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      Prevalence of postural alterations in students of Basic Education in the city of Vila Velha, Espírito Santo state, Brazil Translated title: Prevalência de alterações posturais em escolares de Ensino Fundamental de Vila Velha (ES)

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          Abstract

          Introduction Human posture goes through a series of changes in the course of body growth and development, i.e., in childhood and adolescence. Moreover, during these phases, individuals are subject to risk behaviors for spinal problems, especially those related to the use of backpacks and to poor sitting posture. Objective This study aimed to detect the prevalence of postural alterations in school children enrolled in the UMEF Vila Olímpica, Vila Velha, Espírito Santo. Methods We evaluated 513 schoolchildren in the orthostatic position and in the anterior, posterior and side view. The following structures were analyzed: head, shoulder, the cervical, thoracic and lumbar spine, pelvis and lower limbs. Results There was a high prevalence of postural deviations: rotated or tilted head, elevated shoulder and pelvis, valgus or varus knee, head protraction, alterations of the thoracic spine, anteriorized shoulders, pelvis in anteversion, knees semiflexion or hyperextension and cavus or planus feet. Conclusion Our results suggest that there is a high prevalence of postural alterations in students in the school network of Vila Velha (ES). This could be detected through public health policies, such as the federal government´s Health at School Program (PSE).

          Translated abstract

          Introdução A postura do ser humano apresenta uma série de mudanças no decorrer do crescimento e desenvolvimento corporais, ou seja, na infância e na adolescência. Além disso, durante essas fases, os indivíduos estão sujeitos a comportamentos de risco para a coluna, principalmente aqueles relacionados à utilização de mochilas e à postura sentada. Objetivo A finalidade desse trabalho foi verificar a prevalência de alterações posturais em escolares da UMEF Vila Olímpica, Vila Velha, Espírito Santo. Métodos Foram avaliados 513 escolares na posição ortostática, em vista anterior, posterior e perfil, no qual foram analisadas as seguintes estruturas: cabeça, ombro, colunas cervical, torácica e lombar, pelve e membros inferiores. Resultados Os resultados apresentaram uma grande prevalência de desvios posturais: cabeça rodada ou inclinada, elevação do ombro e da pelve, joelho valgo ou varo, além de cabeça em prostração, alterações da coluna torácica, ombros anteriorizados, pelve em anteroversão, joelhos em semiflexão ou hiperextensão, e pés cavos ou planos. Conclusão Os resultados sugerem que há uma alta prevalência de alterações posturais em escolares na rede de ensino do município, o que poderia ser identificado através de políticas públicas de saúde, como o Programa Saúde na Escola (PSE) do governo federal.

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          Most cited references30

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          Selective screening for scoliosis.

          W Bunnell (2005)
          Scoliosis screening has been practiced for nearly 50 years and has provided valuable knowledge about the prevalence and natural history of scoliosis. Early diagnosis allows for nonoperative treatment, like wearing an orthosis that has been shown to be effective by numerous outcome studies. Challenges in scoliosis screening include the low prevalence rate of clinically significant scoliosis, the inverse relationship of sensitivity and specificity in the screening process because of the poor correlation of clinical deformity and radiographic abnormality, and the inflated cost of these programs because of overreferral. Recommendations for improvement include redefinition of what actually constitutes a "significant" scoliosis for screening, diagnostic, and outcome purposes; selective screening of only immature females; the use of objective referral criteria; and re-screening patients rather than referring those who have borderline cases.
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            Os desequilíbrios estáticos: fisiologia, patologia e tratamento fisioterápico

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                fm
                Fisioterapia em Movimento
                Fisioter. mov.
                Pontifícia Universidade Católica do Paraná (Curitiba )
                1980-5918
                September 2014
                : 27
                : 3
                : 437-445
                Affiliations
                [1 ] Universidade Federal do Espírito Santo Brazil
                [2 ] Universidade Federal do Pampa Brazil
                Article
                S0103-51502014000300437
                10.1590/0103-5150.027.003.AO15
                5775b80c-c9b9-483d-b782-c32998f1e068

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Brazil

                Self URI (journal page): http://www.scielo.br/scielo.php?script=sci_serial&pid=0103-5150&lng=en
                Categories
                ORTHOPEDICS
                REHABILITATION

                Orthopedics,Physiotherapy
                Postural Alterations,Schoolchildren,Physical Therapy,Alterações Posturais,Escolares,Fisioterapia

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