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European Journal of Pediatrics

, Volume 177, Issue 9, pp 1327–1334 | Cite as

Spinal posture changes using dynamic rasterstereography during the modified Matthiass test discriminate between postural weak and strong healthy children (10–14 years): a pilot study

  • Inke Marie Albertsen
  • Barbara Brockmann
  • Karsten Hollander
  • Jan Schröder
  • Astrid Zech
  • Susanne Sehner
  • Ralf Stücker
  • Kornelia Babin
Original Article

Abstract

The aim of this pilot study was to investigate whether the clinical Matthiass test can be objectified by means of dynamic rasterstereography in children. We aimed at discriminating between postural weak and strong children. Dynamic rasterstereography was used to capture sagittal spinal posture changes during the modified Matthiass test (mMT). Primary outcomes were spinal posture changes (trunk inclination, kyphotic and lordotic angles) during the test. Two-step cluster analysis was run jointly on the three primary outcomes. Data of 101 healthy children (10–14 years, 46% girls) were assessed. Cluster analysis identified two groups of participants with significantly different postural performance levels during the mMT (low vs. high performers). Low performers showed a higher increase in backward lean, as well as kyphosis and lordosis (4°–5°, respectively) when compared to high performers. The two performance groups were age-, BMI-, and activity-matched.

Conclusion: This pilot study established preliminary normative data on spinal posture changes during the Matthiass test (high performers) and provided corresponding cutoff values for postural weakness (low performers). These results could provide a basis for future longitudinal and interventional studies targeting long-term consequences of childhood postural weakness and the prevention of back pain.

What is Known:

• The prevalence of postural insufficiencies in children is high.

• No consensus exists about the postural assessment in children.

• A common clinical test to identify postural insufficiency is the Matthiass test yet criticized for its subjective assessment.

What is New:

• This pilot study objectified the modified Matthiass test by rasterstereography and statistically identified two groups of healthy children with different postural performance levels.

• It established preliminary normative data on spinal posture changes and provided corresponding cutoff values for postural weakness.

Keywords

Dynamic rasterstereography Postural insufficiencies Children Spinal posture changes Modified Matthiass test Two-step cluster analysis 

Abbreviations

KA

Kyphotic angle

LA

Lordotic angle

mMT

Modified Matthiass test

mMTΔ

Spinal posture changes between the 1st and 30th second of the mMT

TI

Trunk inclination angle

Notes

Authors’ contributions

Inke Marie Albertsen was fully involved in the conception of the study, acquisition, analysis and interpretation of data, and drafting and revising of the work

Barbara Brockmann was fully involved in the conception of the study, acquisition, and analysis of data

Karsten Hollander was fully involved in the conception of the study, analysis and interpretation of data, and drafting and revising of the work

Jan Schröder was fully involved in interpretation of data, and revising of the work

Astrid Zech was fully involved in the conception of the study, and revising of the work

Susanne Sehner was fully involved in the conception of the study and statistical analysis of data

Ralf Stücker was fully involved in revising of the work

Kornelia Babin was fully involved in the conception of the study, and revising of the work

Funding

This project is part of the Barefoot LIFE-study which is funded by the Ministry for Science and Research in Hamburg (grant number LFF-FV13).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study and their parents (or legal guardians). All procedures performed involving human participants were in accordance with the ethical standards of the local ethics committee (ethical approval number PV4971) and with the 1964 Helsinki declaration and its later amendments.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatric Orthopedics, Altonaer Children’s HospitalUniversity Medical Center Hamburg-EppendorfHamburgGermany
  2. 2.Department of Sports and Exercise Medicine, Institute of Human Movement ScienceUniversity of HamburgHamburgGermany
  3. 3.Department of Sports and Rehabilitation MedicineBG Trauma Hospital of HamburgHamburgGermany
  4. 4.Institute of Sport ScienceFriedrich Schiller University JenaJenaGermany
  5. 5.Department of Medical Biometry and EpidemiologyUniversity Medical Center Hamburg-EppendorfHamburgGermany
  6. 6.Department of OrthopedicsUniversity Medical Center Hamburg-EppendorfHamburgGermany

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