{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:59:40Z","timestamp":1781243980733,"version":"3.54.1"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Screening for adolescent idiopathic scoliosis (AIS) has progressed considerably in recent years. However, specific physical indicators for accurately determining spinal curve types are lacking. This study aimed to explore the association between incorrect posture and curve types in AIS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from 10,453 students who underwent full-spine evaluation in the outpatient department between 2022 and 2023. Assessments included postural observations, Adam\u2019s Forward Bending Test, angle of trunk rotation (ATR), and full-spine radiographic imaging. Correlation and logistic regression (LR) models were used to analyze the associations among incorrect posture, curve magnitude, and curve type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Incorrect postures, particularly the presence of a rib hump, were significantly correlated with the curve magnitude in AIS. Univariate LR analysis showed that female, age, Risser sign, and incorrect postures were identified as associated factors for the curve type. Multivariate LR analysis revealed that right scapular tilt [odds ratio (OR): 1.553, 95% confidence interval (CI): 1.192\u20132.025,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.001], right rib hump (OR: 1.715, 95% CI: 1.451\u20132.028,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and right thoracic ATR\u202f\u2265\u202f5\u00b0 (OR: 1.769, 95% CI: 1.484\u20132.109,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) were associated with the thoracic curve; right pelvic tilt (OR: 1.411, 95% CI: 1.253\u20131.588,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and right rib hump (OR: 1.452, 95% CI: 1.215\u20131.736,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) were associated with the thoracolumbar curve; and left pelvic tilt (OR: 1.266, 95% CI: 1.085\u20131.477,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.003), right pelvic tilt (OR: 1.321, 95% CI: 1.175\u20131.485,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.003), and left lumbar eminence (OR: 1.229, 95% CI: 1.033\u20131.462,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.020) were associated with the lumbar curve.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Incorrect posture and ATR, especially right rib hump, were significantly associated with curve magnitude and curve type in AIS. These indicators can provide an objective reference for triaging children referred from school-based screening for AIS, facilitating a more targeted and efficient identification of at-risk individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1785027","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:44:55Z","timestamp":1781243095000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between incorrect posture and curve types in adolescent idiopathic scoliosis: a large-sample, cross-sectional study in China"],"prefix":"10.3389","volume":"14","author":[{"given":"Xi","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaosheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhixiang","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuchen","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weijun","family":"Wang","sequence":"additional","affiliation":[{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fei","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WenYu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Shenzhen Second People\u2019s Hospital, The First Affiliated Hospital of Shenzhen University","place":["Shenzhen, China"]},{"name":"Shenzhen Youth Spine Health Center","place":["Shenzhen, China"]},{"name":"Medical Innovation Technology Transformation Center of Shenzhen Second People\u2019s Hospital","place":["Shenzhen, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1097\/cm9.0000000000000652","article-title":"Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis","volume":"133","author":"Peng","year":"2020","journal-title":"Chin Med J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s11832-012-0457-4","article-title":"Epidemiology of adolescent idiopathic scoliosis","volume":"7","author":"Konieczny","year":"2013","journal-title":"J Child 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Spine (Phila pa 1976)","author":"Compton","year":"2020"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"2010","DOI":"10.1007\/s00586-020-06397-5","article-title":"Alterations of 3D acetabular and lower limb parameters in adolescent idiopathic scoliosis","volume":"29","author":"Karam","year":"2020","journal-title":"Eur Spine J"},{"key":"ref34","first-page":"208","article-title":"Effectiveness and cost burden of school screening for adolescent idiopathic scoliosis: a systematic review and Meta-analysis. Spine (Phila pa 1976)","author":"Lam","year":"2026"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s43390-025-01174-0","article-title":"The Scolioscope: a home detection tool for measuring axial trunk rotation in scoliosis-a validation study","volume":"14","author":"Holleman","year":"2026","journal-title":"Spine Deform"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1302\/1358-992x.2026.1.077","article-title":"Detecting and monitoring scoliosis without radiology: validating the use of momentum SPINETM artificial intelligence against gold standard radiological imaging","volume":"108","author":"Liu","year":"2026","journal-title":"Orthopaedic Proceedings"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"1266","DOI":"10.3390\/jcm15031266","article-title":"Physiotherapeutic Management of Adolescent Idiopathic Scoliosis: a focused review of the Schroth method","volume":"15","author":"Herdea","year":"2026","journal-title":"J Clin Med"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1097\/brs.0000000000005059","article-title":"The evolution of curve patterns in adolescent idiopathic scoliosis during Ch\u00eaneau brace treatment","volume":"50","author":"Hou","year":"2025","journal-title":"Spine (Phila pa 1976)"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"e2459929","DOI":"10.1001\/jamanetworkopen.2024.59929","article-title":"Digital physiotherapeutic scoliosis-specific exercises for adolescent idiopathic scoliosis: a randomized clinical trial","volume":"8","author":"Yuan","year":"2025","journal-title":"JAMA Netw Open"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1785027\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:44:57Z","timestamp":1781243097000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1785027\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,12]]},"references-count":39,"alternative-id":["10.3389\/fpubh.2026.1785027"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1785027","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,12]]},"article-number":"1785027"}}