Screening and Prevalence of Adolescent Idiopathic Scoliosis in Selected Urban and Countryside Schools in Egypt

Study Overview
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Brief Summary
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Early detection of scoliosis and determination of which areas are more affected urban or countryside will help in early management. Also, this will guide the government and the community for early intervention to decrease the factors that leads to this postural abnormality. This also will guide another clinician to search for the cause of these posture deformities and to concentrate screening for special areas with special cultures.

Detailed Description
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Scoliosis may have an impact on the Egyptian society as children between 10-15 years old represent 9.5 % of the population which is the third large category appendix (3). So without the early detection of adolescent idiopathic scoliosis for that age group, bad impacts will be implemented for Egyptian society by causing disabilities and psychological problems for these children. The early detection of scoliosis is of a great importance as curve detection before skeletal maturation gives a good opportunity for early treatment or prevention of curve progression. Scoliosis has a bad effect on cosmetic appearance, quality of life, Psychological well-being, disability, back Pain, breathing function. It may also progress in adulthood and need further treatment. So a multidimensional and comprehensive evaluation of scoliosis patients is necessary to design a complete therapeutic approach.

Official Title
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Screening and Prevalence of Adolescent Idiopathic Scoliosis in Selected Urban and Countryside Schools in Egypt

Conditions
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Scoliosis

Intervention / Treatment
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* Other: procedure1
* Other: procedure2


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Age range from 10 to 15 years. Males students. Students who have structural scoliosis. Exclusion criteria: Congenital deformities. Recent fracture and there is a fixation in the upper or the lower extremities Neuromuscular disorder (Cerebral palsy and spinal muscle atrophy). Syndromic disorders (Muscular dystrophy, Osteogenesis imperfect, and Spina-bifida).

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: urban school<br>Male students from selected urban schools undergo screening for idiopathic scoliosis | Other: procedure1<br>* The students will be asked to bend forward with his knees straight, feet together and hands freely and loosely hanged. if there was scoliosis the rib cage rotated and a hump appeared. Positive test indicated the presence of a rib hump and negative if there was any hump appeared<br>* Other names: Adam's forward bend test;Other: procedure2<br>* Measurement of the angle of trunk rotation (ATR) by using a scoliometer HD smartphone application.<br>* Other names: Angle of trunk rotation;|
| Experimental: countryside schools<br>Male students from selected countryside schools undergo screening for idiopathic scoliosis | Other: procedure1<br>* The students will be asked to bend forward with his knees straight, feet together and hands freely and loosely hanged. if there was scoliosis the rib cage rotated and a hump appeared. Positive test indicated the presence of a rib hump and negative if there was any hump appeared<br>* Other names: Adam's forward bend test;Other: procedure2<br>* Measurement of the angle of trunk rotation (ATR) by using a scoliometer HD smartphone application.<br>* Other names: Angle of trunk rotation;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Positive Adam's forward bending test | Proportion of patients with a positive Adam's forward bending test | 10 minutes | 
| degree of trunk rotation | scoliometer HD reading >7 degrees (=>20 degrees Cobb angle) Proportion of patients with more than 7 degree | 15 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| screening | percentage of childerns with idiopathic scoliosis | 15 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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scoliosis, prevalence, screening, Egypt