Common School Scoliosis Screening Test Lacks Precision

Forward bending test used in most programs may be insufficient for detecting spine curvature
By Jeff Muise
HealthDay Reporter

TUESDAY, May 25 (HealthDay News) -- The simple and common forward bending test (FBT) used in school scoliosis screening programs lacks precision for detecting spinal curvature and by itself is insufficient, according to a meta-analysis published in the May 1 issue of Spine.

Daniel Yee Tak Fong, Ph.D., of the University of Hong Kong, and colleagues conducted a meta-analysis of 36 studies of school scoliosis screening programs for adolescents that used either the FBT, angle of trunk rotation, or Moiré topography.

Using pooled data, the researchers calculated that the radiography referral rate was 5 percent. The positive predictive value for detecting curves of 10 degrees or more was 28 percent, for detecting curves of 20 degrees or more was 5.6 percent, and for treatment was 2.6 percent. The programs that used the FBT only (64 percent) had a higher referral rate but a lower positive predictive value for curvature than programs using the other tests. Only 13 studies reported treatment information, and only one study followed the subjects until skeletal maturity.

"In conclusion, there was substantial heterogeneity across studies due to the use of different screening tests and different study sizes. The use of the FBT alone in school scoliosis screening is insufficient. To properly assess the clinical effectiveness of school scoliosis screening, we need large retrospective cohort studies with students followed by skeletal maturity," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2010 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Dogs as Pets, Visitors, Therapists and Assistants
Home Healthcare Nurse, November/December 2014
Free access will expire on January 5, 2015.


Tracheostomy Care
Nursing2014 Critical Care, November 2014
Free access will expire on December 22, 2014.


Effective management of ARDS
The Nurse Practitioner, 13December 2014
Free access will expire on December 22, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events