Shihan Li, Shan Liu, Xianglin Zhao, Weijie Chen, Bin Fan, Man Sang Wong, Jiaying Li, Mingtao Jiang
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引用次数: 0
Abstract
Objective: To comprehensively evaluate the validity, responsiveness, and feasibility of surface topography (ST) indices and provide insights into their potential integration into clinical scoliosis assessment.
Data sources: A systematic literature search was performed in PubMed and Web of Science for studies published between January 2010 and April 2024.
Study selection: Studies reporting on the validity, responsiveness, and feasibility of ST indices were screened and selected by two independent researchers.
Data extraction: Data extraction and analysis followed the COSMIN guideline framework. Two independent reviewers extracted study characteristics, methodological quality, measurement properties, and evidence levels. Methodological quality was assessed using the COSMIN Risk of Bias checklist, supplemented with QUADAS-2 items. Measurement properties were assessed using COSMIN quality criteria, and the quality of evidence was graded using the GRADE approach. A meta-analysis was conducted to synthesize the measurement properties.
Data synthesis: A total of 23 studies were included. Scoliosis angle and asymmetry index received sufficient ratings for criterion validity, supported by high-quality evidence. The construct validity of both thoracic kyphosis and lumbar lordosis in the sagittal plane, when compared with similar parameters measured from X-rays, was rated as sufficient with high-level evidence. However, compared with measurements from X-ray/MRI, the construct validity of vertebral rotation was rated as insufficient with low-quality evidence. For responsiveness, the scoliosis angle compared with the Cobb angle in the coronal plane showed inconsistent results, with a very low quality of evidence.
Conclusions: This review highlighted the potential of ST as a radiation-free and informative tool for scoliosis assessment, particularly in screening settings. While the scoliosis angle and asymmetry index demonstrated sufficient criterion validity, challenges remain regarding vertebral rotation validity, responsiveness, and correlations with patient-reported outcomes. Further advancements in standardization and methodological quality are necessary for the broader clinical adoption of ST systems.
目的：综合评价表面形貌（ST）指标的有效性、响应性和可行性，探讨其在脊柱侧凸临床评估中的应用潜力。数据来源：对2010年1月至2024年4月期间发表的研究在PubMed和Web of Science中进行了系统的文献检索。研究选择：研究报告的效度，反应性和可行性的ST指标是由两个独立的研究者筛选和选择。数据提取：数据提取和分析遵循COSMIN指南框架。两名独立审稿人提取了研究特征、方法学质量、测量特性和证据水平。方法学质量评估采用COSMIN偏倚风险检查表，并辅以QUADAS-2项目。使用COSMIN质量标准评估测量特性，使用GRADE方法对证据质量进行分级。进行meta分析以综合测量特性。资料综合：共纳入23项研究。在高质量证据的支持下，脊柱侧凸角度和不对称指数获得了足够的标准有效性评级。与x射线测量的类似参数相比，矢状面胸椎后凸和腰椎前凸的构造效度被认为是足够的，具有高水平的证据。然而，与x射线/MRI测量结果相比，椎体旋转的构造有效性被评为不足，证据质量低。对于反应性，脊柱侧凸角与冠状面Cobb角的比较结果不一致，证据质量很低。结论：这篇综述强调了ST作为一种无辐射和信息丰富的脊柱侧凸评估工具的潜力，特别是在筛查方面。虽然脊柱侧弯角度和不对称指数显示了足够的标准有效性，但在椎体旋转有效性、反应性以及与患者报告结果的相关性方面仍然存在挑战。进一步提高标准化和方法质量对于ST系统的广泛临床应用是必要的。
期刊介绍：
The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities.
Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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