THE PREVALENCE OF ADOLESCENT IDIOPATHIC SCOLIOSIS AGE 18-24 YEAR OLD STUDENTS IN PRINCE OF SONGKLA UNIVERSITY, HAT YAI CAMPUS

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N. Tangadulrat1, K. Wongwitwichote1, W. Chaiyamongkol2, C. Kongkamol3
1Prince of Songkla University, Physical Therapy, Hat Yai, Thailand, 2Prince of Songkla University, Department of Orthopedics, Hat Yai, Thailand, 3Prince of Songkla University, Department of Family and Preventive Medicine, Hat Yai, Thailand

Background: The most common spinal disorder in children and adolescents is scoliosis that is indicated by a curvature of the spine in frontal plane greater than 10 degrees. Scoliosis can lead to trunk deformations, musculoskeletal pain and reducing self-esteem.

Purpose: The main purpose of this study was to determine the prevalence of scoliosis in 18-24 year old students in Prince of Songkla University (PSU), Hat Yai Campus. Furthermore, another aim was to analyze factors correlated to scoliosis.

Methods: Three hundred and twenty - four participants were randomized from students Year 1-4 of each faculty in PSU, Hat Yai Campus. All participants were asked to answer questionnaires consisting of demographic data, general health, musculoskeletal pain, body symmetry, their behaviors of sitting, standing posture and how to handle bags. The Adam’s forward bending screening test and measuring the angle of spinal rotation by the scoliometer were used to evaluate all participants .The angle of spinal rotation greater than 5 degrees were defined as scoliosis.  

Results: Data were analyzed by frequency distribution, percentage, chi-square, and multivariate logistic regression at 95% confidence interval (CI). It was found that the prevalence of scoliosis in the students Year 1-4 aged 18-24 years in PSU, Hat Yai Campus was 13.58 % (forty-four people). Moreover, the results demonstrated the factors correlated with scoliosis significantly were habitually carrying bags with one hand (OR = 2.890, 95% CI = 1.190 - 7.041) and reporting of musculoskeletal pain (OR = 2.185, 95% CI = 1.061 - 4.500). Whereas, sitting positions on a chair with both feet flat on the floor (OR = 0.350, 95% CI = 0.143 - 0.859) associated with no scoliosis significantly.

Conclusion(s): In Conclusion, the prevalence of scoliosis in the students aged 18-24 years in PSU, Hat Yai Campus was 13.58 %. Carrying bags with one hand regularly and reporting of musculoskeletal pain were significantly correlated with scoliosis, while sitting on a chair with both feet flat on the floor was significantly correlated with no scoliosis.

Implications: Therefore, these data can be used to design an early intervention and prevention program for PSU students   in Hat Yai Campus and applying to younger students.
 

Funding, acknowledgements: Research Fund, Faculty of Medicine, Prince of Songkla University

Keywords: Scoliosis, Adam’s forward bending test, Scoliometer

Topic: Musculoskeletal: spine

Did this work require ethics approval? Yes
Institution: Faculty of Medicine, Prince of Songkla University
Committee: Faculty of Medicine, Prince of Songkla University
Ethics number: REC 61-346-30-2


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