{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T13:08:20Z","timestamp":1779368900996,"version":"3.53.0"},"reference-count":38,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: The lumbopelvic complex plays a key role in postural regulation, core stabilisation and biomechanical coordination of spinal and pelvic alignment. The aim of the study was to analyse relationships between lumbopelvic complex alignment defects and temperament types in adolescents, and to evaluate their potential relevance for more individualised prevention and rehabilitation strategies. Methods: The study is of a cross-sectional design. The research included 273 adolescents aged 16\u201317 years. Body posture was assessed using the DIERS Formetric III 4D system based on rasterstereography. Temperament traits were evaluated using the Pavlovian Temperament Survey (PTS). Results: Body posture in the examined adolescents was characterised by high variability, and the majority of participants presented abnormalities in lumbopelvic alignment and spinal curvatures. The most common finding was flattening of physiological spinal curvatures, particularly reduced thoracic kyphosis coexisting with normal or reduced lumbar lordosis. No significant associations were found between temperament and most of the analysed postural parameters. Significant differences were identified only for the pelvic torsion DL\u2013DR parameter (H = 9.96; p = 0.019). Pelvic torsion DL\u2013DR values were significantly higher in the sanguine temperament group compared to the phlegmatic (p = 0.013) and choleric groups (p = 0.015). Higher values of this parameter were also observed in adolescents with a melancholic temperament. Conclusions: Temperament may selectively influence mechanisms underlying lumbopelvic complex control, particularly regarding the pelvic torsion DL\u2013DR parameter. Incorporating temperamental characteristics into postural diagnostics may support the development of more individualised prevention and rehabilitation programmes aimed at improving core stabilisation, motor control and functional control of the lumbopelvic complex in adolescents.<\/jats:p>","DOI":"10.3390\/jcm15103937","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T12:30:51Z","timestamp":1779280251000},"page":"3937","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lumbopelvic Complex Alignment Defects in Adolescents: Relationships with Temperament and Implications for Individualised Prevention and Rehabilitation Strategies"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2564-8623","authenticated-orcid":false,"given":"Jacek","family":"Wilczy\u0144ski","sequence":"first","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0142gorzata","family":"Gawlik","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9132-7226","authenticated-orcid":false,"given":"Kamil","family":"Margiel","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8089-5022","authenticated-orcid":false,"given":"Paulina","family":"Szumilas","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5455-4301","authenticated-orcid":false,"given":"Katarzyna","family":"Bieniek","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"B\u0105k","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7084-3308","authenticated-orcid":false,"given":"Marta","family":"Mierzwa-Molenda","sequence":"additional","affiliation":[{"name":"Collegium Medicum, Jan Kochanowski University in Kielce, 25-317 Kielce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"ref_1","unstructured":"Saavedra, S., Woollacott, M., and van Donkelaar, P. (2020). Multisensory Contributions to Postural Control in Children. Front. Hum. Neurosci., 14."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"615854","DOI":"10.1155\/2014\/615854","article-title":"Multisensory integration and internal models for sensing gravity effects in primates","volume":"2014","author":"Lacquaniti","year":"2014","journal-title":"BioMed Res. Int."},{"key":"ref_3","first-page":"105664","article-title":"Postural control, sensorimotor integration and neuromuscular adaptations: Current concepts and future directions","volume":"161","author":"Paillard","year":"2024","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1123\/mc.2024-0082","article-title":"Useful and Useless Misnomers in Motor Control","volume":"29","author":"Latash","year":"2025","journal-title":"Mot. Control"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1123\/jsr.2017-0241","article-title":"Brain-Behavior Mechanisms for the Transfer of Neuromuscular Training Adaptions to Simulated Sport: Initial Findings From the Train the Brain Project","volume":"27","author":"Grooms","year":"2018","journal-title":"J. Sport Rehabil."