Evidence map›Paper›PMID 42065788›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026

Interrelationships among 3D spinal alignment variables during active self-correction in adolescents with idiopathic scoliosis.

Arkadiusz Żurawski, Sun-Young Ha

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Arkadiusz ŻurawskiInstitute of Health Sciences, Jan Kochanowski University, Kielce, Poland. arkadiusz.zurawski@ujk.edu.pl.
Sun-Young HaDepartment of Physical Therapy, College of Health Sciences, Kyungnam University, Changwon, Korea. mallows205@naver.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to (1) determine whether active three-dimensional (3D) self-correction induces immediate changes in spinal alignment compared with passive standing, (2) examine associations between anthropometric variables and spinal alignment parameters, and (3) identify coupled predictive relationships among alignment parameters during self-correction in adolescents with idiopathic scoliosis (AIS).

methodsFifty-four adolescents with AIS (mean age 16.96 ± 2.61 years) were assessed using the DIERS Formetric 4D surface topography system under two conditions: passive standing and active self-correction following a standardized 30-minute training session. Measured variables included trunk inclination, lateral deviation, surface rotation, thoracic kyphosis, and lumbar lordosis. Between-condition differences were analyzed using the Wilcoxon signed-rank test. Associations with anthropometric variables were examined using Spearman's correlation. Multiple linear regression models were applied to identify predictors of correction magnitude based on baseline alignment parameters.

resultsSignificant improvements were observed during active self-correction in trunk inclination, lateral deviation, surface rotation, thoracic kyphosis, and trunk length (p < 0.05), with no significant changes in lumbar lordosis or pelvic tilt. Anthropometric variables showed no meaningful associations with alignment parameters (p > 0.05), except for a weak correlation between trunk inclination and body weight (r = -0.233). Regression analyses demonstrated that correction magnitude was strongly associated with baseline alignment parameters, with substantial explanatory power (R² up to 0.720). Significant cross-planar relationships indicated interdependence among coronal, sagittal, and transverse parameters.

conclusionActive 3D self-correction produces immediate, measurable improvements in spinal alignment in AIS. Correction responses are primarily determined by baseline biomechanical alignment rather than anthropometric factors and exhibit coupled, multi-planar interactions, supporting integrated PSSE approaches targeting coordinated control across all planes.

Indexed as

Adolescent idiopathic scoliosisDIERS Formetric 4DPhysiotherapy scoliosis-specific exercisesSelf-correctionSurface topography

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