Home > Riviste > European Journal of Physical and Rehabilitation Medicine > Fascicoli precedenti > European Journal of Physical and Rehabilitation Medicine 2017 June;53(3) > European Journal of Physical and Rehabilitation Medicine 2017 June;53(3):377-89

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,827


eTOC

 

ORIGINAL ARTICLE  FREEfree


European Journal of Physical and Rehabilitation Medicine 2017 June;53(3):377-89

DOI: 10.23736/S1973-9087.16.04227-1

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Hump height in idiopathic scoliosis measured using a humpmeter in growing subjects: relationship between the hump height and the Cobb angle and the effect of age on the hump height

Claudio FERRARO 1 , Andrea VENTURIN 2, Marco FERRARO 3, Daniele FABRIS MONTERUMICI 4, Stefano MASIERO 2

1 University of Padua, Padua, Italy; 2 Orthopedic Rehabilitation Unit, General Hospital, University of Padua Medical Center, Padua, Italy; 3 Physical and Rehabilitation Unit, Local Health Unit 13 of Mirano, Mirano, Venice, Italy; 4 Sandro Agostini Spinal Surgery Unit, General Hospital, University of Padua Medical Center, Padua, Italy


FULL TEXT  


BACKGROUND: The comparison between Cobb angle and hump height measured using a humpmeter in idiopathic scoliosis have produced contradictory findings concerning the association between the two variables in growing subjects.
AIM: To analyze the relationship between the hump height and the Cobb angle and the effect of age on the first.
DESIGN: Cross-sectional, descriptive analytical study.
SETTING: A tertiary university hospital.
POPULATION: One thousand two-hundred forty-five subjects with diagnosed idiopathic scoliosis or with a hump without spine deformity, aged between 3-21.
METHODS: The hump was measured with subjects in a forward-bending position using a pocket humpmeter; the Cobb angle was determined on a traditional radiograph. A linear regression estimated the Cobb angle in relation to the hump height, and a multiple regression based on standardized regression coefficients (β) and coefficients of determination (R2) assessed the contribution of age and the Cobb angle to hump variations.
RESULTS: The hump height was between 0-50 mm and the Cobb angle was between 0-78°. Based on regression coefficients, every unit (1 mm) increase in the thoracic/thoracolumbar and lumbar humps corresponded to an average increase in the Cobb angle of 1.542° (SE 0.037°; P=0.000) and 1.857° (SE 0.095°; P=0.000), respectively. The 95% confidence intervals for the estimated mean Cobb angles and those for the individual angles with respect to a given hump height lead to various hypotheses regarding the interconnection between the two entities. β values for age were low with respect to β values for the Cobb angle both at the thoracic level (0.095 vs. 0.807) and at the lumbar one (0.138 vs. 0.651), and R2, after the age-variable was excluded, decreased slightly from 70.3% to 69.4% and from 48.5% to 46.7%, respectively.
CONCLUSIONS: Humpmeter measurements can thus be considered reliable in diagnosed idiopathic scoliosis and in asymmetric children - having a hump without deformity in spine - regardless of age.
CLINICAL REHABILITATION IMPACT: Hump severity can be considered the balance needle when children with idiopathic scoliosis and asymmetric children are being treated and/or monitored. The humpmeter technique, coupled with Cobb angle measurement, can facilitate the clinical evaluation.


KEY WORDS: Scoliosis - Diagnosis - Radiography - Growth

inizio pagina

Publication History

Issue published online: June 15, 2017
Article first published online: November 8, 2016
Manuscript accepted: November 7, 2016
Manuscript revised: July 11, 2016
Manuscript received: February 4, 2016

Per citare questo articolo

Ferraro C, Venturin A, Ferraro M, Fabris Monterumici D, Masiero S. Hump height in idiopathic scoliosis measured using a humpmeter in growing subjects: relationship between the hump height and the Cobb angle and the effect of age on the hump height. Eur J Phys Rehabil Med 2017;53:377-89. DOI: 10.23736/S1973-9087.16.04227-1

Corresponding author e-mail

claudio.ferraro@unipd.it