Postural Fitness Protocol in Children and Adolescents: Descriptive Values from the ISQUIOS Program

Area of Science:

• Pediatric Health
• Biomechanical Analysis
• Sports Science

Background:

• Childhood and adolescent back pain is a growing concern, often predicting adult spinal issues.
• Early identification of postural and functional deficits is crucial for preventive strategies.

Purpose of the Study:

• To characterize sex-specific anthropometric and "Postural Fitness" traits in school-aged children and adolescents.
• To introduce a standardized, field-based protocol for early screening of postural and functional deficits.

Main Methods:

• A cross-sectional study of 494 students (ages 8-17) from 14 schools in Murcia, Spain.
• Utilized a "Postural Fitness" protocol assessing spinal alignment, hip range of motion (ROM), pelvic tilt, and trunk muscle endurance.
• Conducted by trained sports scientists during physical education sessions.

Main Results:

• Significant sex-based differences observed in spinal alignment, hip ROM, and trunk muscle endurance.
• Boys showed greater thoracic kyphosis and lateral trunk endurance; girls had increased lumbar lordosis and hip ROM.
• Girls exhibited superior trunk extensor endurance.

Conclusions:

• The "Postural Fitness" protocol is feasible for school settings and reveals key sex-based disparities.
• Findings emphasize the need for individualized, sex-specific screening and preventive programs for youth back health.
• This protocol can aid in early identification of modifiable risk factors for spinal dysfunction.