Diagnosis and Management of Postural Disorders

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 1633

Special Issue Editor


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Guest Editor
Faculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, 21-500 Biala Podlaska, Poland
Interests: evidence-based practice; quality of health care; meta-research; practice guidelines; person-centered care
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Special Issue Information

Dear Colleagues,

“There is no right treatment without right diagnosis”. But an overdiagnosis or wrong diagnosis may lead to unnecessary treatment, overtreatment or harmful treatment. The problem of spinal deformities, especially as regards screening tests and screening programmes, is without doubt one example of this phenomena. Today, the WHO definition of health as “a state of complete physical, social and mental wellbeing, and not merely the absence of disease or infirmity” is commonly recognised. The three commonly used proxies of health include functional limitation and subjective health, not merely morbidity. Diagnosing spinal deformities has gone a long way from anthropometric measurements, through body image assessments, to diagnosing mental health and subjective wellbeing.

This Special Issue is aimed as being a platform for discussion on diagnostics, as well as screening and prognosis, of people suffering from spinal deformities, or those at risk of such, from the perspective of the person. We are interested in diagnosing spinal deformities but also in diagnosing peoples’ lived experiences related to spinal deformities. As spinal deformities we understand scoliosis of various types, affecting people throughout their lifespan, as well as other medical and subjective problems related to the spine, such as kyphosis and so-called “bad posture” or “faulty posture”. Diagnosis and diagnostics may be related to those suffering but also to their significant others.

Therefore, papers reporting diagnostic imaging and laboratory testing, but also measures of subjective health status such as inventories and questionnaires, as well as qualitative studies related to issues such as lived experiences, are anticipated, welcomed and awaited.

Dr. Maciej Płaszewski
Guest Editor

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Keywords

  • Scoliosis
  • Spinal deformity
  • Kyphosis
  • Faulty posture
  • Bad posture
  • Children
  • Adolescents
  • Adults
  • Screening
  • Prevention
  • Outcomes
  • Person-centred outcomes
  • Diagnostic imaging
  • Function
  • Functional tests

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Published Papers (1 paper)

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Research

12 pages, 488 KiB  
Article
Mobile App Intervention Increases Adherence to Home Exercise Program After Whiplash Injury—A Randomized Controlled Trial (RCT)
by Blaž Barun, Zdravko Divić, Dušanka Martinović Kaliterna, Ana Poljičanin, Benjamin Benzon and Jure Aljinović
Diagnostics 2024, 14(23), 2729; https://doi.org/10.3390/diagnostics14232729 - 4 Dec 2024
Viewed by 1254
Abstract
Objective: Can mobile app intervention via push notifications increase adherence to exercise and reduce disability and pain after a whiplash injury? Methods: A randomized controlled trial was conducted with concealed allocation, blinding of some assessors, and an intention-to-treat analysis. Participants who sustained whiplash [...] Read more.
Objective: Can mobile app intervention via push notifications increase adherence to exercise and reduce disability and pain after a whiplash injury? Methods: A randomized controlled trial was conducted with concealed allocation, blinding of some assessors, and an intention-to-treat analysis. Participants who sustained whiplash injury at most 3 months prior were divided into active and control groups. Both groups completed a two-part physiotherapist-supervised physical therapy program (3-week break in between, ten sessions each, 5x/week). The program included TENS, therapeutic ultrasound, and exercises (breathing, ROM, deep neck flexor activation, and stretching). Both groups were encouraged to exercise at home. The active group additionally received push notifications through the mobile app once a day as a reminder to exercise. Outcomes were adherence to exercise (four-point Likert scale), physical functioning (NDI), pain intensity (VAS), perceived recovery (three-point Likert scale), work information, psychological functioning (PCS), and HRQoL (SF-12) at baseline and 6-month follow-up. Results: At month 6, when comparing the groups, the intervention group showed higher adherence to home exercise (3 [2–4] vs. 2 [2–4]; p = 0.005, median [IQR]) and improved HRQoL (∆SF-12) (20 [6–36] vs. 15 [9–23]; p = 0.038). Unlike the control group, the intervention group showed a significant decrease in pain catastrophizing (31%; p = 0.01). A multivariant analysis showed that mobile app intervention influenced adherence most (≈1 Likert point). The groups did not differ in NDI, pain VAS, perceived recovery, or work limitation. Conclusions: Mobile app intervention increased adherence to home exercise, reduced pain catastrophizing, and increased HRQoL six months after a whiplash injury. Trial registration: ClinicalTrials.gov NCT05704023. Full article
(This article belongs to the Special Issue Diagnosis and Management of Postural Disorders)
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