Yıl: 2021 Cilt: 8 Sayı: 1 Sayfa Aralığı: 23 - 28 Metin Dili: Türkçe DOI: 10.34087/cbusbed. 751886 İndeks Tarihi: 17-05-2021

Adolesanlarda Omurganın Sagital Düzlem Dizilimi

Öz:
Giriş ve Amaç: Omurganın fizyolojik sagital düzlem eğriliklerinden olan torakal kifoz ve lumbal lordozdakideğişiklikler adolesanlarda ilerleyen dönemlerde bir çok soruna yol açabilir. Bu çalışmada amacımız; sedanter, sporcuve skolyoz tanısı olan adolesanların omurgalarındaki sagital düzlem parametrelerini değerlendirerek birbirleriylekarşılaştırmak ve saptanan anormal eğrilik varlığında bu eğriliklerdeki değişikliklerden kaynaklanabilecek olasıyaralanmaları önlemektir.Gereç ve Yöntemler: Çalışmaya 15-18 yaş aralığında olan 27 sedanter, 28 sporcu ve 18 adolesan idiopatik skolyoz(AİS) tanısı alan genç birey olmak üzere toplam 73 kişi (46 kız, 27 erkek) katılmıştır. Sagital düzlem parametrelerininölçümü için yerçekimine bağlı inklinometre (Baseline® Bubble® Inclinometer) kullanılmıştır. Bunlara ek olarakskolyoz tanısı alan katılımcıların gövde rotasyon açısı (Angle of Trunk Rotation, ATR) ve Cobb açısı değerleri deölçülmüştürBulgular: Skolyoz grubunda kifoz açısı her iki gruptan da anlamlı olarak daha az bulunmuştur(p<0,05). Skolyozgrubunun lumbal lordoz açı değerleri, sporcu grubundan anlamlı olarak daha fazla bulunmuştur (p=0,020). Skolyozgrubunun ortalama ATR değeri 9.67° ve Cobb değeri ise 21.11° idi. Cinsiyete göre incelendiğinde ise torakal kifozaçısı erkeklerde, lumbal lordoz açısı ise kızlarda anlamlı olarak daha yüksek bulunmuştur (sırasıyla p=0.000;p=0,003).Sonuç: Sonuçlarımız AİS tanısı alan adolesanlarda sedanter ve sporcu gençlere göre fizyolojik sagital spinalparametrelerde anormal değişiklikler olduğunu; erkeklerde torakal kifoz açısının, kızlarda ise lumbal lordoz açısınındaha fazla olduğunu göstermiştir. Spinopelvik kompleksin de değerlendirildiği, farklı spor branşıyla uğraşansporcuların ve farklı eğrilik paternlerine sahip bireylerin de dahil edildiği çalışmalara ihtiyaç vardır.
Anahtar Kelime:

Sagittal Plane Alignment of Spine in Adolescents

Öz:
Objective: Changes in thoracal kyphosis and lumbar lordosis, which are physiological sagittal plane curvatures of the spine, may cause many problems for adolescents in the future. This study aimed to compare the sagittal plane parameters of the spine of adolescents who are sedentary, athletes and diagnosed as adolescent idiopathic scoliosis (AIS), by evaluating them and to prevent possible injuries that may arise from changes in these curvatures in the presence of abnormal curvature. Materials and Methods: A total of 73 people (46 girls, 27 boys) who are 15-18 years old were included in the study. Of which, 27 were sedentary, 28 were athletes and 18 were individuals with adolescent idiopathic scoliosis (AIS). Gravity-dependent inclinometer (Baseline® Bubble® Inclinometer) was used to measure sagittal plane parameters. In addition, the Angle of Trunk Rotation (ATR) and Cobb angle values of the participants who were diagnosed as AIS were measured. Results: The kyphosis angle in the scoliosis group was significantly lower than both groups (p <0.05). The lumbar lordosis angle values of the scoliosis group were significantly higher than the athletes’ group (p = 0.020). The mean ATR value of the scoliosis group was 9.67° and the Cobb value was 21.11°. When analyzed by gender, the thoracal kyphosis angle was significantly higher in boys and the lumbar lordosis angle was significantly higher in girls (respectively p=0.000; p = 0.003). Conclusion: Our results showed that adolescents diagnosed with AIS have abnormal changes in physiological sagittal spinal parameters compared to sedentary and athletes; thoracal kyphosis angle was higher in boys and lumbar lordosis angle was higher in girls. Studies that also evaluated the spinopelvic complex, involving athletes with different sports branches and individuals with different curvature patterns are needed.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Borges, P.A, Zelada, F, Dos Santos Barros, T.F, Letaif, O.B, da Rocha, I.D, Marcon, R.M, et al, Comparative Study of Sagittal Balance in Patients with Neuromuscular Scoliosis, Clinics (Sao Paulo, Brazil), 2017, 72, 8, 481–484.
