Study of postural misalignments between sex, school cycle and physical activity




Postural behaviour, Misalignments, Adolescents, Youngsters


This study aimed to characterize and compare postural behaviour between gender, school cycles and PA levels in 213 students, aged between 10 and 20 years, from Escola Básica e Secundária de Santa Maria. Postural assessment was made through visual scan analysis in a symmetrograph and the Adams test. PA level assessment was made using the IPAQ. Postural behaviour presented high percentages of imbalances in both sexes, with the highest prevalence in the head lateral flexion, shoulders level asymmetry, scoliosis, gibbosity, forward head and protracted shoulders. Lumbar scoliosis was significantly related to pelvic asymmetry (p < .001), protracted shoulders were related to forward head (p = .010) and dorsal hyperkyphosis (p = .048) and lumbar hyperlordosis was more prevalent in subjects with pelvic anteversion (p < .001). Dorsal hyperkyphosis manifested in males with a markedly higher prevalence than females (p = .006). Postural imbalances were present at all ages, with pelvic anteversion decrease (p = .028) with school cycles progression. Our sample proved to be physically active with 73.9% categorized with high and moderate levels of PA. Higher PA levels where related to forward head lower percentages (p = .006). It should be highlighted the importance of postural assessment school students.


Pedro Forte, Douro Higher Institute of Educational Sciences of the Douro, Eduarda Coelho, Department of Sports Sciences, Health and Exercise, University of Trás-os-Montes e Alto Douro


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Alves M, Marinho D, Carneiro D, Alves J, Forte P, Nevill A, Morais J. (2020). A visual scan analysis protocol for postural assessment at school in young students, Int. J. Environ. Res. Public Health, 17; 2915: 6-7.

Baptista F, Silva A, Santos D, Mota J, Santos R., Vale S., Ferreira J., Raimundo A, Moreira H. (2011). Physical Activity Green Book, Lisbon: Instituto do Desporto de Portugal, 13-15.

Barbosa J, Marques M, Izquierdo M, Neiva H, Barbosa T, Velez R, Martinez A, Hermoso A, Jimenez R, Marinho D. (2019). Schoolbag weight carriage in portuguese children and adolescents: a cross-sectional study comparing possible influencing factors. BMC Pediatr, 19;157: 3-4.

Bastos F, Pastre C, Júnior J, Vanderlei L, Filho G, Hoshi R, Padovani C. (2009). Correlation of the postural standard in young track and field practitioners, Rev. Bras. Med. Esporte, 15; 6: 434-435.

Biava J, Lima D. (2011). Postural education at school: an integrative approach to the educational development program. Available at:; accessed on 01.10.2018.

Braccialli L, Vilarta R. (2000). Aspects to be considered in the development of prevention and orientation programs for postural misalignments, Rev. Paul. Educ. Fís., 14; 1: 17-24.

Braz H, Borges M. (2007). The relevance of postural assessment in schools, Coleção Pesquisa em Educação Física, 6; 2: 27-30.

Cafruni C, Valadão R, Mello D. (2012). How to assess physical activity, Revista Brasileira de Ciências e da Saúde, 10; 33: 62-63.

Ferreira D, Suguikawa T, Pachioni C, Fregonesi C, Camargo M. (2009). School scoliosis screening: measure for early diagnosis, Rev. Bras. Crescimento Desenvolvimento Hum., 19; 3: 364-365.

Ferronatto A, Candotti C, Silveira R. (1998). The incidence of changes in static scapular waist balance in children between 7 and 14 years, Revista Movimento, 5; 9: 25- 29.

Forte P, Morais J, Barbosa T, Reis A. (2017). Prevalence of postural changes in youth soccer players: a descriptive study, Rev. Ed. Física, 86; 2: 83-85.

Gordia A, Quadros T, Campos W, Petroski E. (2010). Physical activity level in adolescents and its association with sociodemographic variables, Rev. Port. Cien. Desp., 10; 1:177.

Guedes D, Lopes C, Guedes J. (2005). Reproducibility and validity of the international physical activity questionnaire in adolescents, Rev. Bras. Med. Esporte, 11; 2: 157.

Hall S. (2016). Basic Biomechanics, Rio de Janeiro: Guanabara Koogan, 338-340.

Johnson J. (2016). Postural Correction: Hands-On Guide for Therapists”, Human Kinetics, 5, 20-21.

Jung S, Lee N, Kank K, Kim K, Lee D. (2016). The Effect of Smartphone Usage Time on Posture and Respiratory Function, J. Phys.Ther. Sci., 28; 1:187-188.

Kendall F, McCreary E, Provance P, Rodgers M, Romani W. (2005). Muscles Testing and Function with Posture and Pain, Lippincott Williams & Wilkins, 52-69.

