Assessment of postural habits and lifestyle factors for scoliosis risk in students

Authors

DOI:

https://doi.org/10.66636/gmj.v1.i3.a184

Keywords:

Scoliosis, Students, Posture-related habits, Physical Activity, posture, spinal health, health awareness, cross-sectional survey, Georgia

Abstract

Background: Scoliosis is a three-dimensional spinal deformity affecting approximately 2–3% of adolescents worldwide. Lifestyle factors and postural habits during formative years may influence both the development and progression of spinal deformities; however, evidence on postural awareness and health behaviour in student populations remains limited.

Aim: To assess postural habits, physical activity patterns, and voluntary postural control among university and school students, and to describe the prevalence of self-reported posture-related complaints and prior scoliosis diagnosis.

Methods: A cross-sectional, self-administered online survey (Google Forms) was distributed among university and school students from institutions across Georgia (November 2025–May 2026). The structured questionnaire comprised 10 items addressing preferred resting posture, physical activity participation, history of scoliosis diagnosis, presence of postural complaints, and frequency of voluntary postural monitoring. Descriptive statistics were computed for all items. A total of 104 respondents aged 17–28 years were included.

Results: The majority of participants (80%) reported habitually lying on a sofa when using electronic devices, a posture associated with increased spinal loading. Only 17.3% engaged in regular morning exercise and 55.3% participated in any sport. Among respondents, 2.9% reported a prior scoliosis diagnosis and 14.4% were uncertain of their status. Posture-related complaints were common: 31.1% reported habitual slouching, 26.2% lower back pain, and 5.8% rapid back fatigue during classes. Systematic postural self-monitoring was practised by only 13.6% of participants; 35.0% reported giving no attention to posture.

Conclusion: This survey identifies a high prevalence of non-supportive postural habits, low physical activity levels, and limited spinal health awareness among Georgian students. These findings support the development and implementation of targeted school- and university-based preventive programmes addressing posture education and early scoliosis screening.

Keywords: scoliosis; posture; students; physical activity; spinal health; health awareness; cross-sectional survey; Georgia

Author Biographies

Ms. Hiya Kakati, Batumi Shota Rustaveli State University, Batumi, Georgia

Student of one-cycle English-language educational Program "Medical Doctor", Faculty of Natural Sciences and Health Care, Batumi Shota Rustaveli State University, Georgia

Mr. Thej Krishna, Batumi Shota Rustaveli State University, Batumi, Georgia

Student of one-cycle English-language educational Program "Medical Doctor", Faculty of Natural Sciences and Health Care, Batumi Shota Rustaveli State University, Georgia

References

1. Addai D, Zarkos J, Bowey AJ. Current concepts in the diagnosis and management of adolescent idiopathic scoliosis. Childs Nerv Syst. 2020;36(6):1111–1119. https://doi.org/10.1007/s00381-020-04608-4

2. Weinstein SL, Dolan LA, Cheng JCY, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. Lancet. 2008;371(9623):1527–1537. https://doi.org/10.1016/S0140-6736(08)60658-3

3. Negrini S, Grivas TB, Kotwicki T, Rigo M, Zaina F; Members of the SOSORT Standards Committee. Rules, objectives, and outcome measures for scoliosis-specific exercises: a consensus statement from the SOSORT 2006 meeting. Scoliosis. 2006;1:8. https://doi.org/10.1186/1748-7161-1-8

4. Konieczny MR, Senyurt H, Krauspe R. Epidemiology of adolescent idiopathic scoliosis. J Child Orthop. 2013;7(1):3–9. https://doi.org/10.1007/s11832-012-0457-4

5. Gorman KF, Julien C, Bhattacharya S. The genetic epidemiology of idiopathic scoliosis. Eur Spine J. 2012;21(10):1905–1919. https://doi.org/10.1007/s00586-012-2389-6

6. Drake RL, Vogl AW, Mitchell AWM. Gray's Anatomy for Students. 4th ed. Philadelphia: Elsevier; 2020.

7. Janicki JA, Alman B. Scoliosis: review of diagnosis and treatment. Paediatr Child Health. 2007;12(9):771–776. https://doi.org/10.1093/pch/12.9.771

8. Dunn J, Henrikson NB, Morrison CC, Nguyen M, Blasi PR, Lin JS. Screening for adolescent idiopathic scoliosis: evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2018;319(2):173–187. https://doi.org/10.1001/jama.2017.11669

9. Weinstein SL, Dolan LA, Wright JG, Dobbs MB. Effects of bracing in adolescents with idiopathic scoliosis. N Engl J Med. 2013;369(16):1512–1521. https://doi.org/10.1056/NEJMoa1307337

10. Negrini S, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Knott P, et al. Braces for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev. 2015;(6):CD006850. https://doi.org/10.1002/14651858.CD006850.pub3

11. Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. 8th ed. Philadelphia: Wolters Kluwer; 2018.

12. Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3. https://doi.org/10.1186/s13013-017-0145-8

13. Zaina F, Donzelli S, Lusini M, Minnella S, Negrini S. SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence-based approach to physiotherapeutic specific scoliosis exercises. Scoliosis. 2015;10(Suppl 1):S8. https://doi.org/10.1186/1748-7161-10-S1-S8

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Published

08/21/2026

How to Cite

Vadatchkoria, R., Kakati, H., & Krishna Shiju Karipott, T. (2026). Assessment of postural habits and lifestyle factors for scoliosis risk in students. Georgian Medical Journal, 1(3). https://doi.org/10.66636/gmj.v1.i3.a184

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