Ayla Bayık TEMEL, FADİME HATİCE İNCİ, DENİZ HARPUTLU, ZUHAL EMLEK SERT

Türkiye'de okul-tabanlı skolyoz tarama programının sonuçları

Bu araştırmanın amacı, ilköğretim çağındaki çocuklarda olası skolyoz olgularını saptamaktır. Yöntem: Bu kesitsel araştırma, dört ilköğretim okulunda yapılmıştır. Örneklem büyüklüğü 1693 olarak belirlenmiştir. Veriler sosyodemografik anket formu, fizik muayene formu kullanılarak toplanmıştır. Bu form omurganın gözle muayenesi (sırt görünüm) ve Adam's Forward Bent Testi olmak üzere iki bölümden oluşmaktadır. Bulgular: Araştırmacılar tarafından 36 (%2.1) öğrenci olası skolyoz olarak değerlendirilmiş ve bu öğrenciler ortopediste sevk edilmiştir. 36 olası skolyoz olgunun 18'ine hekim muayenesi ve radyolojik tanı testleri ile skolyoz tanısı konulmuştur. Sonuçlar: Hemşire araştırmacılar tarafından olası skolyoz olgularının %50'si doğru olarak değerlendirilmiş ve tanı konmuştur. Okul sağlığı hemşireleri Adam's Forward Bent Testi ile skolyozlu çocukları değerlendirebilir ve tanı konmasına yardımcı olabilir. Bu çalışma, okul tarama programlarında skolyozun erken saptanmasında hemşirelerin etkin rol alabileceğini göstermektedir

Outcomes of school-based scoliosis screening program in Turkey

The aim of this research was to define the suspected scoliosis cases in primary school children. Methods: This cross-sectional research was conducted in four primary schools. The sample size was determined as 1693. Data were gathered by using sociodemographic questionnaire form, physical examination form. This form consists of two parts: the inspection of the spine visually (back view) and Adam's Forward Bending Test. Results: The researchers assessed and diagnosed 36 (2.1%) students as suspected cases of scoliosis and referred them to the orthopedist. 18 children out of the 36 suspected cases were diagnosed with scoliosis by the physician's examination and by radio diagnostic tests. Conclusions: The suspected scoliosis cases were assessed and diagnosed correctly by nurse researchers at a rate of 50%, by screening in schools. School health nurses can assess and help diagnose children with scoliosis by using Adam's Forward Bending Test. This study confirms the effective role of nurses in the early detection of scoliosis in school screening programs

___

Cilli K. Scoliosis screening in center province of Sivas, primary school student. Unpublished Master's thesis, 2007. Cumhuriyet University Faculty of Medicine, Department of Orthopaedics and Traumatology, Turkey.
Asher MA and Burton DC. Adolescent idiopathic scoliosis: natural history and long term treatment effects. Scoliosis 2006;1(2):1-10.
Goldberg CJ, Moore DP, Fogarty EE, et al. Scoliosis: a review. Pediatric Surgery International 2008;24:129-144.
Reamy BV and Slakey JB. Adolescent idiopathic scoliosis: review and current concepts. American Family Physician 2001;64(1):111-116.
Katz D. The etiology and natural history of idiopathic scoliosis. Journal of Prosthetics&Orthotics 2003;5(4):3-10.
Bunnell WP. Selective screening for scoliosis. Clinical Orthopedics and Related Research 2005;434: 40-45.
Mittal RL, Aggerwal R and Sarwal AK. School screening for scoliosis in India the evaluation of a scoliometer. International Orthopaedics (Sicot) 1987: 11:335-338.
Soucacos PN, Zacharis KC, Beris AE, et al School-screening for scoliosis. a prospective epidemiological study in Northwestern and Central Greece. The Journal of Bone and Joint Surgery 1997;79:1498-1503.
Adak B, Önen MŞ, Tekeoğlu I, et al. Scoliosis screening in center province of Van primary school student. Turkish Journal of Physical Medicine and Rehabilitation 1999;45(4).
Karachalios T, Sofianos J, Roidis N, et al. Ten-Year Follow- Up Evaluation of A School Screening Program For Scoliosis Is The Forward-Bending Test An Accurate Diagnostic Criterion For The Screening of Scoliosis? Spine 1999: 24(22);2318-2324.
Thilagaratnam S. School-Based Screening For Scoliosis: Is It Cost-Effective? Singapore Medical Journal, 2007;48(11):1012.
Ugras AA., Yilmaz M., Sungur I. et al. prevalence of Scoliosis and Cost-Effectiveness of Screening in Schools in Turkey. Journal of Back and Musculoskeletal Rehabilitation, 2010; 23(1):45-48.
Yawn BP, Yawn RA, Hodge D, et al A Population- Based Study of School Scoliosis Screening. JAMA 1999;282(15):1427-1432.
Rogala EJ, Drummond DS, Gurr J. Scoliosis: Incidence and Natural History. A Prospective Epidemiological Study JBJS (Am) 1978;60(2):173-176.
Grivas TB, Wade MH, Negrini S, et al. Sosort Consensus Paper: School Screening for Scoliosis. Where Are We Today? Scoliosis 2007;2(17):1-23.
Koçoğlu D and Emiroğlu ON. Evaluation of The Role of School Nurse In School Health Screening Program. Journal of Research and Development in Nursing-HEMAR-G 2011;3: 5-19.
Kavlak Z. Development and Evaluation of Nursing Diagnostic Methods in scoliosis. 1998. Unpublished master's thesis, Istanbul University, Institute of Health Sciences, Turkey.
Görkem Barış F. Identification of scholiosis and kyphosis frequency in an elementary school and a high school in Ankara province's Sincan district. 2009. Unpublished master's thesis,.Gazi University, Institute of Health Sciences, Nursing program, Turkey.
Standards For Scoliosis Screening in California Public Schools. 2007. California Department Of Education Sacramento.
Erdoğan S, Nahcivan NÖ, Esin MN, et al. Public Health Nursing lesson Course Application Guide. 2005. İ.Ü. ISBN No:975- 404- 754- 5, İstanbul University. printing and publishing office, İstanbul.
School Scoliosis Screening Guidelines. The University of The State of New York The State Education Department Comprehensive Health and Pupil Services Albany, New York 12234 April 1997
Adegoke BOA, Akinpelu AO, Taylor BL. Adolescent Idiopathic Scoliosis In Ibadan, Nigeria. The Internet Journal of Epidemiology 2011;9(2).
Yong F, Wong HK and Chow KY. Prevalence of Adolescent Idiopathic Scoliosis among Female School Children in Singapore. ANNALS Academy of Medicine Singapore 2009;38:1056-1063
Kane WJ. Scoliosis Prevalence: A call for a statement of terms. Clinical Orthopaedics and Related Research 1977;126:43-46.
Roach JW. Adolescent Idiopathic Scoliosis. Orthopedic Clinics of North America 1999;30:353-365.
Cilli K, Tezeren G, Taş T, et al. School screening for scoliosis in Sivas. Acta Orthopaedica Et Traumatologica 2009;43(5): 426-430.
Nery LS, Halpern R, Nery PC, et al. Prevalence of scoliosis among school students in a town in southern Brazil. Sao Paulo Med J 2010;128(2):69-73.
© GATA. This is an open access article licensed under the terms
of the Creative Commons Attribution Non-Commercial License
(http://creativecommons.org/licenses/by-nc/3.0/) which permits
unrestricted, noncommercial use, distribution and reproduction
in any medium, provided the work is properly cited.
Source of Support: Nil, Confl ict of Interest: None declared