Sunset Chiropractic & Wellness Review: The relationship between minor coronal asymmetry of the spine and measures of spinal sagittal shape in adolescents without visible scoliosis
The purpose of this work is to identify what features of overall spinal sagittal shape are associated with coronal asymmetry in those without scoliosis. Using a longitudinal analysis of Integrated Shape Imaging System 2 (ISIS2) surface topography images of those without scoliosis, measures of coronal asymmetry, along with measures of spinal sagittal shape (kyphosis, lordosis and sagittal imbalance, which is a measure of the position of the top of the thoracic spine relative to the sacrum) were analysed using linear mixed effect models (LMEM), which is a method of analysing the components of a complex model (such as that describing overall spinal shape), to ascertain the relative relationships between the parameters. Data was also analysed when subdivided for the anatomical level of coronal asymmetry (thoracic or thoracolumbar/lumbar pattern). There were 784 measures from 196 children. Kyphosis had little effect on coronal asymmetry for males and females, lordosis increased with coronal asymmetry in females only and sagittal imbalance increased with coronal asymmetry in males only. The results of the LMEM modeling were that the parameters related to coronal asymmetry were lordosis and sagittal imbalance. In thoracic coronal asymmetry, whilst lordosis was predominant, kyphosis played more of a role. In thoracolumbar/lumbar coronal asymmetry, lordosis and sagittal imbalance were the larger coefficients. Coronal asymmetry of the spine in those without scoliosis is related to features of spinal sagittal shape, particularly lordosis and sagittal imbalance. This knowledge adds to the understanding of the etiology of adolescent idiopathic scoliosis.
Sunset Chiropractic & Wellness Review: The relationship between minor coronal asymmetry of the spine and measures of spinal sagittal shape in adolescents without visible scoliosis.
At Sunset Chiropractic & Wellness Structural Correction Chiropractic Treatment is selected and designed from a thorough consultation, health history, physical examination (orthopedic/neurological testing), digital posture analysis, weight bearing sitting x-rays using 41 measurements and 23 angles analyzing and comparing the spine to a mathematical model. In specific cases additional diagnostics could be ordered (Digital Motion X-rays/CTs/MRIs) to obtain or confirm a diagnosis.
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Benefits of Structural Correction Chiropractic
Structural correction chiropractic can offer a number of benefits
Sunset Chiropractic & Wellness Review: The relationship between minor coronal asymmetry of the spine and measures of spinal sagittal shape in adolescents without visible scoliosis.
- Relief of pain
- Improved nerve function
- Increased range of motion
- Reduced inflammation
- Improved Posture
- Improved Spinal Alignment
- Improved quality of life
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Dr. Rodolfo Alfonso, D.C.
Dr. Mark N. Berry, D.C.
Sunset Chiropractic and Wellness
8585 Sunset Dr. STE 102
Miami, Florida 33143
305-275-7474
