Association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis in china

Despite advancements in school scoliosis screening (SSS), there are still no effective indicators to estimate the severity of spinal curvature. We aim to investigate the association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis (AIS) among Chinese adolescents. In...

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Published in:Journal of orthopaedic surgery and research 2024-05, Vol.19 (1), p.300-300, Article 300
Main Authors: Chen, Xiaosheng, Ye, Yongyu, Zhu, Zhixiang, Zhang, Rui, Wang, Weijun, Wu, Miaoling, Lu, Xinhai, Yan, Bin, Liang, Qian
Format: Article
Language:English
Subjects:
Adolescent
China - epidemiology
Curve magnitude
Female
Humans
Incorrect postures
Male
Posture - physiology
Radiography
Scoliosis
Scoliosis - diagnostic imaging
Scoliosis - physiopathology
Screening
Severity of Illness Index
Teenagers
Young Adult
Youth
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Ye, Yongyu
Zhu, Zhixiang
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Wang, Weijun
Wu, Miaoling
Lu, Xinhai
Yan, Bin
Liang, Qian
description Despite advancements in school scoliosis screening (SSS), there are still no effective indicators to estimate the severity of spinal curvature. We aim to investigate the association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis (AIS) among Chinese adolescents. In this SSS program, we examined the incorrect posture, Adam's forward bending test (FBT) results, and angle of trunk rotation (ATR) in adolescents. Those with suspected scoliosis were referred for a standing anteroposterior whole-spine radiography as outpatients. The radiographic data of 426 students with lateral Cobb angles were collected from 2016 to 2022 and the associations were studied using logistic regression (LR) models and receiver operating characteristic (ROC) curves. Univariate LR revealed that female gender [odds ratio (OR) = 2.92, 95% confidence interval (CI) 1.67-5.09, P 
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We aim to investigate the association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis (AIS) among Chinese adolescents. In this SSS program, we examined the incorrect posture, Adam's forward bending test (FBT) results, and angle of trunk rotation (ATR) in adolescents. Those with suspected scoliosis were referred for a standing anteroposterior whole-spine radiography as outpatients. The radiographic data of 426 students with lateral Cobb angles were collected from 2016 to 2022 and the associations were studied using logistic regression (LR) models and receiver operating characteristic (ROC) curves. Univariate LR revealed that female gender [odds ratio (OR) = 2.92, 95% confidence interval (CI) 1.67-5.09, P &lt; 0.001], age 16-19y (OR = 2.83, 95%CI 1.10-7.28, P = 0.031), right shoulder height (OR = 2.15, 95%CI 1.23-3.75, P = 0.007), right scapula tilt (OR = 2.03, 95%CI 1.18-3.50, P = 0.010), right rib hump (OR = 1.88, 95%CI 1.23-2.85, P = 0.003), right thoracic rotation ≥ 5° (OR = 2.14, 95%CI 1.43-3.20, P &lt; 0.001), and left thoracolumbar kyphosis (OR = 3.79, 95%CI 1.06-13.56, P = 0.041) were all significantly associated with the severity of the curve magnitude. Multivariate LR showed that female gender [adjusted OR (AOR) = 3.23, 95%CI 1.81-5.73, P &lt; 0.001], those aged 16-19y (AOR = 5.08, 95%CI 1.86-13.91, P = 0.002), and with a right rib hump (AOR = 1.72, 95%CI 1.11-2.64, P = 0.015) presented with a higher risk of severe curve magnitude than men, those aged 7-12y, and without a rib hump, respectively. ROC curves further proved that sex, age, shoulder-height difference, scapula tilt, flat back, rib hump, angle of thoracic rotation were the risk predictors for curve magnitude. Incorrect posture and ATR, especially the right rib hump, were significantly associated with the curve magnitude of AIS. Early screening for incorrect postures and ATR could be an effective and economical strategy to predict the severity of AIS through SSS in Chinese adolescents.