ArticleFrontiers in public health2026
Application of the electronic scoliometer in school-based scoliosis screening among elementary school students and analysis of factors associated with suspected scoliosis.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Scoliosis imposes a growing health burden on school-age children in China, yet data specific to elementary school students aged 6-12 years remain scarce. This study aimed to compare the positive screening rate and screening efficiency of the electronic scoliometer (E-scoliometer) with those of the manual scoliometer (M-scoliometer), and to identify modifiable risk factors for suspected scoliosis in this younger age group. Methods: A school-based cross-sectional study was conducted among 11,587 students in grades 1-5 from 10 public elementary schools in Harbin, China (September 2024-May 2025), using multistage stratified cluster sampling. Classes were randomly allocated to the M-scoliometer group ( Results: The overall positive screening rate was 1.61%, increasing significantly from Grade 1 (0.26%) to Grade 5 (2.89%; Conclusion: The E-scoliometer yielded a positive screening rate comparable to that of the M-scoliometer with markedly superior efficiency, supporting its adoption in large-scale school-based programs. The factors identified were largely modifiable, suggesting that promoting daily physical activity, improving nutritional behaviors, and standardizing classroom furniture management and seating rotation merit consideration in school-based scoliosis prevention strategies for elementary school children.
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