Volume 10,Issue 9
Research Progress on Early Screening and Rehabilitation Intervention for Adolescent Idiopathic Scoliosis in Secondary Vocational Schools
Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that develops during the growth and development period. In addition to lateral curvature of the spine, patients may also present with vertebral rotation and altered sagittal alignment. Because early signs are inconspicuous, some students are not identified until accelerated growth and curve progression occur in adolescence; therefore, school screening and timely intervention are necessary. At present, school-based initial screening predominantly relies on postural observation, the Adams forward bend test, and measurement of the angle of trunk rotation (ATR); after abnormalities are detected, students are referred for professional assessment and, when necessary, imaging examination. Radiation-free techniques such as three-dimensional ultrasound and digital photogrammetry have also begun to be applied to screening and follow-up. Bracing and physiotherapeutic scoliosis-specific exercises (PSSE) are important means of conservative treatment. Secondary vocational school students are predominantly in late adolescence, and classroom learning and professional practical training involve distinctive postural and activity exposures. This article reviews research on AIS screening, related factors, and rehabilitation treatment and discusses the “screening-assessment-intervention-follow-up” management pathway in the context of secondary vocational schools, with the aim of providing a reference for school-based spinal health work.
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