2021
|
F, Cantele; I, Maghini; M, Tonellato; P, Meneguzzo; A, Favaro; S., Masiero An Analysis of Eating Disorders in Adolescent Idiopathic Scoliosis: A Prospective Cross-sectional Study in a Female Population (Journal Article) In: SPINE, 46 (7), pp. 440-446, 2021. @article{F2021,
title = {An Analysis of Eating Disorders in Adolescent Idiopathic Scoliosis: A Prospective Cross-sectional Study in a Female Population},
author = {Cantele F and Maghini I and Tonellato M and Meneguzzo P and Favaro A and Masiero S. },
doi = {10.1097/BRS.0000000000003885},
year = {2021},
date = {2021-04-01},
urldate = {2021-04-01},
journal = {SPINE},
volume = {46},
number = {7},
pages = {440-446},
abstract = {Study Design.
Prospective cross-sectional study.
Objective.
We designed this study to investigate whether adolescent girls with idiopathic scoliosis show a predisposition for eating disorders (EDs) and alterations of the quality of life and body image self-perception, compared to same-age healthy females.
Summary of Background Data.
Idiopathic scoliosis is the most common spinal deformity of adolescence. Recent findings about the impairment of the self-body image in adolescents with idiopathic scoliosis provide a common trait of scoliosis and EDs and could lead to the suspicion of an association between these two pathological conditions. Despite this, current literature shows the lack of evident results about the impact of adolescent idiopathic scoliosis (AIS) on the possibility to develop of EDs.
Methods.
One hundred forty-four females with diagnosis of AIS (aged 10–18 years) formed the scoliosis group. One hundred forty-six same-age healthy girls were enrolled in the control group. For all subjects, we considered sport practice. Only for Scoliosis Group, we also considered the severity of scoliosis, the use of brace and the practice of physiotherapy scoliosis-specific exercises. The participants were asked to answer to the Scoliosis Research Society-22 revised Patient Questionnaire (SRS-22r) and the Eating Disorders Inventory (EDI).
Results.
In the scoliosis group, significantly lower scores on the SRS-22r total and in the self-image domain were detected. The two groups showed differences in the total EDI score and in the body dissatisfaction EDI's domain. Severity of scoliosis was correlated with worse SRS-22r total score and SRS-22r self-image domain score. There were no differences in the scores of the SRS-22r and EDI between braced and nonbraced subjects. Lower scores in SRS-22r total and self-image domain were found in girls who practiced physiotherapy exercises. Subjects who practiced a sport showed higher SRS-22r total scores.
Conclusion.
The AIS cohort in our study demonstrated lower levels of eating psychopathology than healthy controls. Surprisingly, eating behavior does not seem to be affected by orthotic management. However, quality of life and self-body image could be impaired in scoliotic girls, especially when they practice physiotherapy exercises, whereas those who practice sport seem to be preserved in this regard.
Level of Evidence: 4},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Study Design.
Prospective cross-sectional study.
Objective.
We designed this study to investigate whether adolescent girls with idiopathic scoliosis show a predisposition for eating disorders (EDs) and alterations of the quality of life and body image self-perception, compared to same-age healthy females.
Summary of Background Data.
Idiopathic scoliosis is the most common spinal deformity of adolescence. Recent findings about the impairment of the self-body image in adolescents with idiopathic scoliosis provide a common trait of scoliosis and EDs and could lead to the suspicion of an association between these two pathological conditions. Despite this, current literature shows the lack of evident results about the impact of adolescent idiopathic scoliosis (AIS) on the possibility to develop of EDs.
Methods.
One hundred forty-four females with diagnosis of AIS (aged 10–18 years) formed the scoliosis group. One hundred forty-six same-age healthy girls were enrolled in the control group. For all subjects, we considered sport practice. Only for Scoliosis Group, we also considered the severity of scoliosis, the use of brace and the practice of physiotherapy scoliosis-specific exercises. The participants were asked to answer to the Scoliosis Research Society-22 revised Patient Questionnaire (SRS-22r) and the Eating Disorders Inventory (EDI).
