[Home ] [Archive]    
:: Current Issue :: Search :: Submit an Article ::
:: Volume 15, Issue 2 (2023) ::
Iran J War Public Health 2023, 15(2): 181-190 Back to browse issues page
A Systematic Review of the Characteristics of Ultrasound Measurements in the Evaluation of Spinal Curvature in Scoliosis Patients
M. Saberi *1, R. Rajabi1, H. Minoonejad1, M. Karimizadeh Ardakani1
1- Department of Health and Sport Medicine, Faculty of Sport Sciences and Health, University of Tehran, Tehran, Iran
Abstract:   (331 Views)
Aims: Scoliosis is one of the secondary complications in amputation veterans, which requires periodic evaluations. The gold standard for evaluating the spine is radiography, which has caused many concerns due to the high doses of X-ray radiation. For this reason, therapists are finding for an alternative method for this tool. Ultrasound is a non-invasive tool with different methods for this purpose. The current research aimed to determine the best method for measuring the curvature of the spine of scoliosis patients by ultrasound.
Information & Methods: A systematic search was performed from 2000 to 2022 in Scopus, PubMed, Web of Science, and Embase databases to find articles that examined the reliability and validity of ultrasound to assess the curvature of the spine in people with scoliosis. COSMIN checklist scale was used to survey the quality of researches.
Findings: 18 articles were reviewed. In most studies, correct methodological quality was not reported to evaluate internal consistency, measurement error, construct validity, hypothesis testing, cross-cultural validity, responsiveness, and interpretability. Finally, four methods of measuring spinous process angle, spinous process-transverse process angle, transverse process-upper articular process angle, and lamina center method were found for ultrasound.
Conclusion: Ultrasound by measuring the center of the lamina is a simple and very reliable method to evaluate the curvatures of the spine of people with scoliosis and can be a suitable alternative to the gold standard of radiography.
Keywords: Reliability and Validity [MeSH], Spinal Curvature [MeSH], Ultrasound Imaging [MeSH], Scoliosis [MeSH], Amputee [MeSH], Veterans [MeSH]
Full-Text [PDF 779 kb]   (178 Downloads) |   |   Full-Text (HTML)  (41 Views)  
Article Type: Systematic Review/Meta Analysis | Subject: Diagnosis and Treatment of Veterans or Handicapped Diseases
Received: 2023/01/29 | Accepted: 2023/04/7 | Published: 2023/04/30
* Corresponding Author Address: Department of Health and Sport Medicine, University of Tehran, Kargare Shomali Street, Tehran, Iran. Postal Code: 88351730-37 (mehdi.saberi@ut.ac.ir)
1. Kim H, Kim HS, Moon ES, Yoon CS, Chung TS, Song HT, et al. Scoliosis imaging: What radiologists should know. Radiographics. 2010;30(7):1823-42. [Link] [DOI:10.1148/rg.307105061]
2. Ronckers CM, Land CE, Miller JS, Stovall M, Lonstein JE, Doody MM. Cancer mortality among women frequently exposed to radiographic examinations for spinal disorders. Radiat Res. 2010;174(1):83-90. [Link] [DOI:10.1667/RR2022.1]
3. Cheung CWJ, Zhou GQ, Law SY, Lai KL, Jiang WW, Zheng YP. Freehand three-dimensional ultrasound system for assessment of scoliosis. J Orthop Transl. 2015;3(3):123-33. [Link] [DOI:10.1016/j.jot.2015.06.001]
4. Li M, Ng B, Cheng J, Ying M, Zheng YP, Lam TP, et al. Could clinical ultrasound improve the fitting of spinal orthosis for the patients with AIS?. Eur Spine J. 2012;21(10):1926-35 [Link] [DOI:10.1007/s00586-012-2273-4]
5. Zheng R, Young M, Hill D, Le LH, Hedden D, Moreau M, et al. Improvement on the accuracy and reliability of ultrasound coronal curvature measurement on adolescent idiopathic scoliosis with the aid of previous radiographs Spine. Spine (Phila Pa 1976). 2016;41(5):404-11. [Link] [DOI:10.1097/BRS.0000000000001244]
6. Brink RC, Wijdicks SPJ, Tromp IN, Schlosser TPC, Kruyt MC, Beek FJA, et al. A reliability and validity study for different coronal angles using ultrasound imaging in adolescent idiopathic scoliosis. Spine J 2018;18(6):979-85. [Link] [DOI:10.1016/j.spinee.2017.10.012]
