Investigating postural deficits in children with β-thalassemia: An observational cross-sectional study

Mai Mohamed Khalaf, Hoda AbdelAzim Eltalawy, Mona Hassan El-Tagui, Faten Hassan Abdelazeim

Mai Mohamed Khalaf, Hoda AbdelAzim Eltalawy, Mona Hassan El-Tagui, Faten Hassan Abdelazeim – Investigating postural deficits in children with β-thalassemia: An observational cross-sectional study. Fizjoterapia Polska 2021; 21(1); 170-176

Abstract
Objectives. To evaluate the head and trunk postural alignment in Egyptian children diagnosed with β-thalassemia. Methods. Twenty male children with β-thalassemia aged from 6 to 10 years, were compared to healthy normal children within the same age. Images were taken from anterior, posterior, and lateral views after placement of markers on specific anatomical points. The Postural Assessment Software (PAS/SAPO) used to analyze the recorded images. Results. From the anterior view, there were statistically significant differences in the mean values of Horizontal Alignment of Acromion (HAA) and Horizontal Alignment of Anterior Superior Iliac Spine (HAASIS) between both groups (p < 0.05) respectively. From the right lateral view, there were statistically significant differences in mean values of Vertical Alignment of the Head (VAH) and Vertical Alignment of the Trunk (VAT) between both groups (p < 0.05) respectively. From the left lateral view, there was a_statistically significant difference in mean values of the Vertical Alignment of the Head (VAH) between both groups (p < 0.05). Conclusion. The results of this cross-sectional study concluded that thalassemia has a_negative impact on the postural alignment of the head and trunk of these children.
Key words:
Postural deficits, β-thalassemia, children, Postural Assessment Software (PAS/ SAPO)
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Posture deviation of head and neck in heavily using smart phone adolescents: An observational cross sectional study

Amal Youssef Elsaeed Wahba, Faten Hassan Abdelazeem, Mohamed Ali Elshafey

Amal Youssef Elsaeed Wahba, Faten Hassan Abdelazeem, Mohamed Ali Elshafey – Posture deviation of head and neck in heavily using smart phone adolescents: An observational cross sectional study. Fizjoterapia Polska 2020; 20(5);  44-49

Abstract

Objectives. To evaluate the head and neck posture in heavy using smart phone adolescents.
Methods. Two hundred twenty-four undergraduate male students were recruited from different faculties at Pharos University in Alexandria and assigned according to the number of hours spent daily on the smart phone into three groups. Group A used the smart phone for 10-16 hours/day (n = 25); group B used the smart phone for 5-9 hours/day (n = 64); group C used the smart phone for 1-4 hours/day (n = 11). The Postural assessment software (PAS/SAPO) was used to assess head and neck posture from digitalized pictures from anterior, right lateral and left lateral views.
Results. The horizontal alignment of the head and acromion from anterior view, and the vertical alignment of the head from right and left lateral views showed non-significant differences (p > 0.05) among three groups. However, the horizontal alignment of the head from right and left lateral views was significantly higher in group B compared to group A (p < 0.05), while there were non-significant differences (p > 0.05) between (group A versus C) and (group B versus C).
Conclusions. Heavily use of the smart phone negatively affects head and neck posture in adolescents and postural deviations in head and neck are directly proportional to the hours of using the smart phone daily.

Key words:
postural assessment software (PAS/SAPO), cranio-vertebral angle (CVA), smart phone addiction, forward head posture, adolescence
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