},{"key":"ref_6","first-page":"379","article-title":"Variation and variability: Key concepts in human motor development and postural regulation","volume":"66","year":"2024","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1159\/000477406","article-title":"Association between body composition and motor performance in preschool children","volume":"10","author":"Kakebeeke","year":"2017","journal-title":"Obes. Facts"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Zoccante, L., Ciceri, M.L., Chamitava, L., Di Gennaro, G., Cazzoletti, L., Zanolin, M.E., Darra, F., and Colizzi, M. (2021). Postural control in childhood: Investigating the neurodevelopmental gradient hypothesis. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041693"},{"key":"ref_9","first-page":"187","article-title":"The Pavlovian Temperament Survey PTS: Theoretical assumptions and psychometric properties","volume":"13","author":"Strelau","year":"1999","journal-title":"Eur. J. Pers."},{"key":"ref_10","unstructured":"Strelau, J. (2008). Temperament: A Psychological Perspective, Springer."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1111\/j.1467-8721.2007.00505.x","article-title":"Temperament, development, and personality","volume":"16","author":"Rothbart","year":"2007","journal-title":"Curr. Dir. Psychol. Sci."},{"key":"ref_12","first-page":"55","article-title":"Temperament and nervous system regulation: New perspectives in developmental psychophysiology","volume":"36","author":"Rothbart","year":"2024","journal-title":"Dev. Psychopathol."},{"key":"ref_13","unstructured":"Sharma, N., McKay, S., and Riach, C. (2025). Psychological and behavioural determinants of adolescent posture: A biopsychosocial perspective. Children, 12."},{"key":"ref_14","first-page":"411","article-title":"Central nervous system fatigue, posture and motor control regulation","volume":"54","author":"Meeusen","year":"2024","journal-title":"Sports Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"23259671241229692","DOI":"10.1177\/23259671241229692","article-title":"Differences in lumbopelvic alignment in adolescent male soccer players with bilateral and unilateral lumbar bone stress injuries: An MRI evaluation","volume":"12","author":"Tsutsui","year":"2024","journal-title":"Orthop. J. Sports Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/0268-0033(94)90055-8","article-title":"Back shape measurement using video rasterstereography and three-dimensional reconstruction of spinal shape","volume":"9","author":"Drerup","year":"1994","journal-title":"Clin. Biomech."},{"key":"ref_17","unstructured":"Leithoff, P., and Sadler, B. (2001). Methode und klinische Einsatzm\u00f6glichkeiten der dreidimensionalen R\u00fcckenoberfl\u00e4chenvermessung mit der Videorasterstereographie (VRS). Individuelle Gesundheitsleistungen (IGEL) in der Orthop\u00e4die, Georg Thieme Verlag. (In German)."},{"key":"ref_18","unstructured":"Diers International GmbH (2024). DIERS Formetric 4D\u2014Clinical Validation and Applications in Spinal and Pelvic Assessment, DIERS International GmbH."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Aulisa, A.G., Bandinelli, D., Marsiolo, M., Falciglia, F., Giordano, M., and Toniolo, R.M. (2023). Is Surface Topography Useful in the Diagnosis of Scoliosis? Validation of the Biometrical Holistic of Human Body (BHOHB). Children, 10.","DOI":"10.3390\/children10020320"},{"key":"ref_20","first-page":"127","article-title":"Assessment of reliability and validity of a handheld surface spine scanner for measuring trunk rotation in adolescent idiopathic scoliosis","volume":"12","author":"Wang","year":"2024","journal-title":"Spine Deform."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Wilczy\u0144ski, J. (2025). Own typology of body posture based on DIERS Formetric III 4D. J. Clin. Med., 14.","DOI":"10.3390\/jcm14020501"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"George, D., and Mallery, P. (2019). IBM SPSS Statistics 26 Step by Step: A Simple Guide and Reference, Routledge.","DOI":"10.4324\/9780429056765"},{"key":"ref_23","first-page":"22144","article-title":"Functional asymmetries of the pelvis and trunk in adolescents assessed using optical topography methods","volume":"15","author":"Kiebzak","year":"2025","journal-title":"Sci. Rep."