Analysis of diagnostic methods in trunk deformities in the developmental age

Kowalski, Ireneusz M.; Kotwicki, Tomasz; Siwik, Piotr

doi:10.1016/j.poamed.2013.06.002

Cited by 11 publications

(3 citation statements)

References 10 publications

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“…Screening tests play a significant role in assessment of normal individual development in the population of children and adolescents. Accurate screening allows for selecting children and adolescents at risk for the development of postural defects or spinal and trunk deformities in order to refer them to appropriate specialists [ 20 ]. A clinical examination is the simplest and also the most common form of postural assessment.…”

Section: Discussionmentioning

confidence: 99%

Objective parallel-forms reliability assessment of 3 dimension real time body posture screening tests

Kowalski

Protasiewicz-Fałdowska

Dwornik³

et al. 2014

BMC Pediatr

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BackgroundScreening tests play a significant role in rapid and reliable assessment of normal individual development in the entire population of children and adolescents. Body posture screening tests carried out at schools reveal that 50-60% of children and adolescents demonstrate body posture abnormalities, with 10% of this group at risk for progressive spinal deformities. This necessitates the search for effective and economically feasible forms of screening diagnosis. The aim of this study was to assess the reliability of clinical evaluation of body posture compared to objective assessment with the Zebris CMS-10 system (Zebris Medical GmbH).MethodsThe study enrolled 13-15-year-old pupils attending a junior secondary school (mean age 14.2 years). The study group consisted of 138 participants, including 71 girls and 67 boys, who underwent a clinical evaluation of the body posture and an examination with the Zebris CMS 10 system.ResultsStatistically significant discrepancies between the clinical and objective evaluation were noted with regard to lumbar lordosis in boys (n = 67) and thoracic kyphosis in girls (n = 71). No statistically significant differences in both groups were noted for pelvic rotation and trunk position in the frontal plane.Conclusions1. The finding of significant discrepancies between the results of assessment in the sagittal plane obtained in the clinical examination and Zebris CMS-10-based assessment suggests that clinical evaluation should be used to provide a general estimation of accentuation or reduction of spinal curvatures in the sagittal plane.2. The clinical evaluation of posture is reliable with regard to assessment in the frontal plane.3. The Zebris CMS-10 system makes the clinical examination significantly more objective with regard to assessment of the physiological curvatures and may be used to make screening tests more objective with regard to detecting postural defects.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2431-14-221) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Objective parallel-forms reliability assessment of 3 dimension real time body posture screening tests

Kowalski

Protasiewicz-Fałdowska

Dwornik³

et al. 2014

BMC Pediatr

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“…An examination with the Moiré technique is a computer examination of human body surface topography with the use of moiré patterns. The moiré technique is spatial photogrammetry (phototopography), used in population screening [ 26 , 27 ]. Children with a suspicion of idiopathic scoliosis are subsequently referred for stage ‘2’ at a specialized rehabilitation outpatient clinic in order to exclude or confirm IS by X-ray examination.…”

Section: Methodsmentioning

confidence: 99%

Basic research Early detection of idiopathic scoliosis – analysis of three screening models

Kowalski¹,

Dwornik²,

Lewandowski³

et al. 2015

aoms

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IntroductionThe prevalence of lateral curvatures of the spine ranges from 0.3% to 15.3% in the general population. The aim of the study was to develop and compare three different screening tests for idiopathic scoliosis (IS) with respect to their effectiveness and costs.Material and methodsThe Delphi method was used to assess the efficacy of each screening algorithm in detecting IS in the population. An economic analysis was also performed.ResultsDiagnostic Algorithm 1 for IS comprised a screening examination performed by nurses and a general practitioner (GP) with verification by specialists. The unit cost of carrying out diagnostic work-up for IS in Algorithm 1 was €94 per child. The second algorithm involved the use of the moiré computer method, followed by verification by a specialist. The lower unit cost of €86 per child of diagnostic work-up according to Algorithm 2 was due to fewer stages compared to Algorithm 1. The highest effectiveness with the highest costs were found for the third algorithm, with only one stage, a specialist's consultation (cost €153 per child).ConclusionsThe number of stages in an algorithm does not correlate positively with its efficacy or cost. The recommended scheme is Algorithm 3, where children are examined by rehabilitation specialists or a physiotherapist using a scoliometer and an inclinometer. The use of the apparently most expensive scheme (Algorithm 3) should result in lowering the costs of treatment of established idiopathic scoliosis and, in the long term, prove to be the most cost-effective solution for the health care system.

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“…The situation highlights the need for systematic diagnosis of children's locomotor apparatus development during early school years and preventive actions from early childhood (Kowalski et al, 2013). Preventive actions should include effective screening tests (Lipkin et al, 2020;Moment et al).…”

Section: Introductionmentioning

confidence: 99%

The Test-retest Reliability of a Body Posture Literacy Questionnaire Among Polish Teachers From Different Educational Levels

Labecka,

Jankowicz-Szymańska,

Plandowska

et al. 2024

Preprint

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To develop a reliable and valid Teachers’ Body Posture Literacy Questionnaire (TBPLQ) to examine their body posture knowledge. The tool was based on a Parents Body Posture Literacy Questionnaire (PBPLQ) and modified and validated through discussion with experts which were conducted in two rounds. Corrective gymnastics, physiotherapy, ergonomics, physical education (PE) experts and doctoral and postdoctoral scholars evaluated content validity. Test-retest repeatability was tested using Cohen's kappa coefficient. The study used a convenience sample of 195 teachers from 3 different educational levels: PE, kindergarten, and primary education in two rounds of test-retest. The initial round encompassed 95 participants, with pre-test and post-test procedures applied using the original TBPLQ. Subsequently, the second round involved 100 participants and followed a similar approach, incorporating modifications to the TBPLQ based on the reliability outcomes observed in the first round. The results of the first-round test–retest TBPLQ reliability, with 95 samples resulted in an overall reliability of 0.77 (range 0.02 to 1). This indicated that the questionnaire still lacks sufficient reliability. Consequently, after the necessary amendments and modifications, the questionnaire’s reliability was tested for the second time with 100 samples. Notably, the overall reliability of 0.82 (ranging from 0.50 to 1) was established for the TBPLQ indicating that 87.5% of the questionnaire items achieved reliability scores within the substantial and almost perfect range and only 12.5% of the items attained moderate reliability scores. The questionnaire is a new self-report measure, reliable and relevant to effectively evaluating teachers' literacy in postural health that can be applicable in both research and practical contexts, extending its use to larger and more diverse populations.

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Analysis of diagnostic methods in trunk deformities in the developmental age

Cited by 11 publications

References 10 publications

Objective parallel-forms reliability assessment of 3 dimension real time body posture screening tests

Objective parallel-forms reliability assessment of 3 dimension real time body posture screening tests

Basic research Early detection of idiopathic scoliosis – analysis of three screening models

The Test-retest Reliability of a Body Posture Literacy Questionnaire Among Polish Teachers From Different Educational Levels

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