  • 2. Roussouly, P, Nnadi, C, Sagittal plane deformity: an overview of interpretation and management, European Spine Journal, 2010, 19, 11, 1824‐1836.
  • 3. Grabara, M, Anteroposterior curvatures of the spine in adolescent athletes, Journal of Back and Musculoskeletal Rehabilitation, 2014, 27, 4, 513-519.
  • 4. Ishikawa, Y, Miyakoshi, N, Hongo M, Kasukawa, Y, Kudo, D, Shimada, Y, Relationships among spinal mobility and sagittal alignment of spine and lower extremity to quality of life and risk of falls, Gait & Posture, 2017, 3, 53, 98-103.
  • 5. Aboutorabi, A, Arazpour, M, Ahmadi Bani, M, Keshtkar, A.A, Effect of spinal orthoses and postural taping on balance, gait and quality of life in older people with thoracic hyperkyphosis: protocol for a systematic review and meta-analysis, British Medical Journal Open, 2018, 8, 1, e015813.
  • 6. Kuo, Y.L, Chung, C.H, Huang, T.W, Tsao, C.H, Chang, S.Y, Peng, C.K, et al., Association between spinal curvature disorders and injury: a nationwide population-based retrospective cohort study, British Medical Journal Open, 2019, 9, 1, e023604.
  • 7.Ambegaonkar, J.P, Caswell, A.M, Kenworthy, K.L, Cortes, N, Caswell, S.V, Lumbar lordosis in female collegiate dancers and gymnasts, Medical Problems of Performing Artists, 2014, 29, 4, 189– 192.
  • 8. Puzovic, V, Rotim, K, Jurisic, V, Samardzic, M, Zivkovic, B, Savic, A, Rasulic, L, The Prevalence of Spine Deformities and Flat Feet among 10-12 Year Old Children Who Train Basketball--Cross- Sectional Study, Collegium Antropologicum, 2015, 39, 3, 625–629.
  • 9. Sedrez, J.A, da Rosa, M.I, Noll, M, Medeiros, F, Candotti, C.T, Fatores de risco associados a alterações posturais estruturais da coluna vertebral em crianças e adolescentes [Risk factors associated with structural postural changes in the spinal column of children and adolescents]. Revista paulista de pediatria: orgao oficial da Sociedade de Pediatria de Sao Paulo, 2015, 33, 1, 72–81.
  • 10. Betsch, M, Furian, T, Quack, V, Rath, B, Wild, M, Rapp, W, Effects of athletic training on the spinal curvature in child athletes, Research in Sports Medicine, 2015, 23, 2, 190–202.
  • 11. Muyor, J.M, López-Miñarro, P.A, Alacid, F, A comparison of the thoracic spine in the sagittal plane between elite cyclists and non- athlete subjects, Journal of Back and Musculoskeletal Rehabilitation,2011,24,3,129–135.
  • 12. Sullivan, T.B, Reighard, F.G, Osborn, E.J, Parvaresh, K.C, Newton, P.O, Thoracic Idiopathic Scoliosis Severity Is Highly Correlated with 3D Measures of Thoracic Kyphosis. The Journal of Bone and Spine Surgery American Volume, 2017, 99, 11, e54.
