Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis

Background/objective: The reported incidence of scoliosis among adolescents in China differs according to screening method owing to the lack of uniformity and limitations of certain techniques. We aimed to design, develop, and validate a non-invasive, accurate, portable, fast, and automated tool tha...

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Main Authors: Chunxu Li, Bojun Zhang, Liang Liu, You Li, Yong Xu, Li Wang, Cai Yun, Yu Zhao
Format: Article
Language:English
Published: Elsevier 2021-05-01
Series:Journal of Orthopaedic Translation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214031X21000036
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author Chunxu Li
Bojun Zhang
Liang Liu
You Li
Yong Xu
Li Wang
Cai Yun
Yu Zhao
author_facet Chunxu Li
Bojun Zhang
Liang Liu
You Li
Yong Xu
Li Wang
Cai Yun
Yu Zhao
author_sort Chunxu Li
collection DOAJ
description Background/objective: The reported incidence of scoliosis among adolescents in China differs according to screening method owing to the lack of uniformity and limitations of certain techniques. We aimed to design, develop, and validate a non-invasive, accurate, portable, fast, and automated tool that would enable the measurement and storage of data during scoliosis screening. Methods: We designed a new portable electronic scoliosis screening device (PESSD)—for the identification of adolescent scoliosis based on ergonomics theory. The device measured the axial deflection angle of the trunk of the human body using a built-in angle sensor. Data obtained using the PESSD, a traditional scoliometer manual ruler, and X-ray measurement of the Cobb angle were compared. Results: The PESSD exhibited more sensitive detection of small-angle scoliosis and improved repeatability compared with the scoliometer. The data obtained using the PESSD showed good correlation with Cobb angle data measured from X-ray images. All patients who were indicated to be positive for scoliosis using the PESSD were found to have clinically identifiable scoliosis from X-ray examination. Conclusions: The PESSD may be able to achieve early detection of scoliosis in adolescents. It is non-invasive, highly precise, portable, easy to use, and offers automated data storage and traceability. This study is a pilot or preliminary validation study. With further, more in depth studies, the PESSD has excellent potential for transformation into an effective tool for use in large-scale screening programs for adolescent scoliosis in schools and communities. The translational potential of this article: This article is about designing a new portable electronic scoliosis screening device based on ergonomics theory. Because there are currently no uniform screening methods and standards, the results in this article could facilitate the adoption of a uniform screening tool into large-scale screening programs for adolescent scoliosis in schools and communities, preliminary examination in hospitals, and self-testing at home after parent training.
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spelling doaj.art-6336cc5daf034e63b2151fe2058c32e12022-12-21T22:11:33ZengElsevierJournal of Orthopaedic Translation2214-031X2021-05-01288389Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosisChunxu Li0Bojun Zhang1Liang Liu2You Li3Yong Xu4Li Wang5Cai Yun6Yu Zhao7Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, ChinaDepartment of Mechanical Engineering, Xi’an Jiaotong University, Xi’an, Shanxi, 710049, ChinaNational Key Laboratory of Human Factors Engineering, China Astronaut Research and Training Center, Beijing, 100094, ChinaNational Key Laboratory of Human Factors Engineering, China Astronaut Research and Training Center, Beijing, 100094, ChinaShijingshan Teaching Hospital of Capital Medical University, Beijing Shijingshan Hospital, Beijing, 100043, ChinaNational Key Laboratory of Human Factors Engineering, China Astronaut Research and Training Center, Beijing, 100094, ChinaShijingshan Teaching Hospital of Capital Medical University, Beijing Shijingshan Hospital, Beijing, 100043, China; Corresponding author. Shijingshan teaching hospital of Capital Medical University, Beijing Shijingshan Hospital, Shijingshan District Shijingshan Road No.24, Beijing, 100043, China.Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China; Corresponding author. Department of Orthopaedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Dong Cheng District Shuai Fu Yuan No.1, Beijing, 100730, China.Background/objective: The reported incidence of scoliosis among adolescents in China differs according to screening method owing to the lack of uniformity and limitations of certain techniques. We aimed to design, develop, and validate a non-invasive, accurate, portable, fast, and automated tool that would enable the measurement and storage of data during scoliosis screening. Methods: We designed a new portable electronic scoliosis screening device (PESSD)—for the identification of adolescent scoliosis based on ergonomics theory. The device measured the axial deflection angle of the trunk of the human body using a built-in angle sensor. Data obtained using the PESSD, a traditional scoliometer manual ruler, and X-ray measurement of the Cobb angle were compared. Results: The PESSD exhibited more sensitive detection of small-angle scoliosis and improved repeatability compared with the scoliometer. The data obtained using the PESSD showed good correlation with Cobb angle data measured from X-ray images. All patients who were indicated to be positive for scoliosis using the PESSD were found to have clinically identifiable scoliosis from X-ray examination. Conclusions: The PESSD may be able to achieve early detection of scoliosis in adolescents. It is non-invasive, highly precise, portable, easy to use, and offers automated data storage and traceability. This study is a pilot or preliminary validation study. With further, more in depth studies, the PESSD has excellent potential for transformation into an effective tool for use in large-scale screening programs for adolescent scoliosis in schools and communities. The translational potential of this article: This article is about designing a new portable electronic scoliosis screening device based on ergonomics theory. Because there are currently no uniform screening methods and standards, the results in this article could facilitate the adoption of a uniform screening tool into large-scale screening programs for adolescent scoliosis in schools and communities, preliminary examination in hospitals, and self-testing at home after parent training.http://www.sciencedirect.com/science/article/pii/S2214031X21000036Adolescent scoliosisErgonomicsElectronic screening toolDigitisation
spellingShingle Chunxu Li
Bojun Zhang
Liang Liu
You Li
Yong Xu
Li Wang
Cai Yun
Yu Zhao
Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis
Journal of Orthopaedic Translation
Adolescent scoliosis
Ergonomics
Electronic screening tool
Digitisation
title Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis
title_full Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis
title_fullStr Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis
title_full_unstemmed Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis
title_short Design, reliability, and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis
title_sort design reliability and validity of a portable electronic device based on ergonomics for early screening of adolescent scoliosis
topic Adolescent scoliosis
Ergonomics
Electronic screening tool
Digitisation
url http://www.sciencedirect.com/science/article/pii/S2214031X21000036
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