RT journal article
T1 A Systematic Review on Spinal Asymmetries in Case Studies of Unilateral Nephroptosis from a Viscerosomatic Point of View.
A1 Oliva-Pascual-Vaca, Ángel
A1 Castillo Cañuelo, María José
A1 Oliva-Pascual-Vaca, Jesús
A1 Pérez Montalbán, María
A1 Ordóñez Muñoz, Francisco Javier
A1 Martínez Fernandez, Jose Antonio
A2 Anatomía y Embriología Humana
K1 diagnostic imaging
K1 nephroptosis
K1 osteopathic medicine
K1 physical examination
K1 posture
K1 scoliosis
AB 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.
PB MDPI
SN 2227-9032
YR 2022
FD 2022-11-30
LK http://hdl.handle.net/10498/30585
UL http://hdl.handle.net/10498/30585
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 12-nov-2026