  • 13. Pizones, J, Núñez-Medina, A, Sánchez-Mariscal, F, Zúñiga, L, Izquierdo, E, Thoracic sagittal plane variations between patients with thoracic adolescent idiopathic scoliosis and healthy adolescents, European Spine Journal, 2016, 25, 10, 3095‐3103.
  • 14. Newton, P.O, Osborn, E.J, Bastrom, T.P, Doan, J.D, Reighard, F.G, The 3D Sagittal Profile of Thoracic Versus Lumbar Major Curves in Adolescent Idiopathic Scoliosis, Spine Deformity, 2019, 7, 1, 60–65.
  • 15. Salamh, P.A, Kolber, M, The reliability, minimal detectable change and concurrent validity of a gravity-based bubble inclinometer and iphone application for measuring standing lumbar lordosis, Physiotherapy Theory and Practice, 2014, 30, 1, 62‐67.
  • 16. Hunter, D.J, Rivett, D.A, McKiernan, S, Weerasekara, I, Snodgrass, S.J, Is the inclinometer a valid measure of thoracic kyphosis? A cross- sectional study, Brazilian Journal of Physical Therapy, 2018, 22, 4, 310–317.
  • 17. Amendt, L.E, Ause-Ellias, K.L, Eybers, J.L, Wadsworth, C.T, Nielsen, D.H, Weinstein, S.L, Validity and reliability testing of the Scoliometer, Physical Therapy, 1990, 70, 2, 108–117.
  • 18. Coelho, D.M, Bonagamba, G.H, Oliveira, A.S, Scoliometer measurements of patients with idiopathic scoliosis, Brazilian Journal of Physical Therapy, 2013, 17, 2, 179–184.
  • 19. Patia Patias, P, Grivas, T.B, Kaspiris, A, Aggouris, C, Drakoutos, E, A review of the trunk surface metrics used as scoliosis and other deformities evaluation indices, Scoliosis, 2010, 5, 12.
  • 20. Abelin-Genevois, K, Sassi, D, Verdun, S, Roussouly, P, Sagittal classification in adolescent idiopathic scoliosis: original description and therapeutic implications, European Spine Journal, 2018, 27, 9, 2192‐2202.
  • 21. Stokes I.A, Mechanical effects on skeletal growth, Journal of Musculoskeletal & Neuronal İnteractions, 2002, 2, 3, 277–280.
  • 22. Mac-Thiong, J.M, Labelle, H, Charlebois, M, Huot, M.P, de Guise, J.A, Sagittal plane analysis of the spine and pelvis in adolescent idiopathic scoliosis according to the coronal curve type, Spine (Phila Pa 1976). 2003, 28, 13, 1404‐1409. doi:10.1097/01.BRS.0000067118.60199.D1.
  • 23. Yong, Q, Zhen, L, Zezhang, Z, Bangping, Q, Feng, Z, Tao, et al., Comparison of sagittal spinopelvic alignment in Chinese adolescents with and without idiopathic thoracic scoliosis, Spine, 2012,37,12,E714–E720.
  • 24. Moreira Pinto, E, Alves, J, de Castro, A.M, Silva, M, Miradouro, J, Teixeira, A, Miranda, A, High thoracic kyphosis: impact on total thoracic kyphosis and cervical alignment in patients with adolescent idiopathic scoliosis, Spine Deformity, 2020, 10.1007/s43390-020- 00069-6. Advance online publication. https://doi.org/10.1007/s43390-020-00069-6.
  • 25. Propst-Proctor, S.L, Bleck, E.E, Radiographic determination of lordosis and kyphosis in normal and scoliotic children, Journal of Pediatric Orthopaedics, 1983, 3, 3, 344‐346.
  • 26. Takács, M, Rudner, E, Kovács, A, Orlovits, Z, Kiss, R.M, The assessment of the spinal curvatures in the sagittal plane of children using an ultrasound-based motion analysing system, Annals of Biomedical Engineering, 2015, 43, 2, 348–362.
