Medicina dello Sport, cilt.77, sa.3, ss.403-412, 2024 (SCI-Expanded)
BACKGROUND: We aim to determine the frequency of structural scoliosis in children and evaluate the relationship between trunk asymmetry, sports participation, and generalized joint hypermobility (GJH) in healthy school-aged children. METHODS: In a cross-sectional and observational study, 314 children and adolescents (149 boys and 165 girls) between the ages of 8-16 were evaluated with Adam's forward bending test and the angle of trunk rotation (ATR) was measured with scoliometer. The presence of GJH was assessed by the Beighton score (≥4 was considered joint hypermobility). Children were grouped by their participation or nonparticipation in sports. Those with ATR ≥7 were referred to our clinic and evaluated radiologically. RESULTS: Girls were significantly asymmetrical compared to boys (χ2=7.685; P=0.021). There was no significant difference in trunk asymmetry between those with and without GJH (P=0.110). No association was found between trunk asymmetry and sports activity (P=0.656). In 10 children, with the scoliometer readings were 7 or more. Eight screened-positive children participated in the hospital based diagnostic stage. Structural scoliosis was found in four subjects. CONCLUSIONS: Hypermobility and sportive activity are the factors accused in the development of scoliosis. However, the results of our study did not support this view, showing that the prevalence of trunk asymmetry was similar between the sporting group and the inactive group, and between those with and without GJH. More research is needed to determine the relationship between competitive sports activity and trunk asymmetry in the larger study group.