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Lower-Limb Range of Motion Predicts Sagittal Spinal Misalignments in Children

A Case-Control Study

Bibliographic Data

ID15504339
AuthorsAntonio Cejudo (0000-0001-5903-0843, Universidad de Murcia, corresponding author)
Year2022
Volume19
Issue9
Pages5193-5193
Publication date2022-04-25
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19095193
PMID35564587
OpenAlexW4224435798
LanguageEN
Citations received2
References cited38

The main objective of this study was to determine lower-limb range of motion (ROM) as a risk factor associated with sagittal spinal misalignments in children. Two hundred and one children (10.9 ± 0.7 years old) from five different primary schools were recruited for this retrospective case-control study. Anthropometric variables, sagittal spinal alignment in habitual everyday postures, and lower-limb ROM, such as ankle dorsiflexion with the knee flexed (ADF-KF), hip extension with the knee relaxed (HE), and hip flexion with the knee extended (HF-KE) were measured. Multivariate and univariate analyses revealed differences between the means of HE and HF-KE ROM, and the thoracic and lumbar curves ( p ≤ 0.034; η 2 ≥ 0.052). The HE ( p ≤ 0.028; OR ≥ 1.066) predicted sagittal thoracic misalignment in the slump sitting (SSP) and relaxed standing (RSP) postures in males and the sagittal lumbar misalignment in the RSP in female children; while HF-KE ( p ≤ 0.006; OR ≥ 1.089) predicted sagittal thoracic misalignment in the maximum trunk forward flexion posture (MTFP) and sagittal lumbar misalignment in SSP and MTFP in males. In this study, the reference values for restricted HE and HF-KE were significantly associated with sagittal spinal misalignment in male children but not for the ankle ROM. Physical education teachers should include stretching exercises in the ISQUIOS programme to increase the extensibility of the iliopsoas (HE) and hamstrings (HF-KE) and prevent sagittal spinal misalignments in habitual everyday postures

Ankle · Ankle dorsiflexion · Knee flexion · Lumbar · Pelvic tilt · Physical medicine and rehabilitation · Physical therapy · Range of motion · Sagittal plane · Sitting · Medicine · Musculoskeletal pain and rehabilitation · Occupational Health and Performance · Scoliosis diagnosis and treatment · Anatomy · Orthodontics

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    Open Access•Jan P Vandenbroucke, Erik Von Elm et al.•International Journal of Surgery•2014

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

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  • The Potential Role of Hamstring Extensibility on Sagittal Pelvic Tilt, Sagittal Spinal Curves and Recurrent Low Back Pain in Team Sports Players

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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