Evidence map›Paper›PMID 29516039›Full record

ReviewScoliosis and spinal disorders2018

Non-structural misalignments of body posture in the sagittal plane.

Dariusz Czaprowski, Łukasz Stoliński, Marcin Tyrakowski, Mateusz Kozinoga, Tomasz Kotwicki

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Scoliosis and spinal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 58 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04299672 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Postural Reconstruction on the Functionality of the Cervical Region

TypeinterventionalSponsorUniversidad Antonio de NebrijaRan2020 to 2021Enrolled40ConditionsPeople With Impaired Motor Function in the Cervical RegionArmsPostural reconstruction
NCT06751771 nacompletednot on this mapstarted 2024, after this paper: background citation

Effects of Comprehensive Correcting Exercise Program and Mckenzie Exercises in Patients With Sternosymphyseal Syndrome

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2024Enrolled36ConditionsSterno Sympheseal SyndromeArmscomprehensive correcting exercise program, McKenzie's method of exercises
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  2. The impact of exercise on spinal posture in adolescents: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dariusz CzaprowskiDepartment of Physiotherapy, Józef Rusiecki University College in Olsztyn, Bydgoska 33, 10-243 Olsztyn, Poland.
Łukasz StolińskiSpine Disorders Center, Rehasport Licensed Rehabilitation Center, Al. Niepodległości 4, 96-100 Skierniewice, Poland.
Marcin TyrakowskiDepartment of Orthopaedics, Pediatric Orthopaedics and Traumatology, The Center of Postgraduate Medical Education in Warsaw, Konarskiego 13, 05-400 Otwock, Poland.
Mateusz Kozinoga4Spine Disorders and Pediatric Orthopedics Department, University of Medical Sciences, 28 Czerwca 1956 135/147 Street, 61-545 Poznań, Poland.ORCID 0000-0003-1469-9388
Tomasz Kotwicki4Spine Disorders and Pediatric Orthopedics Department, University of Medical Sciences, 28 Czerwca 1956 135/147 Street, 61-545 Poznań, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe physiological sagittal spinal curvature represents a typical feature of good body posture in the sagittal plane. The cervical and the lumbar spine are curved anteriorly (lordosis), while the thoracic segment is curved posteriorly (kyphosis). The pelvis is inclined anteriorly, and the lower limbs' joints remain in a neutral position. However, there are many deviations from the optimal body alignment.The aim of this paper is to present the most common types of non-structural misalignments of the body posture in the sagittal plane. MAIN BODY OF THE ABSTRACT: The most common types of non-structural misalignments of body posture in the sagittal plane are as follows: (1) lordotic, (2) kyphotic, (3) flat-back, and (4) sway-back postures. Each one may influence both the skeletal and the muscular system leading to the functional disturbance and an increased strain of the supporting structures. Usually, the disturbances localized within the muscles are analyzed in respect to their shortening or lengthening. However, according to suggestions presented in the literature, when the muscles responsible for maintaining good body posture (the so-called stabilizers) are not being stimulated to resist against gravity for an extended period of time, e.g., during prolonged sitting, their stabilizing function is disturbed by the hypoactivity reaction resulting in muscular weakness. The deficit of the locomotor system stability triggers a compensatory mechanism-the stabilizing function is overtaken by the so-called mobilizing muscles. However, as a side effect, such compensation leads to the increased activity of mobilizers (hyperactivity) and decreased flexibility, which may finally lead to the pathological chain of reaction within the musculoskeletal system.

conclusionsThere exist four principal types of non-structural body posture misalignments in the sagittal plane: lordotic posture, kyphotic posture, flat-back posture, and sway-back posture. Each of them can disturb the physiological loading of the musculoskeletal system in a specific way, which may lead to a functional disorder.When planning postural corrective exercises, not only the analysis of muscles in respect to their shortening and lengthening but also their hypoactivity and hyperactivity should be considered.

Indexed as

Body postureCorrective exercisesFaults of body postureFlat-back postureKyphotic postureLordotic postureSway-back posture

Identifiers

PMID29516039
PMCPMC5836359

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.