Is rasterstereography a valid noninvasive method for the screening of juvenile and adolescent idiopathic scoliosis?

Bassani, Tito; Stucovitz, Elena; Galbusera, Fabio; Brayda-Bruno, Marco

doi:10.1007/s00586-018-05876-0

Cited by 38 publications

(23 citation statements)

References 43 publications

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“…There is firm consistency with the results, especially concerning the spine, obtained via x-ray measurements which at this time are the “gold standard” ( D’Amico et al, 2017b ; Kinel et al, 2018 ). Other non-ionizing approaches, such as the rasterstereographic back-surface measurement technique or the recently introduced ultrasound measurement, were excluded because they raise concerns and questions that need further clarification about measurement accuracy and/or the need for the patient to keep a constrained position during the scanning measurement ( Kotwicki et al, 2007 ; Frerich et al, 2012 ; Takács et al, 2014 ; Bassani et al, 2019 ; Wanke-Jellinek et al, 2019 ; Wu et al, 2020 ). To note, new recently introduced optical method and software tool ( Ćuković et al, 2020 ) relying on the digitalized dorsal surface associated with a new 3D spine modeling ( Ćuković et al, 2015 ), multiscale and registerable 3D generic spinal model complemented by CAD technologies show a new, hopefully promising technique to improve rastereographic clinical reliability.…”

Section: Discussionmentioning

confidence: 99%

3D Quantitative Evaluation of Posture and Spine Proprioceptive Perception Through Instinctive Self-Correction Maneuver in Adolescent Idiopathic Scoliosis

Kinel

D’Amico²,

Roncoletta³

2021

Front. Bioeng. Biotechnol.

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BackgroundConservative treatment in the adolescent idiopathic scoliosis (AIS) population is based on individual proprioceptive and motor control training. Such training includes physiotherapeutic scoliosis-specific exercises (PSSEs) stimulating the individual capacity to perceive and control his/her posture, particularly the shape of the spine. However, limited knowledge about basic proprioception capability in AIS patients is reported in the literature.Questions(1) How do AIS patients, who did not receive any previous specific postural education treatment, perceive their posture and 3D spine shape? Are they able to modify their posture and 3D spine shape correctly through an instinctive self-correction (ISCO) maneuver? (2) Are posture and ISCO maneuver ability gender dependent in AIS patients? (3) Do AIS patients present different posture and spine shape characteristics as well as different ISCO ability compared with the healthy young adult population?MethodsCross-sectional observational study. 132 (75 females, 57 males) AIS patients’ posture and 3D spine shape have been measured comparing indifferent orthostasis (IO) (neutral erect posture) to ISCO using a non-ionizing 3D optoelectronic stereophotogrammetric approach. Thirteen quantitative biomechanical parameters described the AIS patients body posture. The statistical analysis was performed using a multivariate approach to compare genders in IO, ISCO, and AIS patients vs. healthy young adults–previously published data (57 females, 64 males).ResultsMales (87.7%) and females (93.3%) of AIS patients were unable to modify posture and 3D spine shape globally. AIS patients gender differences were found in IO, ISCO, and the comparison vs. healthy young adults. When changes occurred, subjects could not focus and control their posture globally, but only in a few aspects at a time.ConclusionSelf-correction maneuver producing an improvement in body posture and spine shape is not instinctive and must be trained. In such characteristics, AIS patients are not so dissimilar to healthy young adults. Sagittal plane control is the highest, but ISCO in AIS patients led to worsening in this plane. Control at the lumbar level is neglected in both genders. Such outcomes support the necessity of customized PSSEs to treat AIS patients. The 3D stereo-photogrammetric approach is effective in quantitatively describing the subject’s posture, motor control, and proprioception.

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Section: Discussionmentioning

confidence: 99%

3D Quantitative Evaluation of Posture and Spine Proprioceptive Perception Through Instinctive Self-Correction Maneuver in Adolescent Idiopathic Scoliosis

Kinel

D’Amico²,

Roncoletta³

2021

Front. Bioeng. Biotechnol.

