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Torsion bottle, a very simple, reliable, and cheap tool for a basic scoliosis screening

机译：扭力瓶，一种非常简单，可靠且便宜的工具，可用于基本脊柱侧弯检查

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Background One of the reasons that make scoliosis a disease that scares so much the parents is its specific characteristic of being difficult to detect on its onset. The aim of this paper is to check the possible usefulness of a simple tool (the torsion bottle) that has been developed with the aim to offer an instrument for home use by parents but also for screening purposes in the low-income countries. Methods Study design: retrospective analysis to evaluate intra-operator reliability of the tools and inter-operator repeatability using the torsion bottle. For the first and the second part of the study, 35 subjects were measured. The goal of the first experiment was to evaluate the reliability of the torsion bottle to identify all individuals who experienced a thoracic or lumbar prominence equal or greater than 7°. The secondary aim was to verify the reliability of blinded inter-operator assessments, performed with the torsion bottle by two physiotherapists on the same patients. Results The reliability of the assessments of the torsion bottle has been performed with the Kappa statistic to evaluate the measurement agreement. The results have shown that the intra-operator reliability of the tool is very high between the measurements collected with the scoliometer? and those collected with the torsion bottle (kappa?=?0.9278; standard error?=?0.7094). The data of the second part of the study show that the inter-operator reliability is good (kappa?=?0.7988; standard error 0.1368). Conclusion The collected data showed that the torsion bottle revealed itself as an efficient tool to execute a basic screening to identify the presence of a prominence in a significant group of adolescents.
机译：背景技术使脊柱侧弯成为一种令父母如此恐惧的疾病的原因之一是其发病时难以发现的特殊特征。本文的目的是检验一种简单的工具（扭力瓶）的可能用途，该工具旨在为父母提供家庭使用的工具，也可用于低收入国家的筛查目的。方法研究设计：回顾性分析，以评估使用扭力瓶的工具在操作者内部的可靠性和操作者之间的可重复性。对于研究的第一部分和第二部分，测量了35名受试者。第一个实验的目的是评估扭力瓶的可靠性，以识别出胸廓或腰椎突出度等于或大于7°的所有个体。第二个目的是验证由两名物理治疗师对同一患者进行的扭力瓶盲操作者间评估的可靠性。结果扭转瓶评估的可靠性已通过Kappa统计量进行了评估，以评估测量结果。结果表明，在使用弯度计进行的两次测量之间，该工具的操作者内部可靠性非常高。以及那些用扭力瓶收集的（kappa？=？0.9278;标准误差？=？0.7094）。研究第二部分的数据表明，操作员之间的可靠性良好（kappa = 0.7988;标准误为0.1368）。结论收集到的数据表明，扭力瓶是一种有效的工具，可以用来进行基本筛查，以识别显着的青少年人群中是否有突出。

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