EARLY DETECTION OF ADOLESCENT IDIOPATHIC SCOLIOSIS AND INFLUENCE OF SPORT ON THEIR INCIDENCE - TWO YEARS LONGITUDINAL STUDY

Knezović Svetec A.1,2
1Private Practice of Physical Therapy Anđelka Knezović Svetec, Physical Therapy, Dugo Selo, Croatia, 2Primary School Josipa Zorića and Ivana Benkovića Dugo Selo, Dugo Selo, Croatia

Background: Adolescent is a period when there is the greatest momentum in the child growth and therefore the appearance of scoliosis. Scoliosis is a deformation of the spine followed by the rotation of the spine and vertebral torsion. Given the three-dimensional deformation cosequently leads to postur adaptation from normal to pathological.

Purpose: The objective was to determination through a longitudinal two-years study the importance of early detection of adolescent idiopathic scoliosis in the prevention of subsequent major deformity of the spine and determine the importance of the influence of sport in the prevention and incidence of it.

Methods: The study was conducted in two elementary school in the city of Dugo Selo, where the 3 fifth and 2 sixth classes in two school respectively 6 fifth and 4 of sixth classes in both school were randomly select. The total number of children participating in the study was 195, respectively within fifth classes included in the study were 111 students and sixth classes 84 students from both school. Methods used in the study were: medical history questionnaire, anthropometric measures, the analysis of posture in anterior, posterior and lateral view, with the help of plumb and bending forward test and measurement with scoliometer.

Results: More children in %th grade (55,99%) were positive on Bending test then the children in 6th grade (39%). Students who have not played a sport largely were positive on the Bending test (63,6%). then those who were active in sport (32,6%). 5th grade student have 2,8 times more chance to have scoliosis in comparison with students in 6th classes. In 2015. on the same cause of children in 7th and 8th classes test results bent statistically differed by weight. A statisticlly significant diference between those students who have scoliosis and those with sturctural scoliosis (Scheffe test, p=0.005), and those with function scoliosis and those with structural scoliosi (Scheffe test p=0.027). Based on the variables of gender, age, height, class, weight and sports and Bending testmeasured 2013. and 2015. The prospect that a child will have a functional scoliosi was higher in heavier children and for structural scoliosis as a child in taller.

Conclusion(s): It was determined the importance of early detection of adolescent idiopathic scoliosis at the time of most intensive growth and that it contributes to the reduction of spine deformity in later life and positivity of doing sports in order to prevent the incidence of scoliosis.

Implications: Children at that in 2013. the postural measurement revealed scoliotic holding were involved in a two-month training program two times a week/60 minutes the two month in which the first 5 times were present and educated parents of children.

Funding acknowledgements: The research is supported and financed from the budget of the City Dugo Selo.

Topic: Musculoskeletal: spine

Ethics approval: Ethics Committee of both school was allowed and confirmed in writing to carry outh this research.


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