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“…This computational study was carried out in accordance with relevant guidelines and regulations. Fully anonymized biplanar radiographs acquired with the EOS Imaging System (EOS Imaging, Paris, France) were available for 192 subjects with age ranging from 10 to 18 years old from a previous clinical trial 17 which was approved by the Ethics Committee of Ospedale San Raffaele, Milan (protocol EOSCC2013) and during which subject assent and parental permission to use anonymized data in successive studies were given by signing an informed consent. Among those, the 64 subjects having Cobb angle in the coronal plane larger than 35° were included in the study.…”

Section: Methodsmentioning

confidence: 99%

The importance of curve severity, type and instrumentation strategy in the surgical correction of adolescent idiopathic scoliosis: an in silico clinical trial on 64 cases

Galbusera

Cina

Panico

et al. 2021

Sci Rep

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Adolescent idiopathic scoliosis is a three-dimensional deformity of the spine which is frequently corrected with the implantation of instrumentation with generally good or excellent clinical results; mechanical post-operative complications such as implant loosening and breakage are however relatively frequent. The rate of complications is associated with a lack of consensus about the surgical decision-making process; choices about the instrumentation length, the anchoring implants and the degree of correction are indeed mostly based on personal views and previous experience of the surgeon. In this work, we performed an in silico clinical trial on a large number of subjects in order to clarify which factors have the highest importance in determining the risk of complications by quantitatively analysing the mechanical stresses and loads in the instrumentation after the correction maneuvers. The results of the simulations highlighted the fundamental role of the curve severity, also in its three-dimensional aspect, and of the instrumentation strategy, whereas the length of the fixation had a lower importance.

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“…The full-spine X-ray was rstly discarded due to his invasiveness as sustained by the articles on the matter [11][12][13][14][15]. The analysis of the literature, in particular [16][17][18][19][20][21][22][23][24][25][26], has therefore lead to choose as the postural analysis system for this study the DIERS Formetric 4D provided with the measuring protocol 4D Average able to perform a dynamic analysis capable to compensate for possible unintended movements of the subject, taking 12 pictures in 6 s.…”

Section: Methodsmentioning

confidence: 99%

Spinometric Analysis of Patient Affected By Scoliosis, Treated With Acupressure

2021

IJRO

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Introduction Much has been written about how the Traditional Chinese Medicine Meridians (TCMs) are closely related to Myofascial Chains (MCs) and then, as a logic consequence, to the Posture. However, there are still few studies that operatively verify these concepts by performing acupressure treatments (like Shiatsu) on subjects groups, of which is performed a postural analysis, before and after.The aim of the present work is to promote these studies, starting from a pilot one and analyzing results thereof.Materials and Methods The study, intended as a case report, enrolled a single, 12 year-old, female subject affected by double curve, low degree scoliosis for just a clinic con rmation, for 10 consecutive modules spaced about a week (range 5-10 days) from each other and consisting of a postural analysis before and after an acupressure treatment (Shiatsu) without time gaps between analysis and treatment. The analysis was made with a DIERS Formetric 4D.Results While observing selected parameters relating their pre-and post-treatment values, is is possible to understand how the lumbar arrow (LA) is systemically reduced, the cervical arrow (CA) is progressively ameliorated, the Antero-Posterior Flexion (APF) and the Hemipelvis Torsion (HT) are progressively harmonized.After all the performed treatment, the subject refers the perception of his psycho-emotional state, better than the initial one, even though it was already good or very good.Discussion The series of treatments has shown his e ciency in the variation of morpho-structural parameters in the acute. Due to its con guration, the study didn't consider long term effects, an interesting aspect to be investigated dedicated studies with bigger sample size.Conclusions From an interdisciplinary and transdisciplinary perspective, the stimulation of "tsubo" according to the Fascial Neuromodulation model can represent a treatment integrated with the manipulation of peripheral entries in the correction of postural-type morpho-structural alterations.

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Is rasterstereography a valid noninvasive method for the screening of juvenile and adolescent idiopathic scoliosis?

Cited by 38 publications

References 43 publications

3D Quantitative Evaluation of Posture and Spine Proprioceptive Perception Through Instinctive Self-Correction Maneuver in Adolescent Idiopathic Scoliosis

3D Quantitative Evaluation of Posture and Spine Proprioceptive Perception Through Instinctive Self-Correction Maneuver in Adolescent Idiopathic Scoliosis

The importance of curve severity, type and instrumentation strategy in the surgical correction of adolescent idiopathic scoliosis: an in silico clinical trial on 64 cases

Spinometric Analysis of Patient Affected By Scoliosis, Treated With Acupressure

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