Statistical investigation about spinal clinical asymmetry in a school population

A. Tisano, A. Alito, D. Milardi, R. Fazio, L. Virelli, C. Zanella, C. Ruggeri, V. Filardi, D. Bruschetta

Research output: Contribution to journalArticlepeer-review


Background: Spinal disorders and obesity are increasing and are an important cause for concern among healthcare and educational bodies. There is a wide variability in the literature of clinical positivity for scoliosis in the examination of the spine. Aim: Our study aims to investigate a relationship between scoliosis hump in schoolchildren and obesity, evaluating different kind of variables. Methods: The sample was comprised by 478 schoolchildren from Italy, with a mean age of 12.6 years (SD: 1.861). They were classified by using ATR test, body mass index (BMI), the Edinburgh Inventory, the deep flexion test. Results: Results of ATR test evidence 26 subjects (5,4%) positive for ATR ≥ 7; 102 subjects (21,3%) positive for ATR ≥ 6; and finally 191 subjects (40,0%) positive for ATR ≥ 5. There were 191 (40%) subjects with scoliosis; obesity was present in 62 (13%) cases and, after the regression, associations were found between scoliotic posture and gender, presence of obesity, and flexibility. Conclusions: Our study confirms a relationship between obesity and scoliosis, which increases with the age. Female subjects have higher risks to develop humps and spinal disorders. It is advisable to use a combination of several parameters to achieve a more sensitive evaluation.

Original languageEnglish
Pages (from-to)336-340
Number of pages5
JournalJournal of Orthopaedics
Publication statusPublished - Nov 1 2020


  • Physical examination
  • Scoliosis
  • Spine

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


Dive into the research topics of 'Statistical investigation about spinal clinical asymmetry in a school population'. Together they form a unique fingerprint.

Cite this