7. Lv P, Chen J, Dong L, Wang L, Deng Y, Li K, et al. Evaluation of scoliosis with a commercially available ultrasound system. J Ultras Med. 2019;39(1):1-8. [Link] [DOI:10.1002/jum.15068]
8. Chen W, Lou EHM, Zhang PQ, Le LH, Hill D. Reliability of assessing the coronal curvature of children with scoliosis by using ultrasound images. J Child Orthop 2013;7(6):521-9. [Link] [DOI:10.1007/s11832-013-0539-y]
9. Zheng R, Hill D, Hedden D, Mahood J, Moreau M, Southon S, et al. Factors influencing spinal curvature measurements on ultrasound images for children with adolescent idiopathic scoliosis (AIS). PLoS ONE 2018;13(6):e0198792. [Link] [DOI:10.1371/journal.pone.0198792]
10. Colton D, Covert RW. Designing and constructing instruments for social research and evaluation. 1st Ed. San Francisco: Jossey-Bass;2007. [Link]
11. Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research. 4 th Ed. New York: Springer Publishing Company;2010. [Link]
12. Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34-42. [Link] [DOI:10.1016/j.jclinepi.2006.03.012]
13. Reneman MF, Dijkstra A, Geertzen JH, Dijkstra PU. Psychometric properties of chronic pain acceptance questionnaires: A systematic review. Eur J Pain. 2010;14(5):457-65. [Link] [DOI:10.1016/j.ejpain.2009.08.003]
14. Terwee CB, Schellingerhout JM, Verhagen AP, Koes BW, de Vet HC. Methodological quality of studies on the measurement properties of neck pain and disability questionnaires: A systematic review. J Manipulative Physiol Ther. 2011;34(4):261-72. [Link] [DOI:10.1016/j.jmpt.2011.04.003]
15. Lidwine B, Mokkink Caroline B, Terwee Donald L, Jordi Alonso P, Paul W, Stratford Dirk L, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: An international Delphi study. Qual Life Res. 2010;19(4):539-49. [Link] [DOI:10.1007/s11136-010-9606-8]
16. Mokkink LB, Prinsen CAC, Bouter LM, de Vet HCW, Terwee CB. The consensus-based standards for the selection of health measurement instruments (COSMIN) and how to select an outcome measurement instrument. Braz J Phys Ther. 2016;20(2):105-13.  [Link] [DOI:10.1590/bjpt-rbf.2014.0143]
17. Terwee CB, Mokkink LB, Knol DL, Ostelo RWJG, Bouter LB, de Vet HCW. Rating the methodological quality in systematic reviews of studies on measurement properties: A scoring system for the COSMIN checklist. Qual Life Res. 2012;21(4):651-7. [Link] [DOI:10.1007/s11136-011-9960-1]
18. Furlan AD, Pennick V, Bombardier C, van Tulder M. Updated method guidelines for systematic reviews in the Cochrane back review group. Spine (Phila Pa 1976). 2019;34(18);1929-41. [Link] [DOI:10.1097/BRS.0b013e3181b1c99f]
19. van Tulder M, Furlan A, Bombardier C, Bouter L, Board. Updated method guidelines for systematic reviews in the Cochrane collaboration back review group. Spine (Phila Pa 1976). 2003;28(12);1290-9. [Link] [DOI:10.1097/01.BRS.0000065484.95996.AF]
20. Young M, Hill DL, Zheng R, Lou E. Reliability and accuracy of ultrasound measurements with and without the aid of previous radiographs in adolescent idiopathic scoliosis (AIS). Eur Spine J. 2015;24(7):1427-33 [Link] [DOI:10.1007/s00586-015-3855-8]
21. Zheng R, Chan AC, Chen W, Hill DL, Le LH, Hedden D, et al. Intra- and inter-rater reliability of coronal curvature measurement for adolescent idiopathic scoliosis using ultrasonic imaging method- a pilot study. Spine Deform. 2015;3(2):151-8. [Link] [DOI:10.1016/j.jspd.2014.08.008]
22. Zheng YP, Lee TTY, Lai KKL, Yip BHK, Zhou GQ, Jiang WW, et al. A reliability and validity study for Scolioscan: A radiation-free scoliosis assessment system using 3D ultrasound imaging. Scoliosis Spinal Disord. 2016;11:13. [Link] [DOI:10.1186/s13013-016-0074-y]
23. Lee TTY, Jiang WW, Cheng CLK, Lai KA, To MKT, Castelein RM, et al. A novel method to measure the sagittal curvature in spinal deformities: The reliability and feasibility of 3-d ultrasound imaging. Ultrasound Med Biol. 2019;45(10):2725-35. [Link] [DOI:10.1016/j.ultrasmedbio.2019.05.031]
