The importance of the size of the trunk inclination angle in the early detection of scoliosis in children

BMC Musculoskeletal Disorders

Anna Pilis¹  Marek Kluszczyński²  Dariusz Czaprowski³ 

[1] Department of Health Sciences, Jan Dlugosz University, ul. Waszyngtona 4/8, 42-200, Częstochowa, Poland;Department of Health Sciences, Jan Dlugosz University, ul. Waszyngtona 4/8, 42-200, Częstochowa, Poland;Medical Rehabilitation Center “Troniny”, ul. Stanislawa Staszica 34, 42-100, Klobuck, Poland;Department of Rehabilitation, University of Medical Sciences in Poznan, Fredry 10, 61-701, Poznan, Poland;

关键词: Scoliosis;    Adams test;    Cobb angle;    Angle of trunk inclination;   

DOI  :  10.1186/s12891-021-04965-4

来源: Springer

【 摘 要 】

BackgroundEarly detection of idiopathic scoliosis is one factor in determining treatment effectiveness. Therefore, the aim of this study was to assess the importance of the size of the trunk inclination angle (ATI) for the early detection of scoliosis in preschool- and school-age children, taking into account the location and size of the spine curvature.MethodsThe study included a group of 216 children (mean age 11.54 years, standard deviation ± 3.05), who had previously untreated idiopathic scoliosis and a Cobb angle of ≥ 10°. The ATI values were compared with the corresponding Cobb angle values. The results of the ATI-Cobb correlation were compared to the ATI thresholds of 5° and 7°.ResultsIn the age groups 6–9, 10–12 and 13–17 years, the method sensitivity for the ATI ≥ 7° criterion was low at 33.90%, 27.69% and 51.29% (p < 0.05), respectively, while for the ATI ≥ 5° criterion, it was 67.8%, 69.23% and 93.48% (p < 0.05), respectively. With respect to location, significantly more frequent misdiagnoses (p < 0.05) were related to the lumbar and thoracolumbar (regions) sections of the spine in the groups aged 6–9 and 10–12 for ATI ≥ 7°; while no significant relationship was found at ATI ≥ 5°. For both ATI levels, the most frequent cases of mis- or undiagnosed scoliosis were observed among children with a Cobb angle of 10°-14° (p = 0.004).ConclusionA low predictive ATI value was demonstrated regarding scoliosis detection for the ATI 7° criterion in children aged 6–9 and 10–12 years, particularly for the lumbar and thoracolumbar locations. Adoption of the threshold of ATI 5° in screening tests for children aged 6–12 years, as well as for lower locations of scoliosis, may be more effective in the early detection of scoliosis.Trial registration.This study was approved by the Jan Dlugosz University in Czestochowa Ethics Committee KE-U/7/2021, and conducted under the Declaration of Helsinki.

【 授权许可】

CC BY