• The Journal of Pediatrics of Korean Medicine
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• v.26 no.3
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• pp.46-54
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• 2012

Objectives The purpose of this study is to find out the relationship between parents' heights and predicted height of the children who had been treated in the growth clinic of oriental medical hospital. Methods The study was conducted with 253 children who visited Oriental Medical Hospital from July 2010 to June 2012. They were analyzed by reviewing the children's chart and correlation analysis to find out the relationship between the two heights. Results In distribution of the sex and the age, sex were similar, but boys who came to the clinic were averagely younger than the girls. In predicting adult height by TW3 method and mean parent's height, correlation in the girls was higher than the boys, especially the girls after their first menstruation. Parents' heights were related to both the boys and the girls, but mother's height was more closely related. Predicted heights of the boys before secondary sex characteristics were correlated with the child's height, but rather correlated with parent's both heights after secondary sexual character and found to be more relevant to father's height. The girls' predicted heights before their menstruation were not correlated with father's height, but with mother's. Their heights after their first periods were correlated with parents' both heights, but more correlated with father's height. Conclusions This study helps set proper periods and goals of growth treatment based on the correlation between parents' height and predicted adult height according to TW3 method.

• The Journal of Pediatrics of Korean Medicine
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• v.31 no.4
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• pp.31-38
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• 2017

Objectives The purpose of this study was to find out the clinically reliable relationships between the Risser sign and chronological age, bone age, menarche, and adult height prediction (AHP) and to evidence the reliability of the Risser sign. Methods This study had been carried out with 50 children who had their growth checked in an oriental medical hospital from January 2015 to February 2017. We investigated Risser sign in AP X-rays with iliac crest, bone age, AHP for all 50 children and the timing of menarche from the 22 girls in the study subjects. We also investigated a correlation between the Risser stage and the other indicators to analyze statistical data. Results The mean chronological ages of Risser 1, 2, 3 and 4 were 11.2, 12.6, 14.4, and 15.5 years respectively for the boys and 10.8, 12.2, 13.8 and 14.8 years respectively for the girls. The mean bone ages of Risser 1, 2, 3 and 4 were 12.3, 13.6, 15.7 and 16.5 years respectively for the boys and 11.7, 13.8, 14.3 and 14.9 years respectively for the girls. We analyzed 22 girls' Risser stages in accordance with the duration from menarche. The result showed that in the first six months after menarche, all girls were in Risser 1 and 2; in the next six months, the girls were in Risser 2 on average; in the next 12 months, all girls were in Risser 3 and 4; after more than two years from menarche, all girls were in Risser 4. The mean remaining growth height of Risser 1, 2, 3 and 4 were 27.8, 17.3, 4.4 and 1.0 cm respectively for the boys and 14.5, 5.1, 3.1 and 1.1 cm respectively for the girls. The Risser stage was correlated strongly with chronological age (Spearman's rho=0.707 (boy), 0.841 (girl)), bone age (Spearman's rho=0.869 (boy), 0.875 (girl)), duration from menarche (Spearman's rho=0.909) and remaining growth height (Spearman's rho=-0.784 (boy), -0.878 (girl)). Conclusions This study showed that the Risser sign can be useful in assessing skeletal maturity and predicting remaining growth height based on the Risser stage and the other growth indicators.