Classification System of the Sagittal Integral Morphotype in Children from the ISQUIOS Programme (Spain)

Fernando Santonja-Medina, Mónica Collazo-Diéguez, María Teresa Martínez-Romero, Olga Rodríguez-Ferrán, Alba Aparicio-Sarmiento, Antonio Cejudo, Pilar Andújar and Pilar Sainz de Baranda
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Fernando Santonja-Medina: Department of Medicine and Orthopaedic Surgery, Faculty of Medicine, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, C.P. 30100 Murcia, Spain
Mónica Collazo-Diéguez: Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain
María Teresa Martínez-Romero: Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain
Olga Rodríguez-Ferrán: Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain
Alba Aparicio-Sarmiento: Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain
Antonio Cejudo: Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain
Pilar Andújar: Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain
Pilar Sainz de Baranda: Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain

IJERPH, 2020, vol. 17, issue 7, 1-15

Abstract: The sagittal spinal morphology presents 4 physiological curvatures that increase endurance to axial compression forces and allow adequate postural balance. These curves must remain within normal ranges to achieve a static and dynamic balance, a correct functioning of the muscles and an adequate distribution of the loads, and thus minimize the injury risk. The purpose of this study was to categorize the sagittal spinal alignment according to the different morphotypes obtained for each curve in standing, slump sitting, and trunk forward bending positions in schoolchildren. It was a cross-sectional study. Sagittal spinal curvatures were assessed in 731 students from 16 elementary schools. In the sagittal standing position assessment, 70.45% and 89.06% of schoolchildren presented a “normal” morphotype for both dorsal and lumbar curves, respectively. After the application of the “Sagittal Integral Morphotype” protocol according to the morphotypes obtained in the three positions assessment (standing, slump sitting, and trunk forward bending), it was observed how the frequency of normal morphotypes for the dorsal and lumbar curve decreased considerably (only 32% and 6.6% of children obtained a “normal sagittal integral morphotype” for the thoracic and lumbar curvatures, respectively). These results show how it is necessary to include the slump sitting and trunk forward bending assessment as part of the protocol to define the “integral” sagittal alignment of the spine and establish a correct diagnosis. The use of the diagnostic classification presented in this study will allow early detection of misalignment not identified with the assessment of standing position.

Keywords: assessment; spine; sagittal morphotype; school-aged (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (7)

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