Spinal postures and mobility in children with achondroplasia vs. age- and sex-matched healthy individuals : a preliminary report

Bayartai, Munkh-Erdene; Luomajoki, Hannu; Aliverti, Andrea; LoMauro, Antonella; Tringali, Gabriella; Sartorio, Alessandro

doi:10.3390/jcm13072135

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-30892

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Spinal postures and mobility in children with achondroplasia vs. age- and sex-matched healthy individuals : a preliminary report
Authors:	Bayartai, Munkh-Erdene Luomajoki, Hannu Aliverti, Andrea LoMauro, Antonella Tringali, Gabriella Sartorio, Alessandro
et. al:	No
DOI:	10.3390/jcm13072135 10.21256/zhaw-30892
Published in:	Journal of Clinical Medicine
Volume(Issue):	13
Issue:	7
Page(s):	2135
Issue Date:	7-Apr-2024
Publisher / Ed. Institution:	MDPI
ISSN:	2077-0383
Language:	English
Subjects:	Achondroplasia; Children; Spinal mobility; Spinal posture
Subject (DDC):	616.7: Diseases of musculoskeletal system and orthopaedics 618.92: Pediatrics
Abstract:	Background: Achondroplasia is a rare genetic disease, yet the most common form of dwarfism, characterized by limb shortening and disproportionate short stature along with musculoskeletal changes, such as postural deviations. Although postural changes in the spine in children with achondroplasia have been well investigated, little is known about the association of achondroplasia with spinal movements/mobility. Methods: This preliminary study aims to explore the association of achondroplasia with spinal mobility in children with achondroplasia compared to age- and sex-matched healthy individuals. Spinal posture and mobility were assessed using a radiation-free back scan, the Idiag M360 (Idiag, Fehraltorf, Switzerland). Between-group differences were determined using a two-way analysis of variance. Results: Children with achondroplasia had smaller thoracic lateral flexion [difference between groups (Δ) = 20.4°, 95% CI 0.1°-40.6°, p = 0.04], lumbar flexion (Δ = 17.4°, 95% CI 5.5°-29.4°, p = 0.006), lumbar extension (Δ = 14.2°, 95% CI 5.7°-22.8°, p = 0.002) and lumbar lateral flexion (Δ = 19.6°, 95% CI 10.7°-28.4°, p < 0.001) than age- and sex-matched healthy individuals, except for thoracic extension (Δ = 16.5°, 95% CI 4.4°-28.7°, p = 0.009) which was greater in children with achondroplasia. No differences were observed in global spinal postures between the two groups. Conclusions: Spinal mobility appears to be more influenced by achondroplasia than global spinal postures in childhood. These results also highlight the importance of considering the musculoskeletal assessment of segmental spinal postures and rehabilitative interventions aimed at promoting spinal flexibility in children with achondroplasia.
URI:	https://digitalcollection.zhaw.ch/handle/11475/30892
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Bayartai, M.-E., Luomajoki, H., Aliverti, A., LoMauro, A., Tringali, G., & Sartorio, A. (2024). Spinal postures and mobility in children with achondroplasia vs. age- and sex-matched healthy individuals : a preliminary report. Journal of Clinical Medicine, 13(7), 2135. https://doi.org/10.3390/jcm13072135

Bayartai, M.-E. et al. (2024) ‘Spinal postures and mobility in children with achondroplasia vs. age- and sex-matched healthy individuals : a preliminary report’, Journal of Clinical Medicine, 13(7), p. 2135. Available at: https://doi.org/10.3390/jcm13072135.

M.-E. Bayartai, H. Luomajoki, A. Aliverti, A. LoMauro, G. Tringali, and A. Sartorio, “Spinal postures and mobility in children with achondroplasia vs. age- and sex-matched healthy individuals : a preliminary report,” Journal of Clinical Medicine, vol. 13, no. 7, p. 2135, Apr. 2024, doi: 10.3390/jcm13072135.

BAYARTAI, Munkh-Erdene, Hannu LUOMAJOKI, Andrea ALIVERTI, Antonella LOMAURO, Gabriella TRINGALI und Alessandro SARTORIO, 2024. Spinal postures and mobility in children with achondroplasia vs. age- and sex-matched healthy individuals : a preliminary report. Journal of Clinical Medicine. 7 April 2024. Bd. 13, Nr. 7, S. 2135. DOI 10.3390/jcm13072135

Bayartai, Munkh-Erdene, Hannu Luomajoki, Andrea Aliverti, Antonella LoMauro, Gabriella Tringali, and Alessandro Sartorio. 2024. “Spinal Postures and Mobility in Children with Achondroplasia vs. Age- and Sex-Matched Healthy Individuals : A Preliminary Report.” Journal of Clinical Medicine 13 (7): 2135. https://doi.org/10.3390/jcm13072135.

Bayartai, Munkh-Erdene, et al. “Spinal Postures and Mobility in Children with Achondroplasia vs. Age- and Sex-Matched Healthy Individuals : A Preliminary Report.” Journal of Clinical Medicine, vol. 13, no. 7, Apr. 2024, p. 2135, https://doi.org/10.3390/jcm13072135.