[Can an insufficient posture of children and adolescents be verified instrumentally?].
144 children aged 6 to 17 years were examined with the Lasar-Posture device which raises a perpendicular through the centre of gravity. To make an indirect postural examination possible and to classify posture, the courses of the gravity perpendicular, the shoulder centre, the greater trochanter femoris and the lateral ankle and their change during the Matthiass' test were determined. Additionally, spinal alignment, spine flexibility and the sufficiency of posture were assessed.


RESULTS
The ability to achieve a sufficient posture correlated with age (p = 0,0004). The spinal alignment itself did not differ in the age groups but the hollow-round back showed a decreased ability to attain a sufficient posture (p < 0.0001). The spine flexibility measured with the Ott's test decreased with age (p = 0.0001). In relation to the gravity perpendicular, the shoulder centre moved forward with increasing postural insufficiency (p = 0.0379). The course of the gravity perpendicular did not differ in the different types of spinal alignment but was always found in front of the lateral ankle. The greater trochanter of the children with a II degrees insufficiency at the beginning (p = 0.03/0.01) and end (p = 0.2/0.05) of the Matthiass' test was always in front of the gravity perpendicular in contrast to the other children. As expected, the shoulder centre was always behind the gravity perpendicular. It was found to be more ventral in healthy children than in those with a postural insufficiency (p = 0.01/0.004/0.005).


CONCLUSIONS
Overall, a high rate of children with postural insufficiency was found. It is impossible to determine or classify them with the Lasar-Posture device. The future aim should be to develop a measuring technique that allows a standardised definition of posture and age related developmental variants.
Orthopädie der Universitätsklinik, RWTH Aachen. inicola@debitel.net
N
N
Ihme
D
D
Gossen
B
B
Olszynska
A
A
Lorani
A
A
Kochs
D000293:Adolescent; D002648:Child; D003625:Data Collection / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006801:Humans; D007834:Lasers; D008297:Male; D008403:Mass Screening / Q000295:instrumentation*; D008432:Mathematical Computing; D004856:Postural Balance / Q000502:physiology; D011187:Posture / Q000502:physiology*; D012016:Reference Values; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D013131:Spine / Q000503:physiopathology*; D016474:Weight-Bearing / Q000502:physiology*