24. Chen W, Le LH, Lou EHM. Reliability of the axial vertebral rotation measurements of adolescent idiopathic scoliosis using the center of lamina method on ultrasound images: In vitro and in vivo study. Eur Spine. 2016;25(10):3265-73. [Link] [DOI:10.1007/s00586-016-4492-6]
25. Khodaei M, Hill D, Zheng R, Le LH, Lou EHM. Intraand inter-rater reliability of spinal flexibility measurements using ultrasonic (US) images for non-surgical candidates with adolescent Idiopathic scoliosis: A pilot study. Eur Spine J. 2018;27(9):2156-64. [Link] [DOI:10.1007/s00586-018-5546-8]
26. Trac S, Zheng R, Hill DL, Lou E. Intra- and interrater reliability of Cobb angle measurements on the plane of maximum curvature using ultrasound imaging method. Spine Deform. 2019;7(1):18-26. [Link] [DOI:10.1016/j.jspd.2018.06.015]
27. Li M, Cheng J, Ying M, Ng B, Lam TP, Wong MS. A preliminary study of estimation of Cobb's angle from the spinous process angle using a clinical ultrasound method. Spine Deform. 2015;3(5):476-82. [Link] [DOI:10.1016/j.jspd.2015.03.001]
28. Wang Q, Li M, Lou EHM, Wong MS. Reliability and validity study of clinical ultrasound imaging on lateral curvature of adolescent idiopathic scoliosis. PLoS ONE. 2015;10(8):e0135264. [Link] [DOI:10.1371/journal.pone.0135264]
29. James CW, Law SY, Zheng YP. Development of 3D ultrasound system for assessment of adolescent idiopathic scoliosis (AIS): And System Validation. 35th Annual International Conference of the IEEE EMBS Osaka; 2013 Jul 3-7;Osaka, Japan. [Link]
30. Cheung CWJ, Law SY, Zheng YP. Development of 3-D ultrasound system for assessment of adolescent idiopathic scoliosis (AIS): and system validation. Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:6474-7. [Link] [DOI:10.1109/EMBC.2013.6611037]
31. Ebadi A, Taghizadeh Z, Montazeri A, Shahvari Z, Tavousi M, Bagherzadeh R. Translation, development and psychometric properties of health related measures-Part 2: Construct validity, reliability and responsiveness. Payesh. 2017;16(4):445-55. [Persian] [Link]
32. Gee A, Prager R, Treece G, Berman L. Engineering a freehand 3D ultrasound system. Pattern Recogn Lett. 2003;24(4-5):757e77. [Link] [DOI:10.1016/S0167-8655(02)00180-0]
33. Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient reported outcomes. J Clin Epidemiol. 2010;63(7):737-45. [Link] [DOI:10.1016/j.jclinepi.2010.02.006]
34. Wu HD, Liu W, Wong MS. Reliability and validity of lateral curvature assessments using clinical ultrasound for the patients with scoliosis: A systematic review. Eur Spine J. 2019;29(4):717-25. [Link] [DOI:10.1007/s00586-019-06280-y]
35. Cheung CWJ, Zhou GQ, Law SY, Mak TM, Lai KL, Zheng YP. Ultrasound volume projection imaging for assessment of scoliosis. IEEE T Med Imaging .2015;34(8):1760-8. [Link] [DOI:10.1109/TMI.2015.2390233]
36. Stokes IA, Bigalow LC, Moreland MS. Three-dimensional spinal curvature in idiopathic scoliosis. J Orthop Res. 1987;5(1):102-13. [Link] [DOI:10.1002/jor.1100050113]
37. Herzenberg JE, Waanders NA, Closkey RF, Schultz AB, Hensinger RN. Cobb angle versus spinous process angle in adolescent idiopathic scoliosis. The relationship of the anterior and posterior deformities. Spine (Phila Pa 1976). 1990;15(9):874-9. [Link] [DOI:10.1097/00007632-199009000-00007]
38. Middleditch A, Oliver J. Functional anatomy of the spine. 2nd ed. Oxford: Butterworth-Heinemann;2002. [Link]
Add your comments about this article
Your username or Email:


XML     Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Saberi M, Rajabi R, Minoonejad H, Karimizadeh Ardakani M. A Systematic Review of the Characteristics of Ultrasound Measurements in the Evaluation of Spinal Curvature in Scoliosis Patients. Iran J War Public Health 2023; 15 (2) :181-190
URL: http://ijwph.ir/article-1-1293-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 15, Issue 2 (2023) Back to browse issues page
مجله طب جانباز Iranian Journal of War and Public Health
Persian site map - English site map - Created in 0.05 seconds with 31 queries by YEKTAWEB 4570