China
Africa
Explore chapters and articles related to this topic
The back
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Structural kyphosis is fixed and associated with changes in the shape of the vertebrae. In children this may be due to congenital vertebral defects; it is also seen in skeletal dysplasias such as achondroplasia and in osteogenesis imperfecta. Older children may develop severe deformity secondary to tuberculous spondylitis. In adolescents the commonest cause is Scheuermann’s disease
Trauma and orthopaedic surgery
Published in Janesh K Gupta, Core Clinical Cases in Surgery and Surgical Specialties, 2014
Nicole Abdul, Terence McLoughlin
Plain AP and lateral radiographs of the spine to include the whole spine should be taken if a structural scoliosis is defined. Then MRI would be indicated to further define any suggestion of bony destruction. Scheuermann’s disease is recognized by simple anterior wedging of the thoracic vertebrae.
The Back
Published in Louis Solomon, David Warwick, Selvadurai Nayagam, Apley and Solomon's Concise System of Orthopaedics and Trauma, 2014
Louis Solomon, David Warwick, Selvadurai Nayagam
The usual form of Scheuermann’s disease appears in the midthoracic vertebrae. The condition starts at or shortly after puberty and is more common in boys than in girls. The parents notice that the child, an otherwise fit teenager, is becoming increasingly ‘round-shouldered’. The patient may complain of backache and fatigue. Examination reveals a smooth but well-marked thoracic kyphosis (or ‘hyperkyphosis’) which does not improve with changes in posture.
Can 5 minutes of repetitive prone press-ups and sustained prone press-ups following a period of spinal loading reverse spinal shrinkage?
Published in Physiotherapy Theory and Practice, 2019
Michelle M Munster, Jean-Michel Brismée, Phillip S Sizer, Kevin Browne, Birendra Dewan, Amber Litke, John L Pape, Stéphane Sobczak
Participants were included if they were (1) asymptomatic with no current complaints of spinal related symptoms, (2) between the ages of 20 and 45 years, and (3) with no history of LBP. In order to be classified as an individual without LBP, subjects needed to report no current spinal-related symptoms and no history of spinal-related symptoms requiring consultation from a Physician or hospitalization in the past year. Exclusion criteria consisted of (1) LBP in the past year that required medical attention; (2) inability to sit or lie for a minimum of 10 min or perform a prone press-up without pain; (3) spinal deformity such as scoliosis or Scheuermann’s disease; (4) a history of spinal surgery; (5) a history of abdominal surgery in the past year; (6) pregnancy by self-report; (7) uncorrectable visual impairments; (8) neurological disorders such as multiple sclerosis, amyotrophic lateral sclerosis, Guillain–Barré syndrome, muscular dystrophy; (9) connective tissue disorders such as Marfan syndrome, Ehlers–Danlos syndrome, systemic lupus erythematosus, rheumatoid arthritis, fibromyalgia, and scleroderma; and (10) current upper respiratory symptoms.
Does bad posture affect the standing balance?
Published in Cogent Medicine, 2018
Gergely Nagymáté, Mária Takács, Rita M. Kiss
A total of 347 children were screened for the study. According to the inclusion and exclusion criteria, 12 children were excluded due to minor orthopaedic lesions, surgery or injuries; 24 were excluded due to scoliosis or Scheuermann’s disease; 91 children due to pes planus (pronated, flat arched); 28 children due to supinated foot type; 3 due to cerebral concussions or visual or vestibular disorders; 2 due to a visual correction of ±5 dioptres; and 6 due to the regular performance of exercises that greatly improve balancing ability. The remaining 181 children were divided into two groups according to posture. A neutral posture group with 113 children and a bad posture group with 68 children were formed. The characteristics of the subjects in the two groups (neutral and bad posture) are shown in Table 2. Anthropometric data (age, height and weight), TK and TTI did not differ significantly, whereas LL and LI differed significantly in the two groups.
Validation of the manual inclinometer and flexicurve for the measurement of thoracic kyphosis
Published in Physiotherapy Theory and Practice, 2018
Eva Barrett, Brian Lenehan, Kieran O’sullivan, Jeremy Lewis, Karen McCreesh
Thoracic hyperkyphosis is a curvature of the thoracic spine of greater than 40º in the sagittal plane (Bansal et al., 2014). It is commonly observed among individuals of all age groups and has been implicated in a range of negative health consequences. Thoracic kyphosis generally appears to increase with age (Fon et al., 1980) and is estimated to affect 20–40% of older adults (Takahashi et al., 2005). An increase in thoracic kyphosis may be the visible manifestation of a pathological process such as Scheuermann’s disease during adolescence, it can result from postural habit (Gravina et al., 2012) or it may be a normal physiological response to aging (Willner, 1981).