Effects of Instituting a Brief Educational Video and a Short Quiz in the Context of a School Screening Program for Scoliosis

Authors

  • Yankiattipong R Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Wongphaet P Samrong-ruam-jai Foundation, Samut Prakarn, Thailand
  • Sirirattanapan P Samrong-ruam-jai Foundation, Samut Prakarn, Thailand
  • Pongduang C Samrong-ruam-jai Foundation, Samut Prakarn, Thailand
  • Sonthisathaporn R Samrong-ruam-jai Foundation, Samut Prakarn, Thailand
  • Sarakhun S Samrong-ruam-jai Foundation, Samut Prakarn, Thailand
  • Pinatha Y Samrong-ruam-jai Foundation, Samut Prakarn, Thailand
  • Wongphaet A Samrong-ruam-jai Foundation, Samut Prakarn, Thailand

Keywords:

scoliosis, adolescent, health education, prevalence

Abstract

Objectives: To evaluate the effects of administering an educational program about scoliosis and spinal health during a scoliosis school screening. To study prevalence of scoliosis in Thai pupils aged 11-18 years.

Study design: Cross-sectional study.

Setting: Rajavinit Mathayom School, Bangkok, Thailand.

Subjects: Thai pupils aged 11-18 years.

Methods: The data from a scoliosis school screening conducted at a secondary school in Bangkok were retrospectively analyzed. All pupils were asked to complete a 10-True/False quiz about spinal health and watch an educational video about scoliosis. Thereafter they were examined with Adam’s forward bending test. A scoliometer was used to measure trunk asymmetry.  The pupils with angles of trunk rotation (ATR) greater than or equal to 10º were classified as having scoliosis.  Those with ATR between 7º to 9º were classified as at risk and follow up examinations were scheduled for this group.  Pupils with ATR less than 7º were classified as normal and required no further re-examination. Then after the back examination, the same quiz was administered a second time in order to assess whether pupils’ knowledge has improved.

Results: An average of 69.6% and 84.4% of the questions were answered correctly at the pre and the post tests. The 14.8% increase in the pupils’ correct answers after watching the video attains a statistical significance at p < 0.001. The three questions that most participants answered incorrectly were about basic pathophysiology, health impact and proper treatments of scoliosis. The prevalence of adolescent idiopathic scoliosis of 2,042 Thai pupils aged 11-18 years was 0.59%. The female to male ratio was 1.1:1.  

Conclusion: A brief educational video combined with a short pre- and post-quiz can significantly improve pupils’ essential knowledge about idiopathic scoliosis. When screening with the Adam’s forward bend test and measuring an angle of trunk rotation with a scoliometer, the prevalence of adolescent idiopathic scoliosis in Thai pupils aged 11-18 years was 0.59%.

Keywords: scoliosis, adolescent, health education, prevalence

References

Negrini S, Donzelli S, Aulisa AG, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3. doi:10.1186/s13013-017-0145-8

Konieczny MR, Senyurt H, Krauspe R. Epidemiology of adolescent idiopathic scoliosis. J Child Orthop. 2013;7:3-9.

Danielsson AJ. Natural history of adolescent idiopathic scoliosis: a tool for guidance in decision of surgery of curves above 50°. J Child Orthop. 2013;7:37-41.

Théroux J, Stomski N, Hodgetts CJ, Ballard A, Khadra C, Le May S, et al. Prevalence of low back pain in adolescents with idiopathic scoliosis: a systematic review. Chiropr Man Therap. 2017;25:10. doi:10.1186/s12998-017-0143-1

Dufvenberg M, Adeyemi F, Rajendran I, Öberg B, Abbott A. Does postural stability differ between adolescents with idiopathic scoliosis and typically developed? A systematic literature review and meta-analysis. Scoliosis Spinal Disord. 2018;13:19. doi: 10.1186/s13013-018-0163-1

Daryabor A, Arazpour M, Sharifi G, Bani MA, Aboutorabi A, Golchin N. Gait and energy consumption in adolescent idiopathic scoliosis: A literature review. Ann Phys Rehabil Med. 2017;60:107-16.

Cunin V. Early-onset scoliosis: current treatment. Orthop Traumatol Surg Res. 2015;101:S109-18.

Freidel K, Petermann F, Reichel D, Steiner A, Warschburger P, Weiss HR. Quality of life in women with idiopathic scoliosis. Spine (Phila Pa 1976). 2002;27:E87-91.

