研究

ScolioTrack 背後的科學依據

ScolioTrack 測量軀幹旋轉角度（ATR）——這與臨床醫師使用手持式脊柱側彎測量儀（scoliometer）篩查和監測脊柱側彎的方法相同。以下是支持這一方法的同行評審證據的通俗摘要，隨後附上完整的參考文獻列表。

ScolioTrack 是什麼： 一款基於經臨床驗證的 scoliometer / ATR 方法的篩查與居家監測輔助工具。它有助於您與醫療專業人員溝通，並在兩次就診之間進行追蹤。它不能診斷脊柱側彎，不能從 X 光片測量 Cobb 角，也不能替代專業醫療評估或在臨床需要時進行的 X 光檢查。

1. 智慧型手機 scoliometer 應用程式能準確測量軀幹旋轉

手機內建感測器測量軀幹旋轉角度的可靠性，可與診所使用的實體 scoliometer 相當。
Balg F, et al. J Pediatr Orthop. 2014;34(8):774–9. Level I validation.

一款智慧型手機 scoliometer 應用程式與實體 scoliometer 的測量結果誤差在 0.4° 以內（ICC 0.947）；即使不使用轉接器也可用於臨床評估。 DOI

Driscoll M, et al. Scoliosis. 2014;9:10.

