A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View
The assessment of posture and asymmetries is common in musculoskeletal clinical practice, and correction is a frequent goal. In this setting, posture and asymmetries are usually interpreted in terms of musculoskeletal issues. This study aimed to evaluate spinal asymmetries in case studies of unilate...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/12/2422 |
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| author | Ángel Oliva-Pascual-Vaca María José Castillo-Cañuelo Jesús Oliva-Pascual-Vaca María Pérez-Montalbán Francisco Javier Ordonez José Antonio Martínez-Fernández |
| author_facet | Ángel Oliva-Pascual-Vaca María José Castillo-Cañuelo Jesús Oliva-Pascual-Vaca María Pérez-Montalbán Francisco Javier Ordonez José Antonio Martínez-Fernández |
| author_sort | Ángel Oliva-Pascual-Vaca |
| collection | DOAJ |
| description | The assessment of posture and asymmetries is common in musculoskeletal clinical practice, and correction is a frequent goal. In this setting, posture and asymmetries are usually interpreted in terms of musculoskeletal issues. This study aimed to evaluate spinal asymmetries in case studies of unilateral nephroptosis. A systematic review was performed using PubMed, CINAHL, Scopus and Web of Science. We included case reports and case series of nephroptotic patients which showed diagnostic imaging that allowed us to assess the presence of spinal asymmetries in the frontal plane. The methodological quality of the selected studies was assessed by using Case Report (CARE) checklist. Nineteen studies were included, with a total number of 78 reported patients (69 women) ranging 22 to 44 years old (mean: 29). Only one patient presented with medial nephroptosis, while the rest presented with caudal migration. Ninety-one percent of the cases affected to the right kidney. All cases but two showed homolateral flank closure (lower rib descent, iliac crest raise and/or homolateral side-bending). The correction of nephroptosis, either by supine position or surgical treatment, removed asymmetries in some cases while other cases improved only partly. Manual therapists must consider visceral implications while assessing body posture. Further, since the most common symptom of nephroptosis is loin pain, and it has been claimed that loin pain is underdiagnosed, manual therapists should consider its potential presence during clinical practice. Finally, being that nephroptosis shares several features with idiopathic lumbar scoliosis (type of patient, postural adaptation), more research is needed regarding any possible relation between them. |
| first_indexed | 2024-03-09T16:23:22Z |
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| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T16:23:22Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-28e9327ed14d42dd8f1205480f9e221f2023-11-24T15:09:43ZengMDPI AGHealthcare2227-90322022-11-011012242210.3390/healthcare10122422A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of ViewÁngel Oliva-Pascual-Vaca0María José Castillo-Cañuelo1Jesús Oliva-Pascual-Vaca2María Pérez-Montalbán3Francisco Javier Ordonez4José Antonio Martínez-Fernández5Department of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, SpainDepartment of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, SpainDepartment of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, SpainDepartment of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, SpainSchool of Sports Medicine, University of Cadiz, 11003 Cadiz, SpainDepartment of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, SpainThe assessment of posture and asymmetries is common in musculoskeletal clinical practice, and correction is a frequent goal. In this setting, posture and asymmetries are usually interpreted in terms of musculoskeletal issues. This study aimed to evaluate spinal asymmetries in case studies of unilateral nephroptosis. A systematic review was performed using PubMed, CINAHL, Scopus and Web of Science. We included case reports and case series of nephroptotic patients which showed diagnostic imaging that allowed us to assess the presence of spinal asymmetries in the frontal plane. The methodological quality of the selected studies was assessed by using Case Report (CARE) checklist. Nineteen studies were included, with a total number of 78 reported patients (69 women) ranging 22 to 44 years old (mean: 29). Only one patient presented with medial nephroptosis, while the rest presented with caudal migration. Ninety-one percent of the cases affected to the right kidney. All cases but two showed homolateral flank closure (lower rib descent, iliac crest raise and/or homolateral side-bending). The correction of nephroptosis, either by supine position or surgical treatment, removed asymmetries in some cases while other cases improved only partly. Manual therapists must consider visceral implications while assessing body posture. Further, since the most common symptom of nephroptosis is loin pain, and it has been claimed that loin pain is underdiagnosed, manual therapists should consider its potential presence during clinical practice. Finally, being that nephroptosis shares several features with idiopathic lumbar scoliosis (type of patient, postural adaptation), more research is needed regarding any possible relation between them.https://www.mdpi.com/2227-9032/10/12/2422physical examinationosteopathic medicineposturediagnostic imagingnephroptosisscoliosis |
| spellingShingle | Ángel Oliva-Pascual-Vaca María José Castillo-Cañuelo Jesús Oliva-Pascual-Vaca María Pérez-Montalbán Francisco Javier Ordonez José Antonio Martínez-Fernández A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View Healthcare physical examination osteopathic medicine posture diagnostic imaging nephroptosis scoliosis |
| title | A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View |
| title_full | A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View |
| title_fullStr | A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View |
| title_full_unstemmed | A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View |
| title_short | A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View |
| title_sort | systematic review on spinal asymmetries in case studies of unilateral nephroptosis from a viscerosomatic point of view |
| topic | physical examination osteopathic medicine posture diagnostic imaging nephroptosis scoliosis |
| url | https://www.mdpi.com/2227-9032/10/12/2422 |
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