Julia H E Holleman, Hanneke M van West, Thomas Q M Vu, Max Reijman, Joost P H J Rutges
{"title":"脊柱侧弯镜：一种用于测量脊柱侧弯中轴向躯干旋转的家庭检测工具-验证研究。","authors":"Julia H E Holleman, Hanneke M van West, Thomas Q M Vu, Max Reijman, Joost P H J Rutges","doi":"10.1007/s43390-025-01174-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Screening for adolescent idiopathic scoliosis (AIS) using the Adam Forward Bending Test (AFBT) remains controversial, resulting in the discontinuation of scoliosis screening in the Netherlands. This study aims to validate the Scolioscope, a simplified version of the Scoliometer, for detecting scoliosis in a home setting.</p><p><strong>Methods: </strong>A validation study was conducted at the orthopedic outpatient clinic of Erasmus Medical Center Sophia Children's Hospital in Rotterdam, the Netherlands. Patients aged 9-18 years with or without AIS and capable of performing the AFBT were included. The Scolioscope measurement of the parents was compared with the Scoliometer measured by an orthopedic surgeon. After unsatisfactory results with the initial Scolioscope version, a revised version was developed and tested.</p><p><strong>Results: </strong>Among 100 patients included in the study, 79 had scoliosis. The revised version of the Scolioscope demonstrated a positive predictive value of 97%, a negative predictive value of 89%, sensitivity of 94%, and specificity of 94%. Parental measurements showed no variation, with an intra-observer reliability kappa value of 1.</p><p><strong>Conclusion: </strong>The Scolioscope demonstrates high diagnostic accuracy and precision, making it suitable for use in at-home scoliosis screening programs.</p>","PeriodicalId":21796,"journal":{"name":"Spine deformity","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Scolioscope: a home detection tool for measuring axial trunk rotation in scoliosis-a validation study.\",\"authors\":\"Julia H E Holleman, Hanneke M van West, Thomas Q M Vu, Max Reijman, Joost P H J Rutges\",\"doi\":\"10.1007/s43390-025-01174-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Screening for adolescent idiopathic scoliosis (AIS) using the Adam Forward Bending Test (AFBT) remains controversial, resulting in the discontinuation of scoliosis screening in the Netherlands. This study aims to validate the Scolioscope, a simplified version of the Scoliometer, for detecting scoliosis in a home setting.</p><p><strong>Methods: </strong>A validation study was conducted at the orthopedic outpatient clinic of Erasmus Medical Center Sophia Children's Hospital in Rotterdam, the Netherlands. Patients aged 9-18 years with or without AIS and capable of performing the AFBT were included. The Scolioscope measurement of the parents was compared with the Scoliometer measured by an orthopedic surgeon. After unsatisfactory results with the initial Scolioscope version, a revised version was developed and tested.</p><p><strong>Results: </strong>Among 100 patients included in the study, 79 had scoliosis. The revised version of the Scolioscope demonstrated a positive predictive value of 97%, a negative predictive value of 89%, sensitivity of 94%, and specificity of 94%. Parental measurements showed no variation, with an intra-observer reliability kappa value of 1.</p><p><strong>Conclusion: </strong>The Scolioscope demonstrates high diagnostic accuracy and precision, making it suitable for use in at-home scoliosis screening programs.</p>\",\"PeriodicalId\":21796,\"journal\":{\"name\":\"Spine deformity\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-09-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spine deformity\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s43390-025-01174-0\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spine deformity","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s43390-025-01174-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
The Scolioscope: a home detection tool for measuring axial trunk rotation in scoliosis-a validation study.
Purpose: Screening for adolescent idiopathic scoliosis (AIS) using the Adam Forward Bending Test (AFBT) remains controversial, resulting in the discontinuation of scoliosis screening in the Netherlands. This study aims to validate the Scolioscope, a simplified version of the Scoliometer, for detecting scoliosis in a home setting.
Methods: A validation study was conducted at the orthopedic outpatient clinic of Erasmus Medical Center Sophia Children's Hospital in Rotterdam, the Netherlands. Patients aged 9-18 years with or without AIS and capable of performing the AFBT were included. The Scolioscope measurement of the parents was compared with the Scoliometer measured by an orthopedic surgeon. After unsatisfactory results with the initial Scolioscope version, a revised version was developed and tested.
Results: Among 100 patients included in the study, 79 had scoliosis. The revised version of the Scolioscope demonstrated a positive predictive value of 97%, a negative predictive value of 89%, sensitivity of 94%, and specificity of 94%. Parental measurements showed no variation, with an intra-observer reliability kappa value of 1.
Conclusion: The Scolioscope demonstrates high diagnostic accuracy and precision, making it suitable for use in at-home scoliosis screening programs.
期刊介绍：
Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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