Alessandro Picelli1, Stefano Negrini2, Andrea Zenorini1, Marco Iosa3, Stefano Paolucci3, Nicola Smania1,4. 1. Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy. 2. Physical and Rehabilitation Medicine, University of Brescia, Don Gnocchi Foundation, Brescia, Italy. 3. Clinical Laboratory of Experimental Neurorehabilitation, Santa Lucia IRCCS Foundation, Rome, Italy. 4. Neurorehabilitation Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Abstract
BACKGROUND: To date etiology of adolescent idiopathic scoliosis appears complex and still remains unclear. A distorted body schema has been proposed to be a part of a sequence of pathological events in the development of adolescent idiopathic scoliosis. OBJECTIVE: To investigate the awareness of trunk misalignment in adolescents with idiopathic scoliosis. METHODS: Information about 44 adolescents with idiopathic scoliosis was collected as follows: age; sex; handedness; family history of scoliosis; back pain; sport practice; shoulder and waist line symmetry; leg length; dorsal kyphosis; back hump; rehabilitation; scoliotic curve; Risser sign. We evaluated awareness of trunk misalignment with a graphic table displaying pictures of progressively increasing scoliotic curves. Patients were asked to indicate which picture corresponded to their perceived own spinal alignment. RESULTS: Patients with thoracolumbar scoliosis overestimated their actual thoracic spine curve. Patients with thoracic-thoracolumbar scoliosis underestimated their actual thoracolumbar spine curve and overestimated their actual lumbar spine curve. Scoliotic curve > 15°, double curve, younger age, back pain, family history of scoliosis and lower Risser score related with a misperception of trunk alignment. CONCLUSIONS: Our results support the hypothesis that adolescents with idiopathic scoliosis have an altered corporeal awareness of their trunk alignment.
BACKGROUND: To date etiology of adolescent idiopathic scoliosis appears complex and still remains unclear. A distorted body schema has been proposed to be a part of a sequence of pathological events in the development of adolescent idiopathic scoliosis. OBJECTIVE: To investigate the awareness of trunk misalignment in adolescents with idiopathic scoliosis. METHODS: Information about 44 adolescents with idiopathic scoliosis was collected as follows: age; sex; handedness; family history of scoliosis; back pain; sport practice; shoulder and waist line symmetry; leg length; dorsal kyphosis; back hump; rehabilitation; scoliotic curve; Risser sign. We evaluated awareness of trunk misalignment with a graphic table displaying pictures of progressively increasing scoliotic curves. Patients were asked to indicate which picture corresponded to their perceived own spinal alignment. RESULTS:Patients with thoracolumbar scoliosis overestimated their actual thoracic spine curve. Patients with thoracic-thoracolumbar scoliosis underestimated their actual thoracolumbar spine curve and overestimated their actual lumbar spine curve. Scoliotic curve > 15°, double curve, younger age, back pain, family history of scoliosis and lower Risser score related with a misperception of trunk alignment. CONCLUSIONS: Our results support the hypothesis that adolescents with idiopathic scoliosis have an altered corporeal awareness of their trunk alignment.
Entities:
Keywords:
Body schema; body image; consciousness; corporeal awareness; rehabilitation
Authors: Mark Wetterkamp; Meinald T Thielsch; Georg Gosheger; Patrick Boertz; Jan Henrik Terheyden; Tobias L Schulte Journal: Eur Spine J Date: 2016-12-01 Impact factor: 3.134
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