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3D back shape in normal young adults.

J A Bettany Saltikov1, P Van Schaik, J A Bell

  • 1University of Teesside.

Studies in Health Technology and Informatics
|October 1, 2004
PubMed
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This study established normal young adult back shape using the Integrated Shape Imaging System (ISIS). Findings provide crucial normative data for assessing spinal posture and identifying potential deformities objectively.

Area of Science:

  • Biomedical Engineering
  • Orthopedics
  • Human Anatomy

Background:

  • Current assessment of spinal posture and back shape relies on subjective clinical findings and unreliable tools.
  • Objective assessment is increasingly vital in evidence-based medicine for monitoring treatment effectiveness.
  • There is a scarcity of data on normal back shape, hindering the definition of spinal deformities.

Purpose of the Study:

  • To investigate normal back shape in young adults.
  • To establish normative values for three-dimensional back shape parameters.
  • To provide a baseline for objectively defining spinal deformities.

Main Methods:

  • Utilized the Integrated Shape Imaging System (ISIS) for precise three-dimensional back shape measurement.

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  • Recruited a convenience sample of 48 healthy adults aged 18-28 years.
  • Analyzed spinal curves, asymmetry, thoracic kyphosis, and lumbar lordosis.

    • Main Results:

    • Prevalence of spinal curves: 8% no curve, 55% single curve, 37% double curve.
    • Spinal asymmetry: Right-sided (77%) more frequent than left-sided (52%).
    • Normative values: Upper lateral asymmetry 14.1°, lower 5.6°, thoracic kyphosis 24.9mm, lumbar lordosis 14.9mm. Upper lateral asymmetry correlated with thoracic kyphosis and maximum skin surface angle.

    Conclusions:

    • Established normative data for young adult back shape using objective 3D imaging.
    • Demonstrated significant interrelationships between different planes of back shape, similar to scoliosis.
    • Emphasized the importance of objective, multi-dimensional assessment of back shape by clinicians.