Kisner C, Colby L. (2007). Therapeutic Exercise: Foundations and Techniques, F.A.Davis Company, 383,390.

Klusener G, Porto D. (2014). Physiotherapy in schools: postural assessment in children from 6 to 11 years old, Revista Inspirar - Movimento & Saúde, 6; 5:10-11.

Lafeta J, Gondin J, Durães G, Junior E, Silveira M. (2013). Biophotogrammetric analysis of the main postural changes of the spine in schoolchildren. Retrieved from:; accessed on 22.12.2017.

Martelli R, Traebert J. (2006). Descriptive study of postural changes in the spine in schoolchildren from 10 to 16 years of age, Rev. Bras. Epidemiol., 9: 1: 92.

Maia J, Oliveira M. (2001). Evaluation of physical activity in epidemiological contexts, Rev. Port. Cien. Desp., 1; 3: 73-77.

Meliscki G, Monteiro L, Giglio C. (2011). Postural evaluation of swimmers and its relation to type of breathing, Fisioter. Mov., 24; 4: 724-725.

Minghelli B. (2008). School screening: the importance of early detection of scoliotic postures in adolescents from Silves schools, Algarve, Revista Portuguesa de Saúde Pública, 26; 2: 65-66.

Minghelli B, Abílio F, Góis A, Timóteo A, Florença H, Lóia N, Jesus T, Serra F, Duarte M. (2009). Prevalence of postural changes in children and adolescents in schools in the Algarve, Saúde & Tecnologia, 4: 36.

Moreira J, Cornelian B, Lopes C. (2013). The importance of good postural positioning in schoolchildren - the role of the physical education teacher, Revista Uningá Review, 16; 3: 46-47.

Noll M, Rosa B, Candotti C, Furlamento T, Gontijo K, & Sedrez J. (2012). Postural changes in elementary school students at a school in Teutônia, R. Bras. Ci. e Mov., 20; 2: 36-38.

Oshiro V, Ferreira P, Costa R. (2007). Postural changes in schoolchildren: a literature review, Revista Brasileira de Ciências e Saúde, 3; 13: 20.

Patel K. (2005). Corrective Exercise: A Practical Approach, Hodder Arnold, 6.

Peliteiro D, Festas C, Lourenço M. (2010). Analysis of postural changes in schoolchildren, Revista da Faculdade de Ciências e Saúde, 7: 364.

Pinto H, Lópes R. (2001). Postural problems in students of the Paranoá high school center – Brasilia. Retrieved from:; accessed on 13.11.2017.

Preto L, Santos A, Rodrigues V, Quitério N, Pimentel M, Manrique G. (2015). Photogrammetry analysis of posture and associated risk factors in schooled children and adolescents, Revista de Enfermagem Referência, 5;7: 38-39.

Santos C, Cunha A, Braga V, Saad I, Ribeiro M, Conti P, Oberg T. (2009). Occurrence of postural deviations in children of a school of Jaguariúna, São Paulo, Brazil, Rev. Paul. Pediatr., 27; 1: 77-79.

Santos J, Moro A, Cezar M, Reis P, Luz J, Reis D. (2005). Portland state university postural assessment method description, Fisioterapia Brasil, 6; 5: 392-394.

Santos J, Toledo E, Reis P, Moro A, Gomes A. (2016). Postural profile in young athletes of high performance rhythmic gymnastics in the state of São Paulo, Revista Brasileira de Prescrição e Fisiologia do Exercício, 10; 59: 395.

Sedrez A, Da Rosa M, Noll M, Medeiros F, Candotti C. (2015). Risk factors associated with spinal structural changes in the spine in children and adolescents, Rev. Paul. Pediatr, 1; 33: 75,80.

Silva P, Bomfim A, Sampaio A, Mota D, Reis E, Pires L. (2017). Postural changes in children attending municipal schools in the city of Salvador - Bahia, Revista Diálogos & Ciência - Faculdade de Tecnologia e Ciências, 2; 40: 48-51.

Tobar N, Postural characteristics of José Maria Obando school children from the city of Popayán, 2004, Retrieved from:; accessed on 19.11.2017.

Verderi E, The importance of postural assessment, 2003, Retrieved from:; accessed on 11.12.2017.

World Health Organization. (2010). Global Recommendations on Physical Activity for Health, Switzerland, WHO Press, 10.


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How to Cite

Gouveia, J. P., Forte, P., & Coelho, E. (2022). Study of postural misalignments between sex, school cycle and physical activity. Journal of Human Sport and Exercise, 17(2), 424–434.



Physical Education / Children & Exercise

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