Pelvic orientation in scoliotic and healthy girls

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki – Pelvic orientation in scoliotic and healthy girls. Fizjoterapia Polska 2008; 8(4); 371-377

Abstract
Background. The pelvis is one of the main elements of the postural complex and is regarded as the most important one by many authors. The aim was to identify pelvis orientation types in healthy and scoliotic girls.Material and methods. 200 patients aged 9 to 16 years with clinically confirmed scoliosis participated in the study. All patients were treated conservatively at the Department of Pediatric Rehabilitation, CMHI. The control group comprised 192 healthy girls of similar age. All measurements were non-invasive, based on palpation analysis of selected pelvic bony structures. Results. The most frequent types of pelvis orientation in healthy girls were: symmetrical and asymmetrical orientation, followed by pelvic torsion, oblique orientation and mixed orientation. In scoliotic girls the following types were the most frequent: pelvic torsion, oblique pelvis, and mixed orientation. Asymmetrical and symmetrical types were the least frequent. The differences between the groups were statistically significant. Conclusions. Asymmetric pelvis orientation is rather common among girls aged 9 to 16 years. Compensatory mechanisms appearing in healthy girls may prevent the development of postural defects in the presence of pelvic asymmetry.
Key words:
pelvic orientation, girls, scoliotic
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