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Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia
BACKGROUND: Early detection of scoliosis is a preface to prevent progression. In resource-constrained countries like Ethiopia, there is a need for a cost-effective reliable solution for screening. The surprising fact is that there is neither idiopathic scoliosis screening nor reporting of data from...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212494/ https://www.ncbi.nlm.nih.gov/pubmed/34144710 http://dx.doi.org/10.1186/s13690-021-00633-0 |
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author | Gashaw, Moges Janakiraman, Balamurugan Belay, Gashaw Jember |
author_facet | Gashaw, Moges Janakiraman, Balamurugan Belay, Gashaw Jember |
author_sort | Gashaw, Moges |
collection | PubMed |
description | BACKGROUND: Early detection of scoliosis is a preface to prevent progression. In resource-constrained countries like Ethiopia, there is a need for a cost-effective reliable solution for screening. The surprising fact is that there is neither idiopathic scoliosis screening nor reporting of data from Ethiopia. This study aimed to identify the magnitude, associated factors of scoliosis among school children by using non-invasive and less expensive scoliometer Smartphone app and Adams forward bending test. METHODS: A school-based cross-sectional survey was carried out from March to June 2019 at seven primary schools. Children were screened by using physical examination (Adams forward bend test) and scoligauge iPhone app. Univariate and multivariable binary logistic regression model analysis was used to identify factors associated with idiopathic scoliosis. RESULTS: A total of 1905 children aged between 5 and 16 years were screened, 3.3 % (95 % CI 2.5–4.1) of them were found positive using the scoligauge HD and among them only 1.8 % were identified positive for Adam’s forward bend test. The associated factors of idiopathic scoliosis identified by multivariate analysis were; spinal pain (AOR 4.1, 95 % CI 2.42, 6.89), student sitting on stool: (AOR, 7.03; 95 % CI, 1.52, 32.5), sitting on the bench with a backrest (AOR 4.12; 95 %CI, 1.12, 15.14) and sitting on the bench without backrest: (AOR 4.56; 95 % CI 1.20, 17.34). CONCLUSIONS: The magnitude of idiopathic scoliosis was relatively low in study setup. More attention is needed towards sitting furniture designs and for children reporting spinal pain.There is a reasonable level of recommendation to advocate that large school-based scoliosis screening was able to detect scoliosis among school children. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-021-00633-0. |
format | Online Article Text |
id | pubmed-8212494 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-82124942021-06-22 Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia Gashaw, Moges Janakiraman, Balamurugan Belay, Gashaw Jember Arch Public Health Research BACKGROUND: Early detection of scoliosis is a preface to prevent progression. In resource-constrained countries like Ethiopia, there is a need for a cost-effective reliable solution for screening. The surprising fact is that there is neither idiopathic scoliosis screening nor reporting of data from Ethiopia. This study aimed to identify the magnitude, associated factors of scoliosis among school children by using non-invasive and less expensive scoliometer Smartphone app and Adams forward bending test. METHODS: A school-based cross-sectional survey was carried out from March to June 2019 at seven primary schools. Children were screened by using physical examination (Adams forward bend test) and scoligauge iPhone app. Univariate and multivariable binary logistic regression model analysis was used to identify factors associated with idiopathic scoliosis. RESULTS: A total of 1905 children aged between 5 and 16 years were screened, 3.3 % (95 % CI 2.5–4.1) of them were found positive using the scoligauge HD and among them only 1.8 % were identified positive for Adam’s forward bend test. The associated factors of idiopathic scoliosis identified by multivariate analysis were; spinal pain (AOR 4.1, 95 % CI 2.42, 6.89), student sitting on stool: (AOR, 7.03; 95 % CI, 1.52, 32.5), sitting on the bench with a backrest (AOR 4.12; 95 %CI, 1.12, 15.14) and sitting on the bench without backrest: (AOR 4.56; 95 % CI 1.20, 17.34). CONCLUSIONS: The magnitude of idiopathic scoliosis was relatively low in study setup. More attention is needed towards sitting furniture designs and for children reporting spinal pain.There is a reasonable level of recommendation to advocate that large school-based scoliosis screening was able to detect scoliosis among school children. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13690-021-00633-0. BioMed Central 2021-06-18 /pmc/articles/PMC8212494/ /pubmed/34144710 http://dx.doi.org/10.1186/s13690-021-00633-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Gashaw, Moges Janakiraman, Balamurugan Belay, Gashaw Jember Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia |
title | Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia |
title_full | Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia |
title_fullStr | Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia |
title_full_unstemmed | Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia |
title_short | Idiopathic scoliosis and associated factors among school children: a school-based screening in Ethiopia |
title_sort | idiopathic scoliosis and associated factors among school children: a school-based screening in ethiopia |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212494/ https://www.ncbi.nlm.nih.gov/pubmed/34144710 http://dx.doi.org/10.1186/s13690-021-00633-0 |
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