Results.
In the scoliosis group, significantly lower scores on the SRS-22r total and in the self-image domain were detected. The two groups showed differences in the total EDI score and in the body dissatisfaction EDI's domain. Severity of scoliosis was correlated with worse SRS-22r total score and SRS-22r self-image domain score. There were no differences in the scores of the SRS-22r and EDI between braced and nonbraced subjects. Lower scores in SRS-22r total and self-image domain were found in girls who practiced physiotherapy exercises. Subjects who practiced a sport showed higher SRS-22r total scores.
Conclusion.
The AIS cohort in our study demonstrated lower levels of eating psychopathology than healthy controls. Surprisingly, eating behavior does not seem to be affected by orthotic management. However, quality of life and self-body image could be impaired in scoliotic girls, especially when they practice physiotherapy exercises, whereas those who practice sport seem to be preserved in this regard.
Level of Evidence: 4 |
2020
|
Pazzaglia, Francesca; Moè, Angelica; Cipolletta, Sabrina; Chia, Monica; Galozzi, Paola; Masiero, Stefano; Punzi, Leonardo Multiple dimensions of self-esteem and their relationship with health in adolescence (Journal Article) In: International Journal of Environmental Research and Public Health, 2020, ISSN: 16604601. @article{Pazzaglia2020,
title = {Multiple dimensions of self-esteem and their relationship with health in adolescence},
author = { Francesca Pazzaglia and Angelica Mo{è} and Sabrina Cipolletta and Monica Chia and Paola Galozzi and Stefano Masiero and Leonardo Punzi},
doi = {10.3390/ijerph17082616},
issn = {16604601},
year = {2020},
date = {2020-01-01},
journal = {International Journal of Environmental Research and Public Health},
abstract = {The aim of the present study was to examine how different domains of self-esteem (social, competence, affect, academic, family, and physical) relate to self-reported physical and mental health, lower back pain (LBP), smoking, and physical exercise in a sample of adolescents. A sample of 326 adolescents 14–19 years old completed several self-report questionnaires collecting epidemiological data, and information on their LBP, smoking, and physical exercise, the Short Form Health Survey (SF-36), and the Multidimensional Self-Concept Scale. Pearson's correlations were calculated between their self-esteem scores and their physical and mental health scores. Three multivariate analyses of variance (MANOVAs) were performed to estimate associations between self-esteem and LBP, smoking, and physical exercise. Self-esteem (total and subcomponent scores) correlated positively with physical and mental health, and with physical exercise, and negatively with smoking. The results also confirm gender-related differences in self-esteem, in favor of boys. This study offers the first findings on the relationship between different domains of self-esteem and a variety of health outcomes in an adolescent population. The results suggest that multidimensional interventions could be devised to improve adolescents' physical health by promoting their physical exercise, and to prevent their smoking by nurturing their self-esteem.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
The aim of the present study was to examine how different domains of self-esteem (social, competence, affect, academic, family, and physical) relate to self-reported physical and mental health, lower back pain (LBP), smoking, and physical exercise in a sample of adolescents. A sample of 326 adolescents 14–19 years old completed several self-report questionnaires collecting epidemiological data, and information on their LBP, smoking, and physical exercise, the Short Form Health Survey (SF-36), and the Multidimensional Self-Concept Scale. Pearson's correlations were calculated between their self-esteem scores and their physical and mental health scores. Three multivariate analyses of variance (MANOVAs) were performed to estimate associations between self-esteem and LBP, smoking, and physical exercise. Self-esteem (total and subcomponent scores) correlated positively with physical and mental health, and with physical exercise, and negatively with smoking. The results also confirm gender-related differences in self-esteem, in favor of boys. This study offers the first findings on the relationship between different domains of self-esteem and a variety of health outcomes in an adolescent population. The results suggest that multidimensional interventions could be devised to improve adolescents' physical health by promoting their physical exercise, and to prevent their smoking by nurturing their self-esteem. |
