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Patterns of coronal curve changes in forward bending posture: a 3D ultrasound study of adolescent idiopathic scoliosis patients
Purpose The Adam’s forward bending test is the most commonly used approach to assess the spine deformity in adolescent idiopathic scoliosis (AIS) patients. However, there are noticeable differences in the hump appearance from standing to forward bending. This phenomenon has yet to be understood due...
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Published in: | European spine journal 2018-09, Vol.27 (9), p.2139-2147 |
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creator | Jiang, Wei Wei Cheng, Connie Lok Kan Cheung, Jason Pui Yin Samartzis, Dino Lai, Kelly Ka Lee To, Michael Kai Tsun Zheng, Yong Ping |
description | Purpose
The Adam’s forward bending test is the most commonly used approach to assess the spine deformity in adolescent idiopathic scoliosis (AIS) patients. However, there are noticeable differences in the hump appearance from standing to forward bending. This phenomenon has yet to be understood due to limitations of conventional radiographs. This study aimed to investigate effects of postural change in the spine deformity in the coronal plane of AIS patients using a 3D ultrasound imaging system.
Methods
This was a prospective study that recruited 72 AIS patients at a single institute. All patients were scanned twice in the sitting and sitting forward bending postures. A coronal ultrasound image showing the spinal curvature was generated after each scan and the spinous process angle (SPA) representing the deformity was manually measured from it. Correlation of SPAs under sitting and sitting forward bending postures was analyzed.
Results
In the comparison test, it was noted that there were three types of spine profile alternation after the postural change. In types I and II, the SPA angle numbers were the same before and after forward bending and only SPA values changed. In type III, the two curvatures were changed to one curvature in the forward bending posture. Moderate correlation was observed between the angles obtained in the two postures (
r
= 0.55,
p
|
doi_str_mv | 10.1007/s00586-018-5646-5 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2059548187</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2059548187</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-2d029522fa85f6a0822a190012e4eba3b92cdd636f5d12176ccd268a85fe1a33</originalsourceid><addsrcrecordid>eNp1kT1vHCEQhlGUKD7b-QFpIqQ0bjZmYOEgXeRvyVJcuEccsDbWHlyY3USu8tfN-ZxEiuQKaeaZF5iHkI_AvgBjy2NkTGrVMdCdVL3q5BuygF7wjhnB35IFMz3r1BLMHtlHfGAMpGHqPdnjxvQCjF6Q3zdummLNSMtAfaklu5H6uf6M1N-7fBeRpkyHUn-5Gugq5pDyHd0UnOYav1JHxSmdx6k6LHMOtJXD4zbKhTJG9DFPNIVUNm66T56iL2MqmJC2QmpNPCTvBjdi_PByHpDb87Pbk8vu-vvF1cm36873IKeOB8aN5HxwWg7KMc25A9M-xGMfV06sDPchKKEGGYDDUnkfuNJbOoIT4oAc7WI3tfyYI052ndrrxtHlWGa0nEkjew162dDP_6EPZa5tLc-U1r3QAI2CHeVrQaxxsJua1q4-WmB2K8fu5Ngmx27lWNlmPr0kz6t1DH8n_thoAN8B2Fpt9_Xf1a-nPgFjRJtY</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2058843811</pqid></control><display><type>article</type><title>Patterns of coronal curve changes in forward bending posture: a 3D ultrasound study of adolescent idiopathic scoliosis patients</title><source>Springer Link</source><creator>Jiang, Wei Wei ; Cheng, Connie Lok Kan ; Cheung, Jason Pui Yin ; Samartzis, Dino ; Lai, Kelly Ka Lee ; To, Michael Kai Tsun ; Zheng, Yong Ping</creator><creatorcontrib>Jiang, Wei Wei ; Cheng, Connie Lok Kan ; Cheung, Jason Pui Yin ; Samartzis, Dino ; Lai, Kelly Ka Lee ; To, Michael Kai Tsun ; Zheng, Yong Ping</creatorcontrib><description>Purpose
The Adam’s forward bending test is the most commonly used approach to assess the spine deformity in adolescent idiopathic scoliosis (AIS) patients. However, there are noticeable differences in the hump appearance from standing to forward bending. This phenomenon has yet to be understood due to limitations of conventional radiographs. This study aimed to investigate effects of postural change in the spine deformity in the coronal plane of AIS patients using a 3D ultrasound imaging system.
