Hand dominance and spinal posture were studied for their prediction of the development of thoracic hyperkyphosis during the pubertal growth spurt.
The cohort consisted of all the fourth-grade school children of the Western School District of Helsinki, Finland, in the spring of 1986.
They were examined annually from the mean age of 10.8 to 13.8 years.
Handedness was determined at the baseline examination by observing the hand with which the child was writing.
Anthropometric measurements, posture and growth were followed-up annually.
A lateral standing radiograph was undertaken in those children who had pronounced thoracic kyphosis in spinal pantography.
Kyphotic angles =45° were considered hyperkyphotic.
In both girls and boys, left handedness was found to be a powerful determinant of hyperkyphosis.
In left handed children the odds ratio (OR), adjusted for baseline spinal measurements, was 4.11 (95% confidence interval [CI] : 1.39-12.13).
Hump size measured by the forward bending test also predicted significantly the development of thoracic hyperkyphosis (OR=1.48 ; 95% Cl : 1.23-1.76, per one degree).
Left handedness may be a risk factor for thoracic hyperkyphosis during the pubertal growth spurt.
Mots-clés Pascal : Cyphose, Thorax, Posture, Epidémiologie, Préférence manuelle, Gauche, Enfant, Homme, Prépuberté, Age scolaire, Facteur risque, Finlande, Europe, Rachis dorsal, Système ostéoarticulaire pathologie, Rachis pathologie, Déformation
Mots-clés Pascal anglais : Kyphosis, Thorax, Posture, Epidemiology, Handedness, Left, Child, Human, Prepuberty, School age, Risk factor, Finland, Europe, Dorsal spine, Diseases of the osteoarticular system, Spine disease, Deformation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0072363
Code Inist : 002B15F. Création : 199608.