Department of Physiotherapy, Stellenbosch University, Stellenbosch, South Africa
Department of Physiotherapy, School of Health Sciences, Lusaka, Zambia.
BMJ Open. 2024 Nov 28;14(11):e089929. doi: 10.1136/bmjopen-2024-089929.
Spinal health in children and adolescents has global implications, impacting school attendance, academic performance and physical activity. Effective school-based interventions are essential for promoting spinal health literacy, positive behaviours and academic success.
This review aims to collect data on school-based interventions for spinal health in children and adolescents over the past two decades. It will examine interventions such as education, exercise and appropriate furniture, focusing on outcomes including musculoskeletal pain, posture, sedentary behaviour and academic performance. Additionally, the review will describe the psychometric properties and clinical utility of the outcome measures used in these studies.
The systematic review will adhere to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, employing the PICO framework to define criteria for participants, interventions, comparisons, outcomes and study designs. Only English studies published between 2004 and 2024 will be included. Relevant databases will be searched using specific keywords derived from the PICO framework. The Critical Appraisal Tool and the COSMIN Risk of Bias tool will be used to evaluate the methodological quality and risk of bias in the selected studies. Review authors will independently assess articles, resolving discrepancies through consensus. Statistical analyses will be performed using CADIMA V.2.2.4.2 April 2023.
Data will be collected based on various outcome measures, evaluated with an approved checklist and presented through descriptive narratives and tables. Findings will be disseminated via conference presentations, Faculty Research Day and publication in reputable journals.
The study will adhere to the ethical principles outlined in the Declaration of Helsinki, ensuring a rigorous approach to minimise bias and guarantee valid results. Studies will be selected based on predetermined criteria following a consistent protocol. The findings will be disseminated through presentations and publication in peer-reviewed journals.
The systematic review protocol is registered on PROSPERO (registration number CRD42024543258), with a planned date of commencement from August 2024 to November 2024.
儿童和青少年的脊柱健康具有全球性意义，影响着他们的出勤率、学业成绩和体育活动。有效的基于学校的干预措施对于促进脊柱健康知识、积极行为和学业成功至关重要。
本综述旨在收集过去二十年中针对儿童和青少年脊柱健康的基于学校的干预措施的数据。它将检查教育、运动和适当家具等干预措施，重点关注包括肌肉骨骼疼痛、姿势、久坐行为和学业成绩在内的结果。此外，该综述还将描述这些研究中使用的结果测量的心理测量学特性和临床实用性。
系统综述将遵循系统评价和荟萃分析的首选报告项目指南，使用 PICO 框架来定义参与者、干预、比较、结果和研究设计的标准。仅包括 2004 年至 2024 年期间以英文发表的研究。将使用源自 PICO 框架的特定关键词搜索相关数据库。将使用批判性评估工具和 COSMIN 偏倚风险工具评估所选研究的方法学质量和偏倚风险。审查作者将独立评估文章，并通过协商解决差异。将使用 CADIMA V.2.2.4.2（2023 年 4 月）进行统计分析。
将根据各种结果测量收集数据，使用经过批准的清单进行评估，并通过描述性叙述和表格呈现。研究结果将通过会议演示、教师研究日和在知名期刊上发表来传播。
该研究将遵循赫尔辛基宣言中概述的伦理原则，确保采取严格的方法来最大程度地减少偏差并保证有效结果。研究将根据预先确定的标准并遵循一致的方案进行选择。研究结果将通过演示和在同行评议期刊上发表来传播。
PROSPERO 注册号：系统综述方案在 PROSPERO（注册号 CRD42024543258）上注册，计划于 2024 年 8 月至 2024 年 11 月开始。