2019
|
Galozzi, Paola; Maghini, I.; Bakdounes, L.; Ferlito, E.; Lazzari, V.; Ermani, M.; Chia, M.; Gatti, D.; Masiero, S.; Punzi, L. Prevalence of low back pain and its effect on health-related quality of life in 409 scholar adolescents from the veneto region (Journal Article) In: Reumatismo, 2019, ISSN: 22402683. @article{Galozzi2019,
title = {Prevalence of low back pain and its effect on health-related quality of life in 409 scholar adolescents from the veneto region},
author = { Paola Galozzi and I. Maghini and L. Bakdounes and E. Ferlito and V. Lazzari and M. Ermani and M. Chia and D. Gatti and S. Masiero and L. Punzi},
doi = {10.4081/reumatismo.2019.1229},
issn = {22402683},
year = {2019},
date = {2019-01-01},
journal = {Reumatismo},
abstract = {Low back pain (LBP) is a common condition with profound effects on well-being. We aimed to define the prevalence and the characteristics of LBP and to investigate its impact on the quality of life (QoL) of 409 students (265 females and 144 males), all high-school adolescents from the Veneto region. LBP was measured with a structured, self-report questionnaire, while the SF-36 questionnaire was used to measure physical and mental QoL. 253 students (61.3%) reported one or more episodes of LBP, with female predominance. Adolescents with LBP treated with drugs and rehabilitation cares have significantly poor belief in pain resolution (p=0.005), but more belief in a prevention program (p=0.006) than the others. After adjustment for sex, a significant association between the SF-36 dimension of vitality and the presence of LBP in males was observed. All SF-36 domains except mental health were significantly higher in females with LBP. Our study confirmed that LBP is frequent in Italian scholar adolescents and has an impact on QoL. Strategies for reducing the effects of LBP on QoL should be an important purpose for clinicians and health policy makers.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Low back pain (LBP) is a common condition with profound effects on well-being. We aimed to define the prevalence and the characteristics of LBP and to investigate its impact on the quality of life (QoL) of 409 students (265 females and 144 males), all high-school adolescents from the Veneto region. LBP was measured with a structured, self-report questionnaire, while the SF-36 questionnaire was used to measure physical and mental QoL. 253 students (61.3%) reported one or more episodes of LBP, with female predominance. Adolescents with LBP treated with drugs and rehabilitation cares have significantly poor belief in pain resolution (p=0.005), but more belief in a prevention program (p=0.006) than the others. After adjustment for sex, a significant association between the SF-36 dimension of vitality and the presence of LBP in males was observed. All SF-36 domains except mental health were significantly higher in females with LBP. Our study confirmed that LBP is frequent in Italian scholar adolescents and has an impact on QoL. Strategies for reducing the effects of LBP on QoL should be an important purpose for clinicians and health policy makers. |
2018
|
Frizziero, Antonio; Gasparre, Giuseppe; Corvo, Serena; Gamberini, Jacopo; Finotti, Paolo; Masiero, Stefano; Maffulli, Nicola Posture and scapular dyskinesis in young bowed string instrumental musicians (Journal Article) In: Muscles, Ligaments and Tendons Journal, 2018, ISSN: 22404554. @article{Frizziero2018,
title = {Posture and scapular dyskinesis in young bowed string instrumental musicians},
author = { Antonio Frizziero and Giuseppe Gasparre and Serena Corvo and Jacopo Gamberini and Paolo Finotti and Stefano Masiero and Nicola Maffulli},
doi = {10.11138/mltj/2018.8.4.507},
issn = {22404554},
year = {2018},
date = {2018-01-01},
journal = {Muscles, Ligaments and Tendons Journal},