</description><identifier>ISSN: 1749-799X</identifier><identifier>EISSN: 1749-799X</identifier><identifier>DOI: 10.1186/s13018-024-04767-z</identifier><identifier>PMID: 38760821</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; China - epidemiology ; Curve magnitude ; Female ; Humans ; Incorrect postures ; Male ; Posture - physiology ; Radiography ; Scoliosis ; Scoliosis - diagnostic imaging ; Scoliosis - physiopathology ; Screening ; Severity of Illness Index ; Teenagers ; Young Adult ; Youth</subject><ispartof>Journal of orthopaedic surgery and research, 2024-05, Vol.19 (1), p.300-300, Article 300</ispartof><rights>2024. The Author(s).</rights><rights>COPYRIGHT 2024 BioMed Central Ltd.</rights><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c487t-afe982ab5a6d61a4c151c51474011decd2cf72687158d3817cd559c3ab8692a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11100037/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11100037/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38760821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Xiaosheng</creatorcontrib><creatorcontrib>Ye, Yongyu</creatorcontrib><creatorcontrib>Zhu, Zhixiang</creatorcontrib><creatorcontrib>Zhang, Rui</creatorcontrib><creatorcontrib>Wang, Weijun</creatorcontrib><creatorcontrib>Wu, Miaoling</creatorcontrib><creatorcontrib>Lu, Xinhai</creatorcontrib><creatorcontrib>Yan, Bin</creatorcontrib><creatorcontrib>Liang, Qian</creatorcontrib><title>Association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis in china</title><title>Journal of orthopaedic surgery and research</title><addtitle>J Orthop Surg Res</addtitle><description>Despite advancements in school scoliosis screening (SSS), there are still no effective indicators to estimate the severity of spinal curvature. We aim to investigate the association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis (AIS) among Chinese adolescents. In this SSS program, we examined the incorrect posture, Adam's forward bending test (FBT) results, and angle of trunk rotation (ATR) in adolescents. Those with suspected scoliosis were referred for a standing anteroposterior whole-spine radiography as outpatients. The radiographic data of 426 students with lateral Cobb angles were collected from 2016 to 2022 and the associations were studied using logistic regression (LR) models and receiver operating characteristic (ROC) curves. Univariate LR revealed that female gender [odds ratio (OR) = 2.92, 95% confidence interval (CI) 1.67-5.09, P &lt; 0.001], age 16-19y (OR = 2.83, 95%CI 1.10-7.28, P = 0.031), right shoulder height (OR = 2.15, 95%CI 1.23-3.75, P = 0.007), right scapula tilt (OR = 2.03, 95%CI 1.18-3.50, P = 0.010), right rib hump (OR = 1.88, 95%CI 1.23-2.85, P = 0.003), right thoracic rotation ≥ 5° (OR = 2.14, 95%CI 1.43-3.20, P &lt; 0.001), and left thoracolumbar kyphosis (OR = 3.79, 95%CI 1.06-13.56, P = 0.041) were all significantly associated with the severity of the curve magnitude. Multivariate LR showed that female gender [adjusted OR (AOR) = 3.23, 95%CI 1.81-5.73, P &lt; 0.001], those aged 16-19y (AOR = 5.08, 95%CI 1.86-13.91, P = 0.002), and with a right rib hump (AOR = 1.72, 95%CI 1.11-2.64, P = 0.015) presented with a higher risk of severe curve magnitude than men, those aged 7-12y, and without a rib hump, respectively. ROC curves further proved that sex, age, shoulder-height difference, scapula tilt, flat back, rib hump, angle of thoracic rotation were the risk predictors for curve magnitude. Incorrect posture and ATR, especially the right rib hump, were significantly associated with the curve magnitude of AIS. Early screening for incorrect postures and ATR could be an effective and economical strategy to predict the severity of AIS through SSS in Chinese adolescents.