Neutral Spine - Quantifying Abnormalities

Quantifying Abnormalities

Scoliosis is well established and even evaluated at an early age. It is typically quantified using the standardized Cobb angle method. This method consists of measuring the degree of deformity by the angle between two successive vertebrae. The Cobb method was accepted by the Scoliosis Research Society (SRS) in 1966. It serves as the standard method for quantification of scoliosis deformities. Sagittal plane posture aberrations such as cervical and lumbar lordosis and thoracic kyphosis have yet to be quantified due to considerable inter-individual variability in normal sagittal curvature. The Cobb method was also one of the first techniques used to quantify sagittal deformity. As a 2D measurement technique it has limitations and new techniques are being proposed for measurement of these curvatures. Most recently, 3D imaging techniques using computed tomography (CT) and magnetic resonance (MR) have been attempted. These techniques are promising but lack the reliability and validity necessary to be used as a reference for clinical purposes.

Posture assessment has also become quite popular in many practical environments like the personal training and sports conditioning settings. The need for reliable methods of posture assessment as a screening tool is warranted. Current available programs such as those through the National Posture Institute (NPI) and Posture Print are recommended for the practical setting but cost close to $1000 and may not be feasible for all practitioners.

Chronic deviations from neutral spine leads to improper posture. Increased stress on your back and causes discomfort and damage. When the spine is left in non-neutral posture for extended periods of time, it raises the diaphragm, preventing the body from taking a full breath. This can lead to reduced oxygenation throughout the body. It can also compromise the internal organs' performance by putting pressure throughout the abdomen. People who sit for long hours on the job are susceptible to a number of misalignments."

"Neutral spine" is ideally maintained while sitting, standing, and sleeping.

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