Related Experiment Video
Updated: Aug 14, 2026

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Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm
Published on: April 28, 2020
Is Visual Vertical Perception Altered in Children and Adolescents with Spinal Misalignment? A Cross-Sectional Study
Alessandro Picelli1,2, Nicola Turri1,3, Rita Di Censo2
1Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy.
Diagnostics (Basel, Switzerland)
|August 13, 2026
Summary
This study found no strong link between spinal misalignment and the subjective visual vertical in children and adolescents. Further research with larger groups and standardized imaging is needed to explore this relationship.
Area of Science:
- Neurology
- Orthopedics
- Developmental Pediatrics
Background:
- Pediatric spinal misalignment may impact sensory integration and body perception.
- The subjective visual vertical (SVV) assesses visual, vestibular, and somatosensory integration.
- The SVV's connection to pediatric spinal misalignment is not well-established.
Purpose of the Study:
- To investigate the relationship between spinal misalignment and the subjective visual vertical in pediatric participants.
- To utilize two distinct paradigms for SVV testing.
Main Methods:
- An exploratory, single-center, cross-sectional study involving 57 participants aged 7-17 years with spinal misalignment.
- Standardized physiatric assessment and SVV testing using the luminous-line test and Bucket Test.
- Spearman correlations with false-discovery-rate correction for clinical and radiographic variables.
Main Results:
- No significant associations between SVV and spinal misalignment characteristics remained after correction for multiple comparisons.
- Two nominal associations with the luminous-line test were observed before correction but did not reach statistical significance.
- The luminous-line test and Bucket Test showed moderate correlation (ρ = 0.493).
Conclusions:
- The subjective visual vertical was not robustly associated with spinal misalignment in this cohort.
- The study highlights the need for larger, controlled investigations with standardized imaging and adequate power.
- Further research is required to clarify the complex interplay between spinal alignment and sensory processing in pediatric populations.