</description><subject>Adolescent</subject><subject>China - epidemiology</subject><subject>Curve magnitude</subject><subject>Female</subject><subject>Humans</subject><subject>Incorrect postures</subject><subject>Male</subject><subject>Posture - physiology</subject><subject>Radiography</subject><subject>Scoliosis</subject><subject>Scoliosis - diagnostic imaging</subject><subject>Scoliosis - physiopathology</subject><subject>Screening</subject><subject>Severity of Illness Index</subject><subject>Teenagers</subject><subject>Young Adult</subject><subject>Youth</subject><issn>1749-799X</issn><issn>1749-799X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptkl1rFDEUhgdRbK3-AS9kwBtvpuY7mStZih-FgjcK3oWzyZndlNlkTWZa7K8326mlC5KLhJP3fTjn8DbNW0rOKTXqY6GcUNMRJjoitNLd3bPmlGrRd7rvfz1_8j5pXpVyTYgk0oiXzQk3WhHD6GkzrEpJLsAUUmzXON0ixjZEl3JGN7X7VKY5Y2kh-tbN-QbbHWximGaPbRpa8GnE4jBObfAh7WHaBtcWl8aQSiiV1LptiPC6eTHAWPDNw33W_Pzy-cfFt-7q-9fLi9VV54TRUwcD9obBWoLyioJwVFInqdCCUOrReeYGzZTRVBrPDdXOS9k7DmujegaMnzWXC9cnuLb7HHaQ_9gEwd4XUt5YyFNwI1o-SKWAo3FMCLI2dSWSIRmQC-kohcr6tLD283qH_jBkhvEIevwTw9Zu0o2llBJCuK6EDw-EnH7PWCa7C3VZ4wgR01wsJ7UFxQRXVfp-kW6g9hbikCrSHeR2pXvBmKS6r6rz_6jq8bgLLkUcQq0fGdhicDmVknF4bJ8SewiRXUJka4jsfYjsXTW9ezr4o-Vfavhfhy3Dug</recordid><startdate>20240517</startdate><enddate>20240517</enddate><creator>Chen, Xiaosheng</creator><creator>Ye, Yongyu</creator><creator>Zhu, Zhixiang</creator><creator>Zhang, Rui</creator><creator>Wang, Weijun</creator><creator>Wu, Miaoling</creator><creator>Lu, Xinhai</creator><creator>Yan, Bin</creator><creator>Liang, Qian</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240517</creationdate><title>Association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis in china</title><author>Chen, Xiaosheng ; 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We aim to investigate the association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis (AIS) among Chinese adolescents. In this SSS program, we examined the incorrect posture, Adam's forward bending test (FBT) results, and angle of trunk rotation (ATR) in adolescents. Those with suspected scoliosis were referred for a standing anteroposterior whole-spine radiography as outpatients. The radiographic data of 426 students with lateral Cobb angles were collected from 2016 to 2022 and the associations were studied using logistic regression (LR) models and receiver operating characteristic (ROC) curves. Univariate LR revealed that female gender [odds ratio (OR) = 2.92, 95% confidence interval (CI) 1.67-5.09, P &lt; 0.001], age 16-19y (OR = 2.83, 95%CI 1.10-7.28, P = 0.031), right shoulder height (OR = 2.15, 95%CI 1.23-3.75, P = 0.007), right scapula tilt (OR = 2.03, 95%CI 1.18-3.50, P = 0.010), right rib hump (OR = 1.88, 95%CI 1.23-2.85, P = 0.003), right thoracic rotation ≥ 5° (OR = 2.14, 95%CI 1.43-3.20, P &lt; 0.001), and left thoracolumbar kyphosis (OR = 3.79, 95%CI 1.06-13.56, P = 0.041) were all significantly associated with the severity of the curve magnitude. Multivariate LR showed that female gender [adjusted OR (AOR) = 3.23, 95%CI 1.81-5.73, P &lt; 0.001], those aged 16-19y (AOR = 5.08, 95%CI 1.86-13.91, P = 0.002), and with a right rib hump (AOR = 1.72, 95%CI 1.11-2.64, P = 0.015) presented with a higher risk of severe curve magnitude than men, those aged 7-12y, and without a rib hump, respectively. ROC curves further proved that sex, age, shoulder-height difference, scapula tilt, flat back, rib hump, angle of thoracic rotation were the risk predictors for curve magnitude. Incorrect posture and ATR, especially the right rib hump, were significantly associated with the curve magnitude of AIS. Early screening for incorrect postures and ATR could be an effective and economical strategy to predict the severity of AIS through SSS in Chinese adolescents.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38760821</pmid><doi>10.1186/s13018-024-04767-z</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
China - epidemiology
Curve magnitude
Female
Humans
Incorrect postures
Male
Posture - physiology
Radiography
Scoliosis
Scoliosis - diagnostic imaging
Scoliosis - physiopathology
Screening
Severity of Illness Index
Teenagers
Young Adult
Youth
title Association between incorrect postures and curve magnitude of adolescent idiopathic scoliosis in china
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