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Screening for Musculoskeletal Deviations—A Challenge for the Physical Therapist: The Utah Study

Dr. Francis is Professor and Director of Prephysical Therapy, Brigham Young University, 122 Richard's Bldg, Provo, UT 84602 (USA).
Dr. Bryce is Professor of Statistics, Brigham Young University.

We conducted an on-site examination in selected middle and junior high schools in Utah to determine the incidence of selected musculoskeletal deviations. During a regular school year, we screened 4,670 children. The students we examined represented a random sample of students in the sixth through the ninth grades from a population of 81,047 students. Among the 2,192 boys and 2,478 girls examined, we noted a total of 10,551 postural deviations. Eighteen categories of deviations of the musculoskeletal system were examined visually. Lordosis was the most common postural deviation seen (45%), and torticollis was noted least commonly (0%). Scoliosis was noted in 7% of the total population, with a girl-boy ratio of 2:1. Both the lack of body postural awareness we observed among the children and the significant findings of this study should warrant initiation of more responsible educational programs in the public schools. An apparent need for a uniform statewide screening program was demonstrated.

Key Words: Lordosis • Musculoskeletal system • Posture • Preventive medicine • Scoliosis • Spine

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