Pediatric Scoliosis and Kyphosis: An Overview of Diagnosis, Management, and Surgical Treatment

Sheehan, Diane Dudas; Grayhack, John J.

doi:10.3928/19382359-20171113-01

Cited by 20 publications

(12 citation statements)

References 14 publications

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“…Several studies have proved the effectiveness of conservative spinal orthoses on the modulation of the sagittal spinal curvature in flexible cases of kyphosis. They found that the correction of the kyphotic deviation was maintained as long as the braces or orthoses were used [24][25][26]. Another study recommended that TheraTogs orthotic undergarment and its strapping system might be a beneficial intervention for improving spinal sagittal geometry in children with diplegic cerebral palsy [27].…”

Section: Discussionmentioning

confidence: 99%

The impact of conservative soft orthotic intervention with strapping on thoracic kyphotic posture and spinal mobility in children with cerebral palsy: a randomized control trial

El-Kafy

El-Shamy

2022

Bull Fac Phys Ther

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Background This study mainly aimed to evaluate the influences of Thera Togs orthotic undergarment with its strapping system on dorsal kyphotic posture and spinal mobility in children with spastic diplegic cerebral palsy. The study also investigated the impact of the modulation of thoracic kyphosis on balance and risk of falls in these children. Study design This study was a randomized control trial. Participants Forty children with diplegic cerebral palsy, aged from 8 to 10 years were met the inclusion criteria and participated in this study. Only 38 children completed the study. Methods The children in the control group received 2 h of conventional exercise protocol aiming for modulating thoracic kyphotic posture. The treatment program was conducted 3 times/week, for 12 successive weeks. Children in the study group wore TheraTogs orthoses with the strapping system for 8 h every day in combination with the conventional exercise program. Outcome measures For both groups, the primary outcome measures (thoracic kyphotic angle, and thoracic flexion and extension range of motion), and the secondary outcomes (the overall stability index of fall risk test, and the pediatric balance scale score) were recorded at baseline and after completion of the treatment. T test was used to compare the changes within-and between-groups in all measured variables, at baseline and immediately after 12 weeks of treatment. Results Children in the study group showed significant improvements in the scores of all primary and secondary measures post-treatment compared to the control group (P < 0.05). Conclusion Conservative treatment composed of TheraTogs orthotic system with conventional exercise treatment is effective in modulating thoracic kyphosis and improving dorsal range of motion in children with spastic diplegic cerebral palsy. This improvement has a positive influence on postural balance performance and reduces the risk of fall in these children. Trial registration The ClinicalTrial.gov PRS (NCT05063175). 30 September 2021—retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT05063175

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Section: Discussionmentioning

confidence: 99%

The impact of conservative soft orthotic intervention with strapping on thoracic kyphotic posture and spinal mobility in children with cerebral palsy: a randomized control trial

El-Kafy

El-Shamy

2022

Bull Fac Phys Ther

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“…with scoliosis) is mainly based on radiographic examination. 13 On the other hand, an X-ray examination in children should be performed only for a valid medical reason and with minimal radiation dose, which is necessary to achieve a diagnostic high quality result. 14 Moreover, it should be performed in accordance with the American College of Radiology and the Society for Pediatric Radiology Practice Parameter for General Radiography.…”

Section: Spinalmeter Methods For the Determination Of Postural Status mentioning

confidence: 99%

The SpinalMeter biometrical assessment to improve posture diagnosis in school-age girls: a validation study

Kamelska-Sadowska

Protasiewicz-Fałdowska

Zaborowska-Sapeta

et al. 2020

Pol. Ann. Med.

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Introduction: Assessing spinal deformities using an X-ray radiation is the method of choice for posture diagnosis. It is also used for the evaluation of the degree of correction, brace fit, and spinal balance as well as for further management decisions. However, multiple X-ray exposures during control visits could be too burdensome for children. Aim: The aim of this study was to investigate the precision and repeatability of measurement of the variables obtained by a fast, simple postural evaluation in children by the SpinalMeter. Material and methods: The measurements of the angle of trunk rotation (ATR) and SpinalMeter posture assessments were performed 8 to 10 times in a short period of time (6 s). The overall of 300 photos (SpinalMeter) and 1020 measurements (asymmetry, distance between anthropometric points as well as ATR) were obtained from 6 girls (8–15 years old). The validation study comprised of the repeatability, interclass correlation coefficient (Qw) and relative standard deviation (rSD) measurements. Results and discussion: The measurements of the distance between acromion–popliteal fossa, acromion–iliac crest, and acromion–posterior superior iliac spine obtained by SpinalMeter were clearly repeatable (Qw > 0.9). The scapular and pelvic asymmetry in standing and sitting positions were highly repeatable and had low rSD (e.g. for scapular asymmetry 5.6%–80.3%; Qw > 0.8). Conclusions: The precise and reliable postural biometrical measurements were performed by SpinalMeter in the case of the distance between anthropometric points and asymmetry of pelvis and scapula. These measurements could be useful in the assessment of girl’s posture when visiting the pediatrician.

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“…A rotational deformity known as a rib hump can be easily identified. 32,33 Congenital lower extremity diseases that can cause the same disruption to normal height were excluded too. Stunting and severe stunting children were excluded to avoid the influence of abnormal height on the equations.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

Height Prediction Using the Knee Height Measurement Among Indonesian Children

et al. 2021

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Background: Height is essential for assessing growth and nutrition in children. Assessing height with appropriate measurement is important, although in certain physically disabled and hospitalized children direct height measurement is almost not possible. In these situations, segmental measurements can be used as proxy height. Knee height (KH) has been determined as the most reliable surrogate. Objective: This study aimed to establish a height-predicted equation using KH for use in both community and clinical practices. Methods: This was a cross-sectional study design that collected data from 1114 healthy children (596 boys and 518 girls) aged 7 to 12 years to develop the equations for predicting height from KH. A multiple linear regression analysis was used to develop the equations. Results: Two equations were established to predict height using KH: (1) for boys H = 29.895 + (0.081 × age [months] + (2.267 × KH)) and (2) for girls H = 26.297 + (0.110 × age [months] + (2.278 × KH)). The very high correlation between KH and actual height indicates a very strong agreement. Conclusions: Knee height can be used for prediction equations for height with a very good predictive power. The age variable using the month unit generates a more accurate equation.

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Pediatric Scoliosis and Kyphosis: An Overview of Diagnosis, Management, and Surgical Treatment

Cited by 20 publications

References 14 publications

The impact of conservative soft orthotic intervention with strapping on thoracic kyphotic posture and spinal mobility in children with cerebral palsy: a randomized control trial

The impact of conservative soft orthotic intervention with strapping on thoracic kyphotic posture and spinal mobility in children with cerebral palsy: a randomized control trial

The SpinalMeter biometrical assessment to improve posture diagnosis in school-age girls: a validation study

Height Prediction Using the Knee Height Measurement Among Indonesian Children

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