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Open AccessArticle

Classification System of the Sagittal Integral Morphotype in Children from the ISQUIOS Programme (Spain)

1
Department of Medicine and Orthopaedic Surgery, Faculty of Medicine, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, C.P. 30100 Murcia, Spain
2
Sports and Musculoskeletal System Research Group (RAQUIS), University of Murcia, C.P. 30100 Murcia, Spain
3
Department of Rehabilitation Sciences and Physiotherapy, Albacete University Hospital Complex, C.P. 02006 Albacete, Spain
4
Department of Physical Activity and Sport, Faculty of Sport Sciences, Regional Campus of International Excellence “Campus Mare Nostrum”, University of Murcia, C.P. 30720 Murcia, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2467; https://doi.org/10.3390/ijerph17072467
Received: 8 February 2020 / Revised: 31 March 2020 / Accepted: 1 April 2020 / Published: 4 April 2020
(This article belongs to the Special Issue Exercise Testing: The Past, Present and Future)
The sagittal spinal morphology presents 4 physiological curvatures that increase endurance to axial compression forces and allow adequate postural balance. These curves must remain within normal ranges to achieve a static and dynamic balance, a correct functioning of the muscles and an adequate distribution of the loads, and thus minimize the injury risk. The purpose of this study was to categorize the sagittal spinal alignment according to the different morphotypes obtained for each curve in standing, slump sitting, and trunk forward bending positions in schoolchildren. It was a cross-sectional study. Sagittal spinal curvatures were assessed in 731 students from 16 elementary schools. In the sagittal standing position assessment, 70.45% and 89.06% of schoolchildren presented a “normal” morphotype for both dorsal and lumbar curves, respectively. After the application of the “Sagittal Integral Morphotype” protocol according to the morphotypes obtained in the three positions assessment (standing, slump sitting, and trunk forward bending), it was observed how the frequency of normal morphotypes for the dorsal and lumbar curve decreased considerably (only 32% and 6.6% of children obtained a “normal sagittal integral morphotype” for the thoracic and lumbar curvatures, respectively). These results show how it is necessary to include the slump sitting and trunk forward bending assessment as part of the protocol to define the “integral” sagittal alignment of the spine and establish a correct diagnosis. The use of the diagnostic classification presented in this study will allow early detection of misalignment not identified with the assessment of standing position. View Full-Text
Keywords: assessment; spine; sagittal morphotype; school-aged assessment; spine; sagittal morphotype; school-aged
MDPI and ACS Style

Santonja-Medina, F.; Collazo-Diéguez, M.; Martínez-Romero, M.T.; Rodríguez-Ferrán, O.; Aparicio-Sarmiento, A.; Cejudo, A.; Andújar, P.; Sainz de Baranda, P. Classification System of the Sagittal Integral Morphotype in Children from the ISQUIOS Programme (Spain). Int. J. Environ. Res. Public Health 2020, 17, 2467.

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