{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:37:30Z","timestamp":1787027850004,"version":"build-2736575974"},"reference-count":23,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T00:00:00Z","timestamp":1649980800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>(1) In countries where scoliosis screening programs ended, the responsibility for detection shifted from healthcare professionals to parents. Since recognizing scoliosis is difficult for parents, more patients are presenting late. Increased awareness of scoliosis may favor earlier detection. This study examines the effect of educating parents to recognize scoliosis. (2) In this cross-sectional study a consecutive group of parents completed a digital assessment. They had to complete two identical series of fourteen cases (eight with scoliosis and six without). Each case displayed two photographs of the child\u2019s back; one in standing position and one during forward-bending. Based on visual inspection, parents had to indicate if the child had to be referred to a physician. After assessing the first series, information was given on how to detect scoliosis. Subsequently, parents assessed the second series of cases. Sensitivity and specificity were calculated before and after education. (3) A total of 100 parents completed the assessment. The sensitivity to detect scoliosis was slightly but significantly higher after education (68.8% versus 74.0%; p = 0.002), while specificity was not (74.0% versus 74.8%; p = 0.457). (4) This study showed that educating parents improved their ability to recognize scoliosis without increasing the false positive referral rate. Although written instructions can bridge the gap with professional screening programs, the overall sensitivity in this study remained low. Therefore, education can improve the awareness and ability to detect scoliosis, but will not replace screening by professionals.<\/jats:p>","DOI":"10.3390\/children9040563","type":"journal-article","created":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T07:42:41Z","timestamp":1650094961000},"page":"563","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Educating Parents Improves Their Ability to Recognize Adolescent Idiopathic Scoliosis: A Diagnostic Accuracy Study"],"prefix":"10.3390","volume":"9","author":[{"given":"Charlotte","family":"de Groot","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, OLVG, P.O. Box 95500, 1090 HM Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6840-4851","authenticated-orcid":false,"given":"Johan L.","family":"Heemskerk","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, OLVG, P.O. Box 95500, 1090 HM Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nienke W.","family":"Willigenburg","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, OLVG, P.O. Box 95500, 1090 HM Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark C.","family":"Altena","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, OLVG, P.O. Box 95500, 1090 HM Amsterdam, The Netherlands"},{"name":"Department of Orthopedic Surgery, Amsterdam University Medical Center, 1105 AZ Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diederik H. R.","family":"Kempen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, OLVG, P.O. Box 95500, 1090 HM Amsterdam, The Netherlands"},{"name":"Department of Orthopedic Surgery, Amsterdam University Medical Center, 1105 AZ Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1097\/01202412-200509000-00002","article-title":"Growth and progression of adolescent idiopathic scoliosis in girls","volume":"14","author":"Ylikoski","year":"2005","journal-title":"J. Pediatr. Orthop. 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Orthop."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.2106\/JBJS.I.01142","article-title":"Brace Wear Control of Curve Progression in Adolescent Idiopathic Scoliosis","volume":"92","author":"Katz","year":"2010","journal-title":"J. Bone Jt. Surg."},{"key":"ref_6","unstructured":"UK National Screening Committee (2016). UK NSC Recommendation on Adolescent Idiopathic Scoliosis (AIS), National Screening Committee."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1016\/j.puhe.2015.07.021","article-title":"To screen or not to screen for adolescent idiopathic scoliosis? 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Where are we today?","volume":"2","author":"Grivas","year":"2007","journal-title":"Scoliosis"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1097\/BRS.0b013e318059b5f7","article-title":"Patient characteristics at the initial visit to a scoliosis clinic: A cross-sectional study in a community without school screening","volume":"32","author":"Goulet","year":"2007","journal-title":"Spine"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/1748-7161-7-18","article-title":"Scoliosis detection, patient characteristics, referral patterns and treatment in the absence of a screening program in Norway","volume":"7","author":"Adobor","year":"2012","journal-title":"Scoliosis"},{"key":"ref_12","first-page":"184","article-title":"Detection of adolescent idiopathic scoliosis","volume":"72","author":"Fazal","year":"2006","journal-title":"Acta Orthop. 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