abstract = {Introduction: Instrumental musicians impose intense and repetitive strains on the musculoskeletal system. This makes them particularly susceptible to musculoskeletal disorders, especially at the spine and the scapular girdle, including scapular dyskinesis. The present study evaluated the presence of incorrect posture and scapular dyskinesis in young musicians playing bowed string instruments. Methods: We recruited 32 young adult students of the Music Academy “Conservatorio C. Pollini” of Padua, including 14 violinists, 3 violists, 10 cellists and 5 double bass players. Scapular dyskinesis was assessed with a specific test, which involves the repetition of shoulder abduction and flexion movements with dumbbells weighting 1 and 2 kg. The spine was assessed using a headband with compass mechanism (IncliMedtextregistered) and a gibbometer. Results: Scapular dyskinesis was identified in 46.9% (N=15), hyperkyphosis in 34.8% (N=11), and a hump in 37.5% (N=12) of the subjects. The association between hump and weekly hours of practice was statistically significant (ptextless0.05), as well as the association between the presence of a hump and hyperkyphosis (p=0.05). Conclusions: Bowed strings instrumental musicians exhibit changes in static and dynamic posture of the shoulder girdle and spine. Such alterations could lead to the onset of postural asymmetries (hyperkyphosis), the onset and/or worsening of underlying and unrecognized conditions such as scoliosis, and the impairment of normal biomechanics resulting in the appearance of scapular dyskinesis. Level of evidence: III.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Introduction: Instrumental musicians impose intense and repetitive strains on the musculoskeletal system. This makes them particularly susceptible to musculoskeletal disorders, especially at the spine and the scapular girdle, including scapular dyskinesis. The present study evaluated the presence of incorrect posture and scapular dyskinesis in young musicians playing bowed string instruments. Methods: We recruited 32 young adult students of the Music Academy “Conservatorio C. Pollini” of Padua, including 14 violinists, 3 violists, 10 cellists and 5 double bass players. Scapular dyskinesis was assessed with a specific test, which involves the repetition of shoulder abduction and flexion movements with dumbbells weighting 1 and 2 kg. The spine was assessed using a headband with compass mechanism (IncliMedtextregistered) and a gibbometer. Results: Scapular dyskinesis was identified in 46.9% (N=15), hyperkyphosis in 34.8% (N=11), and a hump in 37.5% (N=12) of the subjects. The association between hump and weekly hours of practice was statistically significant (ptextless0.05), as well as the association between the presence of a hump and hyperkyphosis (p=0.05). Conclusions: Bowed strings instrumental musicians exhibit changes in static and dynamic posture of the shoulder girdle and spine. Such alterations could lead to the onset of postural asymmetries (hyperkyphosis), the onset and/or worsening of underlying and unrecognized conditions such as scoliosis, and the impairment of normal biomechanics resulting in the appearance of scapular dyskinesis. Level of evidence: III. |
2017
|
Ferraro, Claudio; Venturin, Andrea; Ferraro, Marco; Monterumici, Daniele Fabris; Masiero, Stefano Hump height in idiopathic scoliosis measured using a humpmeter in growing subjects: Relationship between the hump height and the Cobb angle and the effect of age on the hump height (Journal Article) In: European Journal of Physical and Rehabilitation Medicine, 2017, ISSN: 19739095. @article{Ferraro2017,
title = {Hump height in idiopathic scoliosis measured using a humpmeter in growing subjects: Relationship between the hump height and the Cobb angle and the effect of age on the hump height},
author = { Claudio Ferraro and Andrea Venturin and Marco Ferraro and Daniele Fabris Monterumici and Stefano Masiero},
doi = {10.23736/S1973-9087.16.04227-1},
issn = {19739095},
year = {2017},
date = {2017-01-01},
journal = {European Journal of Physical and Rehabilitation Medicine},
