Do adolescents with idiopathic scoliosis have body schema disorders? A cross-sectional study.

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.

authors

Picelli A,Negrini S,Zenorini A,Iosa M,Paolucci S,Smania N

doi

10.3233/BMR-150602

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

89-96

issue

1

eissn

1053-8127

issn

1878-6324

pii

BMR602

journal_volume

29

pub_type

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