Methods
This was a prospective study that recruited 72 AIS patients at a single institute. All patients were scanned twice in the sitting and sitting forward bending postures. A coronal ultrasound image showing the spinal curvature was generated after each scan and the spinous process angle (SPA) representing the deformity was manually measured from it. Correlation of SPAs under sitting and sitting forward bending postures was analyzed.
Results
In the comparison test, it was noted that there were three types of spine profile alternation after the postural change. In types I and II, the SPA angle numbers were the same before and after forward bending and only SPA values changed. In type III, the two curvatures were changed to one curvature in the forward bending posture. Moderate correlation was observed between the angles obtained in the two postures (
r
= 0.55,
p
< 0.001).
Conclusions
Spine deformities of AIS patients vary with different postures. The patterns of changes in sitting and sitting forward bending postures are highly subject dependent.
Graphical abstract
These slides can be retrieved under Electronic Supplementary Material.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-018-5646-5</identifier><identifier>PMID: 29943198</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Medicine ; Medicine & Public Health ; Neurosurgery ; Original Article ; Posture ; Radiography ; Scoliosis ; Spine ; Surgical Orthopedics ; Ultrasonic imaging ; Ultrasound</subject><ispartof>European spine journal, 2018-09, Vol.27 (9), p.2139-2147</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>European Spine Journal is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-2d029522fa85f6a0822a190012e4eba3b92cdd636f5d12176ccd268a85fe1a33</citedby><cites>FETCH-LOGICAL-c415t-2d029522fa85f6a0822a190012e4eba3b92cdd636f5d12176ccd268a85fe1a33</cites><orcidid>0000-0002-3407-9226</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29943198$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Wei Wei</creatorcontrib><creatorcontrib>Cheng, Connie Lok Kan</creatorcontrib><creatorcontrib>Cheung, Jason Pui Yin</creatorcontrib><creatorcontrib>Samartzis, Dino</creatorcontrib><creatorcontrib>Lai, Kelly Ka Lee</creatorcontrib><creatorcontrib>To, Michael Kai Tsun</creatorcontrib><creatorcontrib>Zheng, Yong Ping</creatorcontrib><title>Patterns of coronal curve changes in forward bending posture: a 3D ultrasound study of adolescent idiopathic scoliosis patients</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
The Adam’s forward bending test is the most commonly used approach to assess the spine deformity in adolescent idiopathic scoliosis (AIS) patients. However, there are noticeable differences in the hump appearance from standing to forward bending. This phenomenon has yet to be understood due to limitations of conventional radiographs. This study aimed to investigate effects of postural change in the spine deformity in the coronal plane of AIS patients using a 3D ultrasound imaging system.
Methods
This was a prospective study that recruited 72 AIS patients at a single institute. All patients were scanned twice in the sitting and sitting forward bending postures. A coronal ultrasound image showing the spinal curvature was generated after each scan and the spinous process angle (SPA) representing the deformity was manually measured from it. Correlation of SPAs under sitting and sitting forward bending postures was analyzed.
Results
In the comparison test, it was noted that there were three types of spine profile alternation after the postural change. In types I and II, the SPA angle numbers were the same before and after forward bending and only SPA values changed. In type III, the two curvatures were changed to one curvature in the forward bending posture. Moderate correlation was observed between the angles obtained in the two postures (
r
= 0.55,
p
< 0.001).
Conclusions
Spine deformities of AIS patients vary with different postures. The patterns of changes in sitting and sitting forward bending postures are highly subject dependent.
