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Europa Medicophysica 2002 September;38(3):147-52

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English

The evaluation of the spine through the surface. The role of surface measurements in the evaluation and treatment of spine diseases in young patients

D’Osualdo F. 1, Schierano S. 1, Cisotti C. 2

1 Children Rehabilitation Centre Physical Medicine and Rehabilitation Hospital ASS 4, Medio Friuli, Udine, Italy 2 Physiotherapy School, Faculty of Medicine University of Udine, Udine, Italy


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The eval­u­a­tion of ­the ­spine ­through ­the ­back sur­face ­has ­been a mat­ter of inter­est ­for ­all ­those spe­cial­ists ­involved in ­the eval­u­a­tion ­and treat­ment of ­spine dis­eas­es ­since ­the ­end of ­the ­19th cen­tu­ry. During ­the 20th cen­tu­ry, ­after ­the intro­duc­tion of X-­rays, ­this ­issue ­went ­through a peri­od of ­almost com­plete obliv­ion. The increas­ing aware­ness of bio­log­i­cal ­risks ­and draw­backs, con­nect­ed to ion­is­ing radi­a­tions, togeth­er ­with ­the ­need ­for ­more objec­tive cri­te­ria ­than sim­ple clin­i­cal obser­va­tion, rekin­dled ­new inter­est in ­non-inva­sive ­spine eval­u­a­tion, con­sid­ered as a fun­da­men­tal instru­ment at eve­ry ­step of ­the clin­i­cal his­to­ry of a ­patient. In ­the Children Rehabilitation Centre in Udine, ­since ­the sec­ond ­half of ­the 90s, an orig­i­nal experi­ment on ­this top­ic ­has ­been con­duct­ed ­and ­has ­led us to ­the devel­op­ment ­and val­i­da­tion of ­4 ­new instru­ments, ­designed ­for ­the sur­face eval­u­a­tion of ­the ­spine: ­the arcom­e­ter, ­the lev­el-pro­trac­tor, ­the BAC­ES ­system ­and ­the tor­sion­me­ter; ­the ­last is ­under exam­ina­tion. All ­these instru­ments ­are ­easy to ­use ­and ­enable us to ­obtain, ­with ­good repro­du­cibil­ity, objec­tive ­data ­for ­use dur­ing spe­cia­lis­tic eval­u­a­tion as ­well as dur­ing phys­io­ther­a­peu­tic ­and orthot­ic treat­ment, ­whose effi­ca­cy can­not be con­sid­ered as guar­an­teed.

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