The Spinal Mouse as an instrument for analyzing spinal curvature: a bibliometric study

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2025.e6288

Keywords:

Posture, Spine, Thoracic Vertebrae, Bibliometrics, Outcome Assessment, Health Care

Abstract

INTRODUCTION: Global concern about spinal health is increasing due to the growing number of young people affected by conditions such as scoliosis, hyperkyphosis, and hyperlordosis, which can lead to pain, stiffness, functional limitations, and reduced quality of life. OBJECTIVE: To analyze global research trends related to the use of the Spinal Mouse in the evaluation of posture and spinal curvature using a bibliometric approach. METHOD: A bibliometric study was conducted based on documents indexed in the Web of Science and Scopus databases, covering publications up to January 2025. The variables analyzed included year of publication, citation metrics, journals, authorship and collaboration patterns, and the countries and institutions with the highest scientific output. RESULTS: A total of 227 references were analyzed. Most of the publications on the Spinal Mouse were scientific articles, with an annual growth rate of 6.33% and a mean of 12.09 citations per document. Spain and Japan were the countries with the highest number of publications, although international collaboration was found to be limited. CONCLUSIONS: Interest in the Spinal Mouse is growing, particularly in the context of non-invasive assessment of posture and spinal alignment. Greater international collaboration is recommended to strengthen research in this area, as the device has shown potential due to its ease of use, accuracy, and applicability in both clinical and research settings.

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References

1. Merchán ÁA. Postural hygiene and prevention of back pain in schoolchildren. NPunto [Internet]. 2020;3(27):4–22. Available from: https://www.npunto.es/content/src/pdf-articulo/5ee22d3e553d3NPvolumen27-4-22.pdf

2. Oliveira-Costa E, Alonso-Fernandez D, Gutiérrez-Sánchez Á. Assessment of the prevalence of postural and behavioral habits in school environment. In: Arezes P, Baptista JS, Melo R, Barroso M, Branco JC, Carneiro P, et al. International Symposium on Occupational Safety and Hygiene: Proceedings Book of the SHO2023. Guimarães: SPOSHO; 2023. p. 196–205. https://doi.org/10.24840/978-989-54863-4-2

3. Azevedo N, Ribeiro JC, Machado L. Balance and posture in children and adolescents: A cross-sectional study. Sensors. 2022;22(13):4973. https://doi.org/10.3390/s22134973

4. Abelin-Genevois K. Sagittal balance of the spine. Orthop Traumatol Surg Res. 2021;107(1S):102769. Cited: PMID: 33321235

5. Arrondo ÁP. La postura corporal en Educación Física. Rev Arista Digit [Internet]. 2012 [cited 2025 Feb. 20];27:52–60. Available from: https://www.afapna.com/aristadigital/archivos_revista/2012_diciembre_0.pdf

6. Calvo-Muñoz I, Kovacs FM, Roqué M, Gago FI, Seco CJ. Risk factors for low back pain in childhood and adolescence: A systematic review. Clin J Pain. 2018;34(5):468–84. http://dx.doi.org/10.1097/AJP.0000000000000558

7. Carvalho AMS. Educação postural na criança em idade escolar: contributos para a prática de enfermagem de reabilitação [dissertação de mestrado] [Internet]. Santa Maria: Escola Superior de Saúde de Santa Maria; 2021. [cited 2025 Feb. 14]. Available from: http://hdl.handle.net/10400.26/48121

8. Lamartina C, Berjano P. Classification of sagittal imbalance based on spinal alignment and compensatory mechanisms. Eur Spine J. 2014;23(6):1177–89. http://dx.doi.org/10.1007/s00586-014-3227-9

9. Bueno GR, Garcia LF, Bertolini SMMG, Lucena TFR. The head down generation: Musculoskeletal symptoms and the use of smartphones among young university students. Telemed J E Health. 2019;25(11):1049–56. http://dx.doi.org/10.1089/tmj.2018.0231

10. Jenčíková K, Kasović M, Zvonař M. The effects of a schoolbag load carriage on gait kinematics in children: A school-based study. Kinesiology. 2024;56(2):189–97. http://dx.doi.org/10.26582/k.56.2.1

11. Kasović M, Zvonar M, Gomaz L, Bolčević F, Anton V. Influence of schoolbag carriage on pattern changes in plantar pressure during walking among first-grade schoolchildren. Kinesiology. 2018;50(2):188–93. http://dx.doi.org/10.26582/k.50.2.14

12. Aria M, Cuccurullo C. bibliometrix: An R-tool for comprehensive science mapping analysis. J Informetr [Internet]. 2017;11(4):959–75. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1751157717300500

13. Mokhnacheva YV, Tsvetkova VA. Development of bibliometrics as a scientific field. Sci Tech Inf Process. 2020;47(3):158–63. http://dx.doi.org/10.3103/s014768822003003x

14. Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: An overview and guidelines. J Bus Res [Internet]. 2021;133:285–96. Available from: https://www.sciencedirect.com/science/article/pii/S0148296321003155

15. Barrett E, McCreesh K, Lewis J. Reliability and validity of non-radiographic methods of thoracic kyphosis measurement: a systematic review. Man Ther. 2014;19(1):10–7. Cited: PMID: 24246907

16. Belli G, Russo L, Mauro M, Toselli S, Latessa PM. Relation between photogrammetry and Spinal Mouse for lumbopelvic assessment in adolescents with thoracic kyphosis. Healthcare. 2024;12(7):738. http://dx.doi.org/10.3390/healthcare12070738

17. Belli G, Toselli S, Mauro M, Latessa PM, Russo L. Relation between photogrammetry and Spinal Mouse for sagittal imbalance assessment in adolescents with thoracic kyphosis. J Funct Morphol Kinesiol. 2023;8(2):68. http://dx.doi.org/10.3390/jfmk8020068

18. Belli G, Toselli S, Latessa PM, Mauro M. Evaluation of self-perceived body image in adolescents with mild idiopathic scoliosis. Eur J Investig Health Psychol Educ. 2022;12(3):319–33. http://dx.doi.org/10.3390/ejihpe12030023

19. Demir E, Guzel NA, Cobanoglu G, Kafa N. The reliability of measurements with the Spinal Mouse device in frontal and sagittal planes in asymptomatic female adolescents. Ann Clin Anal Med. 2020;11(2):146–49. http://dx.doi.org/10.4328/acam.6201

20. Domokos B, Beer L, Reuther S, Raschka C, Spang C. Immediate effects of isolated lumbar extension resistance exercise (ILEX) on spine posture and mobility measured with the IDIAG Spinal Mouse system. J Funct Morphol Kinesiol. 2023;8(2):60. http://dx.doi.org/10.3390/jfmk8020060

21. Dreischarf B, Koch E, Dreischarf M, Schmidt H, Pumberger M, Becker L. Comparison of three validated systems to analyse spinal shape and motion. Sci Rep. 2022;12(1):10222. http://dx.doi.org/10.1038/s41598-022-13891-x

22. Livanelioglu A, Kaya F, Nabiyev V, Demirkiran G, Fırat T. The validity and reliability of “Spinal Mouse” assessment of spinal curvatures in the frontal plane in pediatric adolescent idiopathic thoraco-lumbar curves. Eur Spine J. 2016;25(2):476–82. http://dx.doi.org/10.1007/s00586-015-3945-7

23. López-Miñarro PA, Vaquero-Cristóbal R, Alacid F, Isorna M, Muyor JM. Comparison of sagittal spinal curvatures and pelvic tilt in highly trained athletes from different sport disciplines. Kinesiology. 2017;49(1):109–16. http://dx.doi.org/10.26582/k.49.1.2

24. Roghani T, Zavieh MK, Rahimi A, Talebian S, Manshadi FD, Baghban AA, et al. The reliability of standing sagittal measurements of spinal curvature and range of motion in older women with and without hyperkyphosis using a skin-surface device. J Manipulative Physiol Ther. 2017;40(9):685–91. Cited: PMID: 29229059

25. Taş SA, Çankaya T. Effects of structured training on spinal posture and selective motor control in children with unilateral spastic cerebral palsy. Gait Posture. 2024;109:22–7. Cited: PMID: 38244393

26. Mannion AF, Knecht K, Balaban G, Dvorak J, Grob D. A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: reliability of measurements and comparison with data reviewed from the literature. Eur Spine J. 2004;13(2):122–36. http://dx.doi.org/10.1007/s00586-003-0618-8

27. Muyor JM, Alacid F, López-Miñarro PA. Sagittal Spinal Morphology in Young Highly-Trained Paddlers. Int J Morphol. 2011;29(3):1047–53. http://dx.doi.org/10.4067/s0717-95022011000300065

28. Muyor JM, López-Miñarro PA, Alacid F. The relationship between hamstring muscle extensibility and spinal postures varies with the degree of knee extension. J Appl Biomech. 2013;29(6):678–86. http://dx.doi.org/10.1123/jab.29.6.678

29. Muyor JM, Vaquero-Cristóbal R, Alacid F, López-Miñarro PA. Criterion-related validity of sit-and-reach and toe-touch tests as a measure of hamstring extensibility in athletes. J Strength Cond Res. 2014;28(2):546–55. http://dx.doi.org/10.1519/JSC.0b013e31829b54fb

30. Cohen L, Kobayashi S, Simic M, Dennis S, Refshauge K, Pappas E. Non-radiographic methods of measuring global sagittal balance: a systematic review. Scoliosis Spinal Disord. 2017;12:30. http://dx.doi.org/10.1186/s13013-017-0135-x