},{"key":"ref_24","first-page":"85","article-title":"Neuromuscular control of the lumbo-pelvic complex in adolescents with postural disorders","volume":"108","author":"Kim","year":"2024","journal-title":"Gait Posture"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e41905","DOI":"10.1097\/MD.0000000000041905","article-title":"Effectiveness of dynamic neuromuscular stabilization approach in lumbopelvic stability and gait parameters in individuals with idiopathic scoliosis: A randomized controlled trial","volume":"104","author":"Ong","year":"2025","journal-title":"Medicine"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e14588","DOI":"10.1111\/sms.14588","article-title":"Are trunk stability and endurance determinant factors for whole-body dynamic balance in physically active young males?","volume":"34","author":"Barbado","year":"2024","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s13013-018-0151-5","article-title":"Non-structural misalignments of body posture in the sagittal plane","volume":"13","author":"Czaprowski","year":"2018","journal-title":"Scoliosis Spinal Disord."},{"key":"ref_28","first-page":"656","article-title":"Assessment of sagittal spinopelvic alignment in asymptomatic Chinese juveniles and adolescents: A large cohort study and comparative meta-analysis","volume":"16","author":"Hou","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"13748","DOI":"10.1038\/s41598-021-93215-7","article-title":"Sagittal body alignment in sitting position in children is not affected by generalized joint hypermobility","volume":"11","author":"Czaprowski","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_30","unstructured":"Gabel, C.P., Melloh, M., and Burkett, B. (2025). Functional postural adaptations in adolescents: Interaction between biomechanics and neurophysiology. Front. Hum. Neurosci., 19."},{"key":"ref_31","first-page":"88","article-title":"Associations between psychological stress, muscle tension and postural control in adolescents","volume":"41","author":"Petersen","year":"2025","journal-title":"Physiother. Theory Pract."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2099","DOI":"10.1152\/jn.00014.2025","article-title":"Motor variability predicts motor learning of improved trunk postural control through repeated trunk perturbations during walking in children with cerebral palsy","volume":"134","author":"Yan","year":"2025","journal-title":"J. Neurophysiol."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Ara\u00fajo, C.L., Moreira, A., and Carvalho, G.S. (2023). Postural education programmes with school children: A scoping review. Sustainability, 15.","DOI":"10.3390\/su151310422"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Rico-Gonz\u00e1lez, M., G\u00f3mez-Carmona, C.D., Ouergui, I., and Ardig\u00f2, L.P. (2025). Machine learning methods in posture-related applications in children up to 12 years old: A systematic review. Bioengineering, 12.","DOI":"10.3390\/bioengineering12121311"},{"key":"ref_35","first-page":"27","article-title":"The impact of body composition on the development of sensory integration deficits in children\u2014Analysis of correlations and the importance of preventive measures","volume":"29","author":"Szumilas","year":"2025","journal-title":"Med. Rehabil."},{"key":"ref_36","first-page":"38","article-title":"Analysis of relationships between body posture and body composition in children aged 10\u201312 years","volume":"29","author":"Bieniek","year":"2025","journal-title":"Med. Rehabil."},{"key":"ref_37","unstructured":"Sahrmann, S. (2002). Diagnosis and Treatment of Movement Impairment Syndromes, Mosby."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Page, P., Frank, C.C., and Lardner, R. (2010). Assessment and Treatment of Muscle Imbalance: The Janda Approach, Human Kinetics.","DOI":"10.5040\/9781718211445"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/10\/3937\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T12:40:44Z","timestamp":1779367244000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/10\/3937"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,20]]},"references-count":38,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["jcm15103937"],"URL":"https:\/\/doi.org\/10.3390\/jcm15103937","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,20]]}}}