台東市國小學童脊柱側彎之研究

Scoliosis among the Students of Elementary Schools in Taitung City

陳耘生(Yun-Sheng Chen) ； 黃千芬(Chien-Feng Huang)

《中華民國復健醫學會雜誌》 29卷1期 (2001/03) Pp. 31-41

摘要

國內對於脊柱側彎的研究，並無針對一地區的廣泛研究報告。本研究之主要目的即是調查台東市國小學童脊柱側彎的盛行率、嚴重性以及與性別和年齡的相關性。研究對象為台東市八所國小共5,611名學童，先利用定性之亞當氏向前彎腰試驗法進行篩檢，再請篩檢陽性之學童至醫院接受X光攝影檢查，以測量Cobb角度來定量出脊柱側彎之程度。研究結果顯示，學校篩檢陽性之學童有115名，陽性率為2.05%，其中女生為2.46%，男生為1.68%；10歲以上之學童其陽性率為3.08%，其中女生為4.43%，男生為1.95%，女生在此年齡層明顯高於男生。115名篩檢陽性之學童有55位至醫院接受X光攝影檢查，其中53位學童Cobb角度大於5度，篩檢之正確率為96.4%；所測量之Cobb角度平均為8.8度，其中女生為9.8度，男生為7.7度，以迴歸分析發現角度之大小與年齡並無相關。由以上之結果，計算出台東市國小學童脊柱側彎的盛行率為1.98%，明顯低於國內其他之數據報告。

關鍵字

脊柱側彎 ； 脊柱側彎篩檢 ； 亞當氏向前彎腰試驗

並列摘要

The goal of the study is to assess the prevalence, severity, and correlation with sex and age associated with scoliosis in elementary school children in Taitung city. A total of 5,611 children were screened characteristically for scoliosis using Adam’s forward bending test. Those schoolchildren who had positive forward bending test were referred to hospital for whole spinal radiographs, so that the Cobb angle could be quantified to evaluate the severity of scoliosis. 115 children had positive signs in screening test for scoliosis; the positive rate was 2.05% (girls: 2.46%, boys: 1.68%); and the positive rate of the children above 10 year-old was 3.08% (girls: 4.43%, boys: 1.95%). In spite of 115 children with positive test, there were only 53 children showing the measurement of Cobb angle over 5 degrees among 55 children who were reexamined at hospital for whole spinal radiograph. Hence the accuracy of screening test was 96.4%. The degree of Cobb angle was 8.8 in average (girl: 9.8, boy: 7.7) and appeared to incorrelate with age as a result of regression. The prevalence of scoliosis was 1.98% lower than other reports in our country.

並列關鍵字

scoliosis ； scoliosis screening ； Adam's forward bending test