Relationship between the parameters of spine sagittal contour and indicators of functional state of the musculoskeletal system in patients with Scheuermann's disease.
DOI:
https://doi.org/10.26641/1997-9665.2016.2.13-17Keywords:
Scheuermann's disease, classic form, atypical form, thoracic kyphosis, lumbar lordosis, correlation analysisAbstract
Background. Patients with both forms of Scheuermann's disease are characterized by the spine deformation and low back pain, hypertonus of the extensor muscles with limited mobility of spine and hip, impairment of life quality. However, the relationship of clinical and radiographic parameters studied enough. Objective. To establish the correlation of the spine sagittal contour to parameters of the musculoskeletal system functional state in patients with different variants of Scheuermann's disease. Methods. Clinical with the definition of the spine mobility (test "fingers - floor"), the thoracic and lumbar spine flexibility (the Schober method), the hip mobility, radiometric with determination of the thoracic kyphosis and lumbar lordosis magnitude (the Cobb method), electromyography with the determination of the amplitude and frequency of biopotentials of right and left half of the m. erector spinae lumbar part, statistics with correlation analysis. Results. Different correlations between the studied parameters in classical and atypical forms of Scheuermann's disease were found. Conclusion. In patients with the classic form of Scheuermann’s disease value of kyphotic spinal deformity directly influence on the spine mobility and the lumbar spine flexibility, disability index, the level of anxiety and pain symptoms and one indirectly affects the pain intensity. In atypical form of Scheuermann’s disease value of lumbar lordosis was associated with the pain intensity, and the magnitude of the thoracic kyphosis influenced on a level of anxiety and pain symptoms mainly. These parameters limited spine mobility and range of motion of the hip.
References
- Weiss HR. Brace treatment can improve thoracic kyphosis during growth: A case report. Open Access J. Scie. Techn. AgiAl Publ. House. 2013;1:6p. doi: 10.11131/2013/100006.
- Sorenson KM. Scheuermann’s Juvenile Kyphosis: Clinical Appearances, Radiography, Etiolo-gy and Prognosis. Copenhagen: Munksgaard; 1964, 237 p.
- Murray PM, Weinstein SL, Spratt KF. The natural history and long–term follow–up of Scheuermann’s kyphosis. J. Bone Joint Surg. 1993; 75-A(2): 236-247.
- Ristolainen L, Kettunen JA, Heliovaara M, Kujala UM, Heinonen A, Schlenzka D. Untreated Scheuermann’s disease: a 37-year follow-up study. Eur. Spine J. 2012; 21(5):819-824. doi: 10.1007/s00586-011-2075-0.
- Lucas-García FJ, Vicent-Carsí V, Sánchez-González M. Atypical lumbar Schuermann’s disease: a presentation of 6 cases. Rev. Esp. Cir. Ortop. Traumatol. 2013; 57(2):135-139. doi: 10.1016/j.recot.2012.11.001.
- Tsirikos AI, Jain AK. Scheuermann's kyphosis: current controversies. J. Bone Joint Surg. (Br). 2011; 93(7):857-864.
- Marks VО. Orthopedic Diagnostics. Minsk: Science & Technology; 1985, 506 p. Russian.
- Cobb JR. Outline for the study of scoliosis. Instruct. Course Lectures the Am. Acad. of Orthop. Surgery. 1948; 5:261-275.
- Каpandzhy АI. Lower Limb. Physiologic Anatomy. Moscow: EKSMO; 2010, 352 p. Russian.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2018 Morphologia
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors reserve the right to authorship of their work and transfer to the Journal the right to the first publication of this work under the terms of a license Creative commons Attribution 4.0 International (CC BY 4.0), which allows other people to freely distribute the published work with a mandatory reference to the authors of the original work and the first publication of the work in this journal.By submitting a manuscript to the editorial office of the Journal ‘Morphologia’ authors agree to transfer the rights to protect and use the manuscript (all supplemental materials, particularly protected objects such as photos, drawings, diagrams, tables, etc.), including the reproduction in the press and distribution via the Internet; translation of the manuscript into any language; export and import of journal copies with the Authors’ article in order to make it available for public. Authors convey the rights mentioned above to the editorial office without any temporal or territorial limitation all over the world.
The Authors guarantee that they have the exclusive rights to use the material transferred to editorial office. Editors are not responsible to third parties for contraventions of warranty given by the Authors. The considered rights are transferred to the editorial office since the moment when the current issue is signed for publishing. Reproduction of materials published in the Journal by other individuals and legal entities is possible only with the consent of Editorial office, with the obligatory indication of the full bibliographic reference of the primary publication. The Authors reserve the right to use the published material, its fragments and parts for teaching materials, oral presentations, dissertation thesis prepararion with obligatory bibliographic citation of the original paper. Electron copy of the published article, downloaded from official journal web-site in .pdf format may be put by authors on the official web-site of their institutions, any other official resources with open access.
