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. 2015 Jan-Mar;33(1):72-81.
doi: 10.1016/j.rpped.2014.11.012. Epub 2015 Jan 24.

[Risk factors associated with structural postural changes in the spinal column of children and adolescents]

[Article in Portuguese]
Juliana Adami Sedrez  1 , Maria Izabel Zaniratti da Rosa  2 , Matias Noll  2 , Fernanda da Silva Medeiros  2 , Claudia Tarragô Candotti  2
Affiliations

[Risk factors associated with structural postural changes in the spinal column of children and adolescents]

[Article in Portuguese]
Juliana Adami Sedrez et al. Rev Paul Pediatr. 2015 Jan-Mar.

Abstract

OBJECTIVE:: To investigate the association between behavioral risk factors, specifically postural habits, with the presence of structural changes in the spinal column of children and adolescents.

METHODS:: 59 students were evaluated through the self-reporting Back Pain and Body Posture Evaluation Instrument and spinal panoramic radiographic examination. Spine curvatures were classified based on Cobb angles, as normal or altered in the saggital plane and as normal or scoliotic in the frontal plane. Data were analyzed using SPSS 18.0, based on descriptive statistics and chi-square association test (a=0,05).

RESULTS:: The prevalence of postural changes was 79.7% (n=47), of which 47.5% (n=28) showed frontal plane changes and 61% (n=36) sagital plane changes. Significant association was found between the presence of thoracic kyphosis and female gender, practice of physical exercises only once or twice a week, sleep time greater than 10 hours, inadequate postures when sitting on a seat and sitting down to write, and how school supplies are carried. Lumbar lordosis was associated with the inadequate way of carrying the school backpack (asymmetric); and scoliosis was associated wuth the practice of competitive sports and sleep time greater than 10 hours.

CONCLUSIONS:: Lifestyle may be associated with postural changes. It is important to develop health policies in order to reduce the prevalence of postural changes, by decreasing the associated risk factors.

Keywords: Adolescent; Adolescente; Child; Coluna vertebral/anormalidades; Criança; Epidemiologia; Epidemiology; Fatores de risco; Postura; Posture; Risk factors; Spine/abnormalities.

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Conflict of interest statement

Conflicts of interest The authors declare no conflicts of interest

Figures

Figure 1
Figure 1. Percentages of postures adopted in the seated position, according to the BackPEI questionnaire by Noll et al12 (authorized image).
Figura 1
Figura 1. Porcentagens das posturas adotadas ao sentar, segundo o questionário BackPEI de Noll et al.12 (Imagem autorizada).
See this image and copyright information in PMC

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