Graphical abstract
These slides can be retrieved under Electronic Supplementary Material.</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Posture</subject><subject>Radiography</subject><subject>Scoliosis</subject><subject>Spine</subject><subject>Surgical Orthopedics</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kT1vHCEQhlGUKD7b-QFpIqQ0bjZmYOEgXeRvyVJcuEccsDbWHlyY3USu8tfN-ZxEiuQKaeaZF5iHkI_AvgBjy2NkTGrVMdCdVL3q5BuygF7wjhnB35IFMz3r1BLMHtlHfGAMpGHqPdnjxvQCjF6Q3zdummLNSMtAfaklu5H6uf6M1N-7fBeRpkyHUn-5Gugq5pDyHd0UnOYav1JHxSmdx6k6LHMOtJXD4zbKhTJG9DFPNIVUNm66T56iL2MqmJC2QmpNPCTvBjdi_PByHpDb87Pbk8vu-vvF1cm36873IKeOB8aN5HxwWg7KMc25A9M-xGMfV06sDPchKKEGGYDDUnkfuNJbOoIT4oAc7WI3tfyYI052ndrrxtHlWGa0nEkjew162dDP_6EPZa5tLc-U1r3QAI2CHeVrQaxxsJua1q4-WmB2K8fu5Ngmx27lWNlmPr0kz6t1DH8n_thoAN8B2Fpt9_Xf1a-nPgFjRJtY</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Jiang, Wei Wei</creator><creator>Cheng, Connie Lok Kan</creator><creator>Cheung, Jason Pui Yin</creator><creator>Samartzis, Dino</creator><creator>Lai, Kelly Ka Lee</creator><creator>To, Michael Kai Tsun</creator><creator>Zheng, Yong Ping</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3407-9226</orcidid></search><sort><creationdate>20180901</creationdate><title>Patterns of coronal curve changes in forward bending posture: a 3D ultrasound study of adolescent idiopathic scoliosis patients</title><author>Jiang, Wei Wei ; Cheng, Connie Lok Kan ; Cheung, Jason Pui Yin ; Samartzis, Dino ; Lai, Kelly Ka Lee ; To, Michael Kai Tsun ; Zheng, Yong Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-2d029522fa85f6a0822a190012e4eba3b92cdd636f5d12176ccd268a85fe1a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Posture</topic><topic>Radiography</topic><topic>Scoliosis</topic><topic>Spine</topic><topic>Surgical Orthopedics</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Wei Wei</creatorcontrib><creatorcontrib>Cheng, Connie Lok Kan</creatorcontrib><creatorcontrib>Cheung, Jason Pui Yin</creatorcontrib><creatorcontrib>Samartzis, Dino</creatorcontrib><creatorcontrib>Lai, Kelly Ka Lee</creatorcontrib><creatorcontrib>To, Michael Kai Tsun</creatorcontrib><creatorcontrib>Zheng, Yong Ping</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Wei Wei</au><au>Cheng, Connie Lok Kan</au><au>Cheung, Jason Pui Yin</au><au>Samartzis, Dino</au><au>Lai, Kelly Ka Lee</au><au>To, Michael Kai Tsun</au><au>Zheng, Yong Ping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of coronal curve changes in forward bending posture: a 3D ultrasound study of adolescent idiopathic scoliosis patients</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>27</volume><issue>9</issue><spage>2139</spage><epage>2147</epage><pages>2139-2147</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
The Adam’s forward bending test is the most commonly used approach to assess the spine deformity in adolescent idiopathic scoliosis (AIS) patients. However, there are noticeable differences in the hump appearance from standing to forward bending. This phenomenon has yet to be understood due to limitations of conventional radiographs. This study aimed to investigate effects of postural change in the spine deformity in the coronal plane of AIS patients using a 3D ultrasound imaging system.
Methods
This was a prospective study that recruited 72 AIS patients at a single institute. All patients were scanned twice in the sitting and sitting forward bending postures. A coronal ultrasound image showing the spinal curvature was generated after each scan and the spinous process angle (SPA) representing the deformity was manually measured from it. Correlation of SPAs under sitting and sitting forward bending postures was analyzed.
Results
In the comparison test, it was noted that there were three types of spine profile alternation after the postural change. In types I and II, the SPA angle numbers were the same before and after forward bending and only SPA values changed. In type III, the two curvatures were changed to one curvature in the forward bending posture. Moderate correlation was observed between the angles obtained in the two postures (
r
= 0.55,
p
< 0.001).
Conclusions
Spine deformities of AIS patients vary with different postures. The patterns of changes in sitting and sitting forward bending postures are highly subject dependent.
Graphical abstract
These slides can be retrieved under Electronic Supplementary Material.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29943198</pmid><doi>10.1007/s00586-018-5646-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3407-9226</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Medicine Medicine & Public Health Neurosurgery Original Article Posture Radiography Scoliosis Spine Surgical Orthopedics Ultrasonic imaging Ultrasound |
title | Patterns of coronal curve changes in forward bending posture: a 3D ultrasound study of adolescent idiopathic scoliosis patients |
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