Assessment of Body Posture of Children With Chest Pain

Abstract

Objective: An increase in the appearance of chest pain among children is observed globally. The authors present various reasons for their appearance. As can be seen from numerous observations, the majority of cases are not related to the pathology of the circulatory system. Increasingly, studies on the causes of chest pain in children show their association with musculoskeletal disorders.Aim: of the work was assessment of body posture in children with chest pain using the Diers Formetric 4D system.Methods: The study involved a group of 184 female and male children, aged 7–12 years. The study group consisted of 64 patients with chest pain. The children from this group were diagnosed with functional chest pain by a cardiologist. The control group consisted of 120 patients without chest pain. The study included the assessment of body posture using the DIERS Formetric system.Results: The analysis of the results obtained during the study showed that among the children with chest pain, there are statistically significant irregularities in the parameters determining body posture compared to the control group.Comparing the study group with the control group, there is a statistically significant difference in the lateral deviation of VPDM (rms) (mm) (p = 0.001). Both children from the test group aged 9–10 and 11–12 obtained higher results than their peers from the control group. In the group of the youngest children in terms of the lateral deviation of VPDM (rms) (mm), increasing the number of children under study would contribute to significant differences in this variable.In the study group, among children aged 9–10 years, there were also statistically significant abnormalities regarding trunk imbalance and pelvic skewness compared to the children of the same age in the control group.Conclusions: Irregularities in the parameters determining body posture may cause chest pain in children.

The Incidence of Body Posture Abnormalities in Relation to the Segmental Body Composition in Early School-Aged Children

“…This is why it is crucial to educate both the children and their parents on the factors that adversely impact body posture and body mass. Another factor that contributes to the development of posture defects is school backpacks which are too heavy and not adjusted to the individual child’s body [ 51 , 52 , 53 ].…”

Unrecognized scoliosis as the cause of chest pain: A case report

“…Појава лошег држања и деформитета кичме код деце је у све већем порасту и може се сматрати модерном пандемијом [7]. Последица су највероватније све дужег седења, ношења претешких школских торби и недовољне физичке активности [5,8,9,10].…”

“…Последице дуготрајног лошег телесног држања код деце одражавају се и на мишиће и на кости. Бол у грудима настаје због поремећаја напетости (тонуса) и флексибилности (еластичности) мишића грудног коша и поремећаја морфологије кичменог стуба [4,5].…”

“…Chest pain in children is rarely associated with severe heart disease, and is most often musculoskeletal [1,2,3]. In recent times, most children and adolescents with chest pain of non-cardiac origin are diagnosed with some form of musculoskeletal disorder [4,5]. This is a case report of a 15-year-old girl with a scoliotic spinal deformity, presenting with chest pain.…”

“…Бол у грудима код деце ретко је повезан са тешким срчаним обољењем, а најчешће је мишићно-скелетног порекла [1,2,3]. Код највећег броја деце и адолесцената са болом у грудима некардијалног порекла, у последње време, дијагностикује се неки облик мишићно-скелетног поремећаја [4,5].Ово је приказ случаја петнаестогодишње девоjчице са сколиотичним деформитетом кичменог стуба и боловима у грудима.…”