  • 27. Gardner, A, Berryman, F, Pynsent, P, The development of Kyphosis and Lordosis in the Growing Spine, Spine, 2018, 43, 19,e1109-e1115.
  • 28. Feng, Q, Jiang, C, Zhou, Y, Huang, Y, Zhang, M, Relationship between spinal morphology and function and adolescent non-specific back pain: A cross-sectional study, Journal of Back and Musculoskeletal Rehabilitation, 2017, 30, 3, 625–633.
  • 29. Schlösser, T.P, van Stralen, M, Chu, W.C, Lm, T.P, Ng, B.K, Vincken, K.L, et al., Anterior Overgrowth in Primary Curves, Compensatory Curves and Junctional Segments in Adolescent Idiopathic Scoliosis, PloS one, 2016, 11, 7, e0160267.
APA Kilic B, AKGÜL H, Kuru Çolak T (2021). Adolesanlarda Omurganın Sagital Düzlem Dizilimi. , 23 - 28. 10.34087/cbusbed. 751886
Chicago Kilic Berivan Beril,AKGÜL HAKAN,Kuru Çolak Tuğba Adolesanlarda Omurganın Sagital Düzlem Dizilimi. (2021): 23 - 28. 10.34087/cbusbed. 751886
MLA Kilic Berivan Beril,AKGÜL HAKAN,Kuru Çolak Tuğba Adolesanlarda Omurganın Sagital Düzlem Dizilimi. , 2021, ss.23 - 28. 10.34087/cbusbed. 751886
AMA Kilic B,AKGÜL H,Kuru Çolak T Adolesanlarda Omurganın Sagital Düzlem Dizilimi. . 2021; 23 - 28. 10.34087/cbusbed. 751886
Vancouver Kilic B,AKGÜL H,Kuru Çolak T Adolesanlarda Omurganın Sagital Düzlem Dizilimi. . 2021; 23 - 28. 10.34087/cbusbed. 751886
IEEE Kilic B,AKGÜL H,Kuru Çolak T "Adolesanlarda Omurganın Sagital Düzlem Dizilimi." , ss.23 - 28, 2021. 10.34087/cbusbed. 751886
ISNAD Kilic, Berivan Beril vd. "Adolesanlarda Omurganın Sagital Düzlem Dizilimi". (2021), 23-28. https://doi.org/10.34087/cbusbed. 751886
APA Kilic B, AKGÜL H, Kuru Çolak T (2021). Adolesanlarda Omurganın Sagital Düzlem Dizilimi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(1), 23 - 28. 10.34087/cbusbed. 751886
Chicago Kilic Berivan Beril,AKGÜL HAKAN,Kuru Çolak Tuğba Adolesanlarda Omurganın Sagital Düzlem Dizilimi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8, no.1 (2021): 23 - 28. 10.34087/cbusbed. 751886
MLA Kilic Berivan Beril,AKGÜL HAKAN,Kuru Çolak Tuğba Adolesanlarda Omurganın Sagital Düzlem Dizilimi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol.8, no.1, 2021, ss.23 - 28. 10.34087/cbusbed. 751886
AMA Kilic B,AKGÜL H,Kuru Çolak T Adolesanlarda Omurganın Sagital Düzlem Dizilimi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2021; 8(1): 23 - 28. 10.34087/cbusbed. 751886
Vancouver Kilic B,AKGÜL H,Kuru Çolak T Adolesanlarda Omurganın Sagital Düzlem Dizilimi. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2021; 8(1): 23 - 28. 10.34087/cbusbed. 751886
IEEE Kilic B,AKGÜL H,Kuru Çolak T "Adolesanlarda Omurganın Sagital Düzlem Dizilimi." Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8, ss.23 - 28, 2021. 10.34087/cbusbed. 751886
ISNAD Kilic, Berivan Beril vd. "Adolesanlarda Omurganın Sagital Düzlem Dizilimi". Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8/1 (2021), 23-28. https://doi.org/10.34087/cbusbed. 751886