To our knowledge there are no publications that have evaluated physical
activities in relation to the etiopathogenesis of adolescent idiopathic
scoliosis (AIS) other than sports scolioses. In a preliminary
longitudinal case-control study, mother and child were questioned and
the children examined by one observer.
The aim of the study was
to examine possible risk factors for AIS. Two study groups were assessed
for physical activities: 79 children diagnosed as having progressive
AIS at one spinal deformity centre (66 girls, 13 boys) and a Control
Group of 77 school children (66 girls, 11 boys), the selection involving
six criteria.A structured history of physical activities was obtained,
every child allocated to a socioeconomic group and examined for toe
touching.
Unlike the Patients, the Controls were not X-rayed and
were examined for surface vertical spinous process asymmetry (VSPA).
Statistical analyses showed progressive AIS to be positively associated
with social deprivation, early introduction to indoor heated swimming
pools and ability to toe touch.
AIS is negatively associated
with participation in dance, skating, gymnastics or karate and football
or hockey classes, which might suggest preventive possibilities. There
is a significantly increased independent odds of AIS in children who
went to an indoor heated swimming pool within the first year of life
(odds ratio 3.88, 95% CI 1.77-8.48; p = 0·001).
Furthermore
fourteen (61%) Controls with VSPA compared with 9 (17%) Controls without
VSPA had been introduced to the swimming pool within their first year
of life (P <0.001). Early exposure to indoor heated swimming pools
for both AIS and VSPA, suggests that the AIS findings do not result from
sample selection.
Source: 7th Space, 18th Feb 2015
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Scoliosis Disease in London