Adolescent idiopathic scoliosis screening: Could a school-based assessment protocol be useful for an early diagnosis?
| Autor: | Alessandro de Sire, Lorenza Lauricella, Francesco Vitale, Giulia Letizia Mauro, Dalila Scaturro, Claudio Costantino, Pietro Terrana, Claudia Emilia Sannasardo |
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| Přispěvatelé: | Scaturro Dalila, de Sire Alessandro, Terrana Pietro, Costantino Claudio, Lauricella Lorenza, Sannasardo Claudia Emilia, Vitale Francesco, Letizia Mauro Giulia |
| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Adolescent Physical Therapy Sports Therapy and Rehabilitation Diagnostic Specificity Idiopathic scoliosis Scoliosis 03 medical and health sciences 0302 clinical medicine Trunk rotation medicine Humans Mass Screening Orthopedics and Sports Medicine 030212 general & internal medicine School-based assessment Child Physical Examination Plumb bob School Health Services Protocol (science) 030222 orthopedics Schools business.industry Rehabilitation Scoliosis spine deformities adam’s test axial trunk rotation plumb line medicine.disease Test (assessment) Cross-Sectional Studies Early Diagnosis Female business |
| Zdroj: | Journal of Back and Musculoskeletal Rehabilitation. 34:301-306 |
| ISSN: | 1878-6324 1053-8127 |
| Popis: | BACKGROUND: Adolescent idiopathic scoliosis screening still needs a considerable implementation, particularly throughout a school-based assessment protocol. OBJECTIVE: This study aims to evaluate the effectiveness of clinical examinations currently in use for the diagnosis of adolescent idiopathic scoliosis, through a survey carried out in secondary schools to standardize a screening protocol that could be generalized. METHODS: In their classrooms, the adolescents underwent an idiopathic scoliosis screening through three examinations: Adam’s test, axial trunk rotation (ATR) and plumb line. In case of single positivity to one of the three examinations, a column X-ray examination was recommended. RESULTS: The sensitivity and diagnostic specificity of Adam’s test or ATR were 56.3% and 92.7%, respectively. The positivity to at least one between ATR or plumb line showed that sensitivity was higher than specificity: 91.3% versus 80.8%; the positivity to at least one between Adams’s test or plumb line showed a sensitivity of 95.2% and a specificity of 81.5%. Finally, the positivity to all three examinations showed an increase in specificity (99.7%). CONCLUSIONS: Taken together, our findings show that this school-based screening protocol had a very high specificity in early diagnosis of adolescent idiopathic scoliosis. |
| Databáze: | OpenAIRE |
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