Park JH, Jeon HS, Park HW. Effects of the Schroth exercise on idiopathic scoliosis: a meta-analysis. Eur J Phys Rehabil Med. 2018;54:440-9.

Labelle H, Richards SB, De Kleuver M, TB Grivas, Luk DK, Wong HK, et al. Screening for adolescent idiopathic scoliosis: an information statement by the scoliosis research society international task force. Scoliosis. 2013;8:17. doi:10.1186/1748-7161-8-17

de Bodman C, Ansorge A, Tabard A, Amirghasemi N, Dayer R. Clinical and radiological outcomes of minimally-invasive surgery for adolescent idiopathic scoliosis at a minimum two years’ follow-up. Bone Joint J. 2020;102-B:506-12.

Dunn J, Henrikson NB, Morrison CC, Blasi PR, Nguyen M, Lin JS. Screening for adolescent idiopathic scoliosis: evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2018;319:173-87.

Côté P, Kreitz BG, Cassidy JD, Dzus AK, Martel J. A study of the diagnostic accuracy and reliability of the Scoliometer and Adam’s forward bend test. Spine (Phila Pa 1976). 1998;23:796-803.

Kunakornsawat S, Popan N, Piyaskulkaew C, Pruttikul P, Pluemvitayaporn T, Kittithamvongs P. Prevalence of idiopathic scoliosis in thai female students aged 11-13 Years. J Med Assoc Thai. 2017;100:533.

Sakullertphasuk W, Suwanasri C, Saetang L, Siri N, Junsiri P, Yotsungnoen S, et al. Prevalence of scoliosis among high school students. J Med Assoc Thai. 2015;98:18-22.

Duangkaew R, Limcharoensuk W, In-ud P, Boonruang P. Prevalence and physical factors of adolescent idiopathic scoliosis in schoolchildren aged 10-15 years in Taklong municipality Pathumtani province. Thai J Phys Ther. 2016;38:114-27.

Chatchatree J, Harnphadungkij K, Tosayanonda O. Prevalence of idiopathic scoliosis in Thai students age 10-16 years. J Thai Rehabil. 1996;6:43-6.

Lee WH, Kang H, Kim SY. Discrepancy between self-awareness and actual diagnosis and treatment of the conditions among adolescent with scoliosis in middle-school age. J Phys Ther Sci. 2017;29:567-71.

Heinrich K, Sanchez K, Hui C, Talabi K, Perry M, Qin H, et al. Impact of an electronic medium delivery of warfarin education in a low income, minority outpatient population: a pilot intervention study. BMC Public Health. 2019;19:1050. doi:10.1186/s12889-019-7370-4

Brabcova D, Lovasova V, Kohout J, Zarubova J, Komarek V. Improving the knowledge of epilepsy and reducing epilepsy-related stigma among children using educational video and educational drama--a comparison of the effectiveness of both interventions. Seizure. 2013;22:179-84.

Mayer RE, Moreno R. Nine ways to reduce cognitive load in multimedia learning. Educ Psychol. 2003;38:43-52.

Doménech J, Tormos JM, Barrios C, Pascual-Leone A. Motor cortical hyperexcitability in idiopathic scoliosis: could focal dystonia be a subclinical etiological factor?. Eur Spine J. 2010;19:223-30.

Faloon M, Sahai N, Pierce TP, Dunn CJ, Sinha K, Hwang KS, et al. Incidence of neuraxial abnormalities is approximately 8% among patients with adolescent idiopathic scoliosis: a meta-analysis. Clin Orthop Relat Res. 2018;476:1506-13.

Hägglund G, Pettersson K, Czuba T, Persson-Bunke M, Rodby-Bousquet E. Incidence of scoliosis in cerebral palsy. Acta Orthop. 2018;89:443-7.

Laskowska M, Olczak-Kowalczyk D, Zadurska M, Czubak J, Czubak-Wrzosek M, Walerzak M, et al. Evaluation of a relationship between malocclusion and idiopathic scoliosis in children and adolescents. J Child Orthop. 2019;13:600-6.

Zhong W, Ye J, Feng J, Geng L, Lu G, Liu J, et al. Effects of pectus excavatum on the spine of pectus excavatum patients with scoliosis. J Healthc Eng. 2017; Article ID 5048625:doi:10.1155/2017/5048625

Downloads

Published

2020-10-28