School screening for scoliosis: can surface topography replace examination with scoliometer?

Scoliosis

Zbigniew Sliwinski³  Krzysztof Rosadzinski²  Tomasz Kotwicki¹  Joanna Chowanska¹ 

[1] Rehasport Clinic, Górecka 30, 60-201 Poznan, Poland;Spine Disorders Unit, Department of Pediatric Orthopedics and Traumatology, University of Medical Sciences, Górecka 30, 60-201 Poznan, Poland;Jan Kochanowski University of Humanities and Sciences, Kielce, Poland

关键词: Surface topography;    Scoliometer;    Scoliosis school screening;    Idiopathic scoliosis;   

Others  :  791607
DOI  :  10.1186/1748-7161-7-9

 received in 2011-12-20, accepted in 2012-04-03,  发布年份 2012

【 摘 要 】

Background

Clinical examination with the use of scoliometer is a basic method for scoliosis detection in school screening programs. Surface topography (ST) enables three-dimensional back assessment, however it has not been adopted for the purpose of scoliosis screening yet. The purpose of this study was to assess the usefulness of ST for scoliosis screening.

Methods

996 girls aged 9 to 13 years were examined, with both scoliometer and surface topography. The Surface Trunk Rotation (STR) was introduced and defined as a parameter allowing comparison with scoliometer Angle of Trunk Rotation taken as reference.

Results

Intra-observer error for STR parameter was 1.9°, inter-observer error was 0.8°. Sensitivity and specificity of ST were not satisfactory, the screening cut-off value of the surface topography parameter could not be established.

Conclusions

The study did not reveal advantage of ST as a scoliosis screening method in comparison to clinical examination with the use of the scoliometer.

【 授权许可】

   
2012 Chowanska et al; licensee BioMed Central Ltd.

【 图 表 】

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