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conferenceseries.com
Volume 7, Issue 5 J Nov Physiother, an open access journal
ISSN: 2165-7025 Novel Physio 2017
August 21-22, 2017
4th International Conference and Expo on
August 21-22, 2017 | Birmingham, UK
Novel Physiotherapies
Shape of sagittal plane spinal curvatures in prematurely born children at the start of school education
Katarzyna Walicka-Cupryś, Paweł Piwoński, Maciej Rachwał, Perenc Lidka, Justyna Drzał-Grabiec and Katarzyna Zajkiewicz
University of Rzeszow, Poland
Statement of the Problem: Uterine cavity is an ideal place for proper fetal development, therefore reduced duration of
growth in this perfect environment leads to certain developmental disparities between preterm and full-term children. Most
characteristically, children born prematurely present with poor muscle tone, and greater muscle tone in extensors than in
flexors, contrary to normal physiological tonus observed in children born full-term. These factors may promote altered body
posture, in particular, linked with the vertebral column, and they may contribute to incorrect development of anteroposterior
spinal curvatures at a later time. Purpose of the study is assessment of anteroposterior spinal curvatures in children born
prematurely.
Materials &Methods: The study was carried out in a group of 101 children, aged 6-7 years, with mean age of 6.63. The group of
preterm children consisted of 50 subjects: 26 boys (52%), and 24 girls (48%). The 51 controls: 22 boys (41%) and 29 girls (59%),
were randomly selected from a group of 200 full-term children, and matched for age and sex with the children in the study
group. Criteria for inclusion in the study: guardians’ and children’s consent for participation in the study, lack of neurologic and
orthopaedic disorders affecting body posture. The study group was birth before gestational age of 32 weeks; the control group
was birth after 37 weeks of gestation. Basic anthropometric measurements were performed to assess body mass and height.
Spinal curvatures were examined with mechanical inclinometer, in accordance with the method developed by Walicka-Cupryś
and Drużbicki (Figure 1). Validity of the observed relationships was verified with adequate statistical tests: Student’s t-test/
Mann-Whitney U test, and Pearson’s chi-squared test.
Results: The findings show no statistically significant differences in the inclination of the sacral bone, in thoracolumbar
transition, and in the size of lumbar lordosis and thoracic kyphosis. Considerably smaller angles were observed in the
inclination of the upper (p=0.001) and central (p=0.000) part of the thoracic spine in the preterm children.
Conclusions: Preterm birth does not affect the shape of anteroposterior spinal curvatures and does not correlate with the
frequency of defects in the sagittal plane. However the factor is related to significantly smaller inclination of the upper and
central part of the thoracic spine in comparison to full-term children.
Biography
Katarzyna Walicka-Cupryś has completed two university courses, and acquired MA degree in Physical Education and in Physiotherapy. She also completed
Post-graduate courses in Management, i.e. HR Management, Management of Research and Development Projects as well as Executive Master of Business
Administration. In her research, she focuses on problems connected with body posture and balance, and on consequences of spinal disorders and pelvic floor
dysfunctions. So far she has authored or co-authored 53 publications in Polish and foreign periodicals; these include 18 chapters in reviewed monographs. She
took active part in over 50 scientific conferences, where she received seven awards and distinctions for her presentations. Taking advantage of her management
related competences, in 2012-2013 she held the position of the Deputy Director of Teaching Operations, at the Institute of Physiotherapy, and the Chair Person of
the Podkarpackie Branch of Polish Physiotherapy Association. During 2009-2015, she coordinated two EU projects implemented at the University of Rzeszów, each
amounting to millions of Polish zloty. Active in her profession since 2001, she has been sharing her knowledge and practical skills with Physiotherapy students,
at the University of Rzeszów Institute of Physiotherapy, and she has been using her expertise in practice, during her work with patients suffering from spinal and
pelvic floor problems.
Katarzyna Walicka-Cupryś et al., J Nov Physiother 2017, 7:5(Suppl)
DOI: 10.4172/2165-7025-C1-018