abstract = {BACKGROUND: The comparison between Cobb angle and hump height measured using a humpmeter in idiopathic scoliosis have produced contradictory findings concerning the association between the two variables in growing subjects. AIM: To analyze the relationship between the hump height and the Cobb angle and the effect of age on the first. DESIGN: Cross-sectional, descriptive analytical study. SETTING: Atertiary university hospital. POPULATION: One thousand two-hundred forty-five subjects with diagnosed idiopathic scoliosis or with a hump without spine deformity, aged between 3-21. METHODS: The hump was measured with subjects in a forward-bending position using a pocket humpmeter; the Cobb angle was determined on a traditional radiograph. Alinear regression estimated the Cobb angle in relation to the hump height, and a multiple regression based on standardized regression coefficients ($beta$) and coefficients of determination (R2) assessed the contribution of age and the Cobb angle to hump variations. RESULTS: The hump height was between 0-50 mm and the Cobb angle was between 0-78°. Based on regression coefficients, every unit (1 mm) increase in the thoracic/thoracolumbar and lumbar humps corresponded to an average increase in the Cobb angle of 1.542° (SE 0.037°; P=0.000) and 1.857° (SE 0.095°; P=0.000), respectively. The 95% confidence intervals for the estimated mean Cobb angles and those for the individual angles with respect to a given hump height lead to various hypotheses regarding the interconnection between the two entities. $beta$ values for age were low with respect to $beta$ values for the Cobb angle both at the thoracic level (0.095 vs. 0.807) and at the lumbar one (0.138 vs. 0.651), and R2, after the age-variable was excluded, decreased slightly from 70.3% to 69.4% and from 48.5% to 46.7%, respectively. CONCLUSIONS: Humpmeter measurements can thus be considered reliable in diagnosed idiopathic scoliosis and in asymmetric children - having a hump without deformity in spine - regardless of age. CLINICALREHABILITATION IMPACT: Hump severity can be considered the balance needle when children with idiopathic scoliosis and asymmetric children are being treated and/or monitored. The humpmeter technique, coupled with Cobb angle measurement, can facilitate the clinical evaluation.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
BACKGROUND: The comparison between Cobb angle and hump height measured using a humpmeter in idiopathic scoliosis have produced contradictory findings concerning the association between the two variables in growing subjects. AIM: To analyze the relationship between the hump height and the Cobb angle and the effect of age on the first. DESIGN: Cross-sectional, descriptive analytical study. SETTING: Atertiary university hospital. POPULATION: One thousand two-hundred forty-five subjects with diagnosed idiopathic scoliosis or with a hump without spine deformity, aged between 3-21. METHODS: The hump was measured with subjects in a forward-bending position using a pocket humpmeter; the Cobb angle was determined on a traditional radiograph. Alinear regression estimated the Cobb angle in relation to the hump height, and a multiple regression based on standardized regression coefficients ($beta$) and coefficients of determination (R2) assessed the contribution of age and the Cobb angle to hump variations. RESULTS: The hump height was between 0-50 mm and the Cobb angle was between 0-78°. Based on regression coefficients, every unit (1 mm) increase in the thoracic/thoracolumbar and lumbar humps corresponded to an average increase in the Cobb angle of 1.542° (SE 0.037°; P=0.000) and 1.857° (SE 0.095°; P=0.000), respectively. The 95% confidence intervals for the estimated mean Cobb angles and those for the individual angles with respect to a given hump height lead to various hypotheses regarding the interconnection between the two entities. $beta$ values for age were low with respect to $beta$ values for the Cobb angle both at the thoracic level (0.095 vs. 0.807) and at the lumbar one (0.138 vs. 0.651), and R2, after the age-variable was excluded, decreased slightly from 70.3% to 69.4% and from 48.5% to 46.7%, respectively. CONCLUSIONS: Humpmeter measurements can thus be considered reliable in diagnosed idiopathic scoliosis and in asymmetric children - having a hump without deformity in spine - regardless of age. CLINICALREHABILITATION IMPACT: Hump severity can be considered the balance needle when children with idiopathic scoliosis and asymmetric children are being treated and/or monitored. The humpmeter technique, coupled with Cobb angle measurement, can facilitate the clinical evaluation. |