Department of Rehabilitation, Jozef Pilsudski University of Physical Education in Warsaw, Biala Podlaska, Poland.
Faculty of Physical Education and Health in Biala Podlaska, Jozef Pilsudski University of Physical Education in Warsaw, Biala Podlaska, Poland.
PLoS One. 2021 Dec 2;16(12):e0260858. doi: 10.1371/journal.pone.0260858. eCollection 2021.
Diagnostic investigation can be carried out using non-radiological and non-contact methods. Moiré topography (MT) seems to be a viable alternative to radiographic research in evaluating the spine and/or trunk deviations. The aim of this systematic review was to analyze the current knowledge regarding the reliability and validity of Moiré topography as a screening and diagnostic tool. The systematic review was performed from 2010 until March 2021 in the PubMed, EBSCO, Web of Science, and Scopus databases, according to the eligibility criteria. This review fulfilled the following criteria according to the PICO system: population (children and adolescents), intervention (MT measurement), comparison (repeated MT measurements, MT compared to Cobb angle or scoliometer), outcome (reliability and validity of MT). Eight studies fulfilled the inclusion criteria for further analysis. All the studies were assessed to be of high quality. Included studies found that MT had high repeatability and high intraobserver and interobserver correlation, and correlation between MT parameters and radiographic Cobb angle ranged from moderate to high. The authors reported difficulty in defining the cut-off values for MT parameter (Surface Trunk Rotation-STR), and unsatisfactory sensitivity and specificity of MT examination. The studies did not reveal the advantage of MT as a screening method in the detection of idiopathic scoliosis in comparison to radiograph. Based on the evidence from eight studies, the results indicated moderate evidence for reliability and validity of Moiré topography as a screening and diagnostic tool. There is still no strong evidence for the accuracy of MT.
诊断研究可以采用非放射性和非接触方法进行。云纹计量拓扑图（MT）似乎是一种可行的替代放射学研究的方法，可用于评估脊柱和/或躯干的偏斜。本系统综述的目的是分析目前关于 MT 作为筛查和诊断工具的可靠性和有效性的知识。根据纳入标准，系统综述于 2010 年至 2021 年 3 月在 PubMed、EBSCO、Web of Science 和 Scopus 数据库中进行。本综述根据 PICO 系统符合以下标准：人群（儿童和青少年）、干预措施（MT 测量）、比较（重复 MT 测量、MT 与 Cobb 角或脊柱侧凸计比较）、结果（MT 的可靠性和有效性）。八项研究符合进一步分析的纳入标准。所有研究的质量均被评估为高。纳入的研究发现，MT 具有很高的可重复性、观察者内和观察者间的高度相关性，以及 MT 参数与放射学 Cobb 角之间的相关性从中度到高度不等。作者报告称，MT 参数（表面躯干旋转-STR）的截断值定义困难，MT 检查的敏感性和特异性均不理想。这些研究并未显示 MT 作为筛查方法在检测特发性脊柱侧凸方面优于 X 光片。基于八项研究的证据，结果表明 MT 作为筛查和诊断工具具有中等程度的可靠性和有效性。MT 的准确性仍然没有确凿的证据。
