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Reliability and validity of lateral curvature assessments using clinical ultrasound for the patients with scoliosis: a systematic review.
European Spine Journal ( IF 2.8 ) Pub Date : 2020-01-10 , DOI: 10.1007/s00586-019-06280-y
Hui-Dong Wu 1, 2, 3 , Wei Liu 4 , Man-Sang Wong 1
Affiliation  

PURPOSE Clinical ultrasound is radiation-free, low cost and user friendly, which makes it probable in assessment of scoliosis. Numerous studies have been conducted about the feasibility of using clinical ultrasound to assess scoliosis; thus, an inclusive review of the literature would be beneficial for researchers, clinicians and patients. This study aimed to systematically review the reliability and validity of coronal curvature assessments obtained from different clinical ultrasound imaging methods. METHODS A comprehensive search of 6 databases and Google Scholar search engine was performed for retrieving articles assessing reliability and/or validity of spinal curvature measurements obtained from clinical ultrasound. Two reviewers assessed the methodological quality of selected articles independently using criteria appraisal instrument. The results were analysed and synthesized qualitatively using level of evidence method. RESULTS Fourteen articles were included. Thirteen articles investigated both the reliability and validity, of which nine were of high quality; and one article evaluated only the reliability and was of high quality. Totally five ultrasound methods were evaluated. Very high reliability (intra-class correlation coefficient = 0.80-1.00) but limited levels of evidence were found for the majority of the studied ultrasound methods. Almost all the methods showed good to excellent validity (correlation coefficient = 0.76-1.00) but limited to moderate levels of evidence. CONCLUSION A high level of evidence was found in support of the reliability and validity of the COL (centre of lamina) ultrasound method. Further reliability and validity studies should be conducted to strengthen the level of evidence for those ultrasound methods with moderate, limited or conflicting level of evidence. These slides can be retrieved under Electronic Supplementary Material.

中文翻译:

脊柱侧弯患者使用临床超声评估侧弯的信度和效度:系统评价。

目的临床超声是无辐射的,低成本的并且用户友好的,这使得它有可能用于评估脊柱侧弯。关于使用临床超声评估脊柱侧弯的可行性的研究已经很多。因此,对文献进行全面的审查将对研究人员,临床医生和患者有益。这项研究旨在系统地审查从不同的临床超声成像方法获得的冠状弯曲评估的可靠性和有效性。方法对6个数据库和Google Scholar搜索引擎进行了全面搜索,以检索评估从临床超声获得的脊柱弯曲度测量值的可靠性和/或有效性的文章。两位审稿人使用标准评估工具独立评估了所选文章的方法学质量。使用证据水平方法对结果进行分析和定性综合。结果共纳入十四篇文章。有13篇文章同时研究了信度和效度,其中9篇是高质量的。一篇文章只评估了可靠性,并且是高质量的。总共评估了五种超声方法。很高的可靠性(类内相关系数= 0.80-1.00),但是对于大多数研究的超声方法,发现的证据水平有限。几乎所有方法均显示出良好至优异的有效性(相关系数= 0.76-1.00),但仅限于中等程度的证据。结论发现大量证据支持COL(椎板中心)超声方法的可靠性和有效性。应该进行进一步的信度和效度研究,以增强证据水平中等,有限或矛盾的那些超声方法的证据水平。这些幻灯片可以在电子补充材料下找到。
更新日期:2020-01-11
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