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Reading: Spinal Postures of Children seated on the floor in Schools in Ahmedabad District, India

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Spinal Postures of Children seated on the floor in Schools in Ahmedabad District, India

Authors:

Megha Sandeep Sheth ,

SBB College of Physiotherapy, Ahmedabad, Gujarat, IN
About Megha Sandeep

Megha Sandeep Sheth currently is a Physiotherapy Lecturer at SBB College of Physiotherapy, Ahmedabad, India. She completed her Master's in physiotherapy specializing in Rehabilitation. She has a keen interest in research with around 30 publications in national and international journals in the field of physiotherapy.

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Nehal Paresh Shah,

SBB College of Physiotherapy, Ahmedabad, Gujarat, IN
About Nehal Paresh

Nehal is a Senior Lecturer, I/C Principal at SBB College of Physiotherapy. She is a graduate in physiotherapy and has a PhD. She has completed Proficiency certificate in EMG NCV studies from American Academy of Clinical Electrodiagnosis, USA. She is a faculty of EMG NCV studies for the same. She has published varoius research articles in orthopedic physiotherapy and electrodiagnosis.

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Yash Ahuja,

SBB College of Physiotherapy, Ahmedabad, Gujarat, IN
About Yash

Yash has completed his Bachelors in Physiotherapy and Internship from SBB college, Gujarat university. He is currently pursuing further studies in Canada and has a keen interest in research. He has presented papers at undergraduate level.

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Zishan Belim Khan,

SBB College of Physiotherapy, Ahmedabad, Gujarat, IN
About Zishan Belim

Zishan is a graduate in Physiotherapy and currently completing his Post Graduate studies on Community Health and Rehabilitation. He has a keen interest in Geriatric community health.

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Parth Parmar,

SBB College of Physiotherapy, Ahmedabad, Gujarat, IN
About Parth

Parth has done his graduation in Physiotherapy and is pursuing his Post Graduation in Musculoskeletal sciences.

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Priyasingh Bhagirath Rangey

LJ College of Physiotherapy, Ahmedabad, Gujarat, IN
About Priyasingh Bhagirath

Priyasingh is a PhD scholar at Gujarat University. Her areas of interest are community health and awareness, knee rehabilitation and women's health. She is an editorial team member and peer reviewer for several journals and has publications in national and international journals.

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Abstract

Purpose: In some schools in India, children sit on the floor during class time due to non-availability of furniture. The present study was conducted to assess the spinal postures of school-going children when seated in various positions on the floor.

Method: The cross-sectional survey included 62 children by random selection. The boys and girls were from classes 1 - 8. Photographs were taken in four positions: A-standing; B-sitting on the floor while looking at teacher or board; C-sitting on the floor and looking down while writing in books; D-sitting on the floor and copying from the blackboard. Markers were placed on anatomical points: tragus, canthus, C7 vertebra, T12 vertebra, greater trochanter and the lateral malleolus. Craniovertebral angle (CVA), gaze angle, trunk angle and sway angle in degrees were measured using Surgimap software. Differences in mean angles in various positions were compared using Kruskal-Wallis test. Post-hoc analysis was performed using Dunn-Sidak correction test.

Results: Mean CVA in position A (standing) was 54.11±7.0 degrees; in position B it was 41.7±9.2 degrees; in position C it was 43.60±43.09 degrees; and, in position D it was 8.8±16.85 degrees. Mean gaze angle in position A was 20.01±9.18 degrees; in position B it was 26.99±10.15 degrees; gaze angle could not be measured in position C (when the students looked into their books); and, in position D it was 35.08±9.164 degrees. Mean trunk angle in position A was 147.95±9.6 degrees; in position B it was 132.80±10.11 degrees; in position C it was 132.80±10.69 degrees; and, in position D it was 128.64±10.80 degrees. Mean sway angle was 160.91±7.70 degrees in standing position. Statistics showed significant difference between the angles in all the different positions (p<0.001).

Conclusion: In schools without appropriate furniture, sitting on the floor leads to a significant alteration in spinal postures among school-going children. Increased stress on the neck and back may predispose these children to early degenerative changes. Suitable furniture needs to be provided and good posture needs to be taught to children.

Limitations: Detailed pain assessment and comparison between higher and lower classes could not be done.

How to Cite: Sheth, M.S., Shah, N.P., Ahuja, Y., Khan, Z.B., Parmar, P. and Rangey, P.B., 2020. Spinal Postures of Children seated on the floor in Schools in Ahmedabad District, India. Disability, CBR & Inclusive Development, 31(1), pp.106–119. DOI: http://doi.org/10.5463/dcid.v31i1.864
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Published on 06 Aug 2020.
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