School screening for scoliosis: action for early diagnosis

Authors

  • Dalva Minonroze Albuquerque Ferreira Universidade Estadual Paulista; Faculdade de Ciências e Tecnologia
  • Thaís Regina Suguikawa Universidade de São Paulo; Faculdade de Medicina de Ribeirão Preto
  • Célia Aparecida Stelluti Pachioni Universidade Estadual Paulista; Faculdade de Ciências e Tecnologia
  • Cristina Elena Prado Teles Fregonesi Universidade Estadual Paulista; Faculdade de Ciências e Tecnologia; Programa de Pós-Graduação em Fisioterapia
  • Marcela Regina de Camargo Universidade Estadual Paulista; Faculdade de Ciências e Tecnologia

DOI:

https://doi.org/10.7322/jhgd.19924

Keywords:

spine, rotation, mass screening, school health

Abstract

Most cases of scoliosis, appear at the vertebral stage of accelerated growth , and that makes children and adolescents potentially at greator risk to develop them. This study aimed to detect the scoliosis prevalence in schoolchildren in a public school and correlate the spinal deformity measurement with radiological diagnosis. For this reason, clinical examination was conducted in 104 students (72.11% female), aged 11 to 17 years, through a non-invasive method of spinal deformity measurement. This method uses a tool adapted to a water level, rulers and Adams' test. When detected thoracic spinal deformities >; 8.0 mm and / or lumbar >; 5.0 mm the subject was referred to a doctor for radiological scoliosis confirmation, by measuring the Cobb's angle and the vertebral rotation. Statistical analysis was performed by frequencies distribution and Pearson linear correlation coefficient analysis was used for the clinical and radiological measurements. Of the 104 students, 46 subjects had significant spinal deformity, and of these, 18 had a radiography. The correlation values indicated that the thoracic and the thoracolumbar spinal deformity correlate better with the Cobb's angle, and the lumbar spinal deformity correlate better with the vertebral rotation. It is possible to conclude that there is a high scoliosis prevalence by spinal deformity measurement, and the Adams' test can be useful in early detection of scoliosis, but still needs to be confirmed by radiography.

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Published

2009-12-01

Issue

Vol. 19 No. 3 (2009)

Section

Original Research

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