 37 subjects reported back pain − 22 athletes (71.0%) and 15 controls (50%) (p = 0,094). There were no differences in back pain location between the two groups (p > 0.05) or in functional state on the Oswestry Index (21.5% in the study population and 20% in the control group, p = 0.121). We observed significant differences between the groups in the values of four of the postural parameters. For each of these four parameters, parameter values were higher in the study population: DCK-spinal height from C1 to S1 (474.8 ± 25.4 vs 447.1 ± 25.9, p = 0.001); RKP-length of kyphosis between C7 and thoracolumbar junction (321.9 ± 15.2 vs 307.3 ± 22.2, p = 0.010); RLL-length of lordosis between S1 and thoracolumbar junction (152.9 ± 18.2 vs. 139.8 ± 17.6, p = 0.009) and KNM-pelvis inclination angle (2.24 ± 1.18 vs. 1.64 ± 1.34, p = 0.041). We found statistically significant differences in the study population between the athletes with and without back pain. These differences were found in the following parameters: RKP-length from C7 to peak of kyphosis (p = 0.01) and TT-difference between height of the waist triangles (p = 0.018). Conclusions There are no differences in back pain in regard to its frequency, intensity and location between non-professional BJJ athletes and subjects who do not train BJJ. Both in the study population and in the control group the spinal pain was minimal or moderate on the Oswestry Disability Index. BJJ athletes who reported back pain had characteristic postural changes in some of the analysed postural parameters in comparison to BJJ athletes who did not report back pain.


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