31. Topalidou A, Tzagarakis G, Souvatzis X, Kontakis G, Katonis P. Evaluation of the reliability of a new non-invasive method for assessing the functionality and mobility of the spine. Acta Bioeng Biomech. 2014;16(1):117-24. Cited: PMID: 24707905

32. Kokol P, Saranto K, Vošner HB. eHealth and health informatics competences: A systemic analysis of literature production based on bibliometrics. Kybernetes. 2018;47(5):1018–30. http://dx.doi.org/10.1108/k-09-2017-0338

33. Kapoor KK, Tamilmani K, Rana NP, Patil P, Dwivedi YK, Nerur S. Advances in social media research: Past, present and future. Inf Syst Front. 2018;20(3):531–58. Available from: http://dx.doi.org/10.1007/s10796-017-9810-y

34. Abu-Rumman A. Scopus Content Coverage Guide [Internet]. Elsevier; 2019. [Cited 2025 Feb. 1]. Available from: https://assets.ctfassets.net/o78em1y1w4i4/EX1iy8VxBeQKf8aN2XzOp/c36f79db25484cb38a5972ad9a5472ec/Scopus_ContentCoverage_Guide_WEB.pdf

35. Leblond H, L’Esperance M, Orsal D, Rossignol S. Treadmill locomotion in the intact and Spinal Mouse. J Neurosci. 2003;23(36):11411–9. http://dx.doi.org/10.1523/jneurosci.23-36-11411.2003

36. López-Miñarro PA, Muyor JM, Alacid F. Sagittal spinal curvatures and pelvic tilt in elite young kayakers. Medicina Dello Sport [Internet]. 2010;63(4):509–19. Available from: https://www.minervamedica.it/en/journals/medicina-dello-sport/article.php?cod=R26Y2010N04A0509&acquista=1

37. Muyor JM, López-Miñarro PA, Alacid F. Spinal posture of thoracic and lumbar spine and pelvic tilt in highly trained cyclists. J Sports Sci Med. 2011;10(2):355–61. Cited: PMID: 24149883

38. Muyor JM, López-Miñarro PA, Alacid F, López-Plaza D. Degree of hamstring extensibility and its relationship with pelvic tilt in professional cyclists. Appl Sci. 2024;14(9):3912. http://dx.doi.org/10.3390/app14093912

39. Guermazi M, Ghroubi S, Kassis M, Jaziri O, Keskes H, Kessomtini W, et al. Validity and reliability of Spinal Mouse® to assess lumbar flexion. Ann Readapt Med Phys. 2006;49(4):172–7. http://dx.doi.org/10.1016/j.annrmp.2006.03.001

40. Bautmans I, Van Arken J, Van Mackelenberg M, Mets T. Rehabilitation using manual mobilization for thoracic kyphosis in elderly postmenopausal patients with osteoporosis. J Rehabil Med. 2010;42(2):129–35. http://dx.doi.org/10.2340/16501977-0486

41. Masaki M, Aoyama T, Murakami T, Yanase K, Ji X, Tateuchi H, et al. Association of low back pain with muscle stiffness and muscle mass of the lumbar back muscles, and sagittal spinal alignment in young and middle-aged medical workers. Clin Biomech. 2017;49:128-33. http://dx.doi.org/10.1016/j.clinbiomech.2017.09.008

42. Kellis E, Adamou G, Tzilios G, Emmanouilidou M. Reliability of spinal range of motion in healthy boys using a skin-surface device. J Manipulative Physiol Ther. 2008;31(8):570–6. http://dx.doi.org/10.1016/j.jmpt.2008.09.001

43. Consmüller T, Rohlmann A, Weinland D, Druschel C, Duda GN, Taylor WR. Comparative evaluation of a novel measurement tool to assess lumbar spine posture and range of motion. Eur Spine J. 2012;21(11):2170–80. http://dx.doi.org/10.1007/s00586-012-2312-1

44. Vacari DA, Ulbricht L, Schneider FK, Neves EB. Main methods for posture diagnosis of the lumbar spine. Rev Educ Fis/UEM. 2013;24(2):305–15. Available from: https://www.scielo.br/j/refuem/a/mnSpB7hLfqJWm4KRWJDw8ss/?format=pdf&lang=pt

45. Casimiro-Andújar AJ, Artés-Rodríguez E, Díez-Fernández DM, Lirola MJ. Effects of a physical exercise programme through Service-Learning methodology on physical activity, physical fitness and perception of physical fitness and health in university students from Spain: A preliminary study. Int J Environ Res Public Health. 2023;20(4):3377. http://dx.doi.org/10.3390/ijerph20043377

Published

10/31/2025

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Original Articles

How to Cite

1.
Oliveira-Costa E, Alonso-Fernández D, Gutiérrez-Sánchez Águeda. The Spinal Mouse as an instrument for analyzing spinal curvature: a bibliometric study. Rev Pesq Fisio [Internet]. 2025 Oct. 31 [cited 2025 Dec. 5];15:e6288. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/6288