Moalej Sepehr, Asadabadi Mahsa, Hashemi Rezvan, Khedmat Leila, Tavacolizadeh Reza, Vahabi Zahra, Shariatpanahi Ghazal
School of Medicine, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Pediatrics Department, School of Medicine, Ziaeian Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Back Musculoskelet Rehabil. 2018;31(4):767-774. doi: 10.3233/BMR-171078.
Scoliosis is the abnormal sideways curve of the spine. Screening for scoliosis is controversial, and there has been significant heterogeneity between studies. In Iran, there is still no suitable device to screen sideways curves in spine.
To investigate the simple scolioscreen software for screening the students of elementary schools for detecting schoolchildren scoliosis. This students has been examined by trained medical student and data entered in scolioscreen application of an iPhone.
One hundred forty-four 7-12 years old students from primary schools in the 17th district of Tehran were randomly invited to participate. Initial screening of the students was done in schools by health care provider or medical student who has been trained by a pediatrician to undergo a vertebral examination. Scoliometer for iPhone's smartphone has been used for measuring the angle of deviation.
1.4% of students had overt scoliosis and 10.4% were suspected to have a kind of mild abnormality in spine curve. These individuals were referred to clinic for radiologic evaluation and it was confirmed that relative frequency of this abnormality was defined as 4.86% in our population study. There was no significant correlation between sex and degree of spinal curve.
Regarding the high rate of scoliosis in our population and approval of this screening test in different studies, routine use of this screening method is highly recommended in schoolchildren. It is cost beneficial and can be effective in prevention and early treatment of scoliosis.
脊柱侧弯是脊柱的异常侧向弯曲。脊柱侧弯筛查存在争议，且研究之间存在显著异质性。在伊朗，仍没有合适的设备来筛查脊柱的侧向弯曲。
研究用于筛查小学生脊柱侧弯的简易脊柱侧弯筛查软件。这些学生由经过培训的医学生进行检查，并将数据输入iPhone的脊柱侧弯筛查应用程序。
随机邀请德黑兰第17区小学的144名7至12岁学生参与。学生的初步筛查在学校由经过儿科医生培训进行脊椎检查的医护人员或医学生完成。已使用适用于iPhone智能手机的脊柱侧凸测量仪测量偏差角度。
1.4%的学生患有明显的脊柱侧弯，10.4%的学生疑似脊柱曲线存在某种轻度异常。这些个体被转诊至诊所进行放射学评估，在我们的人群研究中证实该异常的相对频率为4.86%。性别与脊柱弯曲程度之间无显著相关性。
鉴于我们人群中脊柱侧弯的高发病率以及该筛查试验在不同研究中的认可情况，强烈建议在学童中常规使用这种筛查方法。它具有成本效益，并且在脊柱侧弯的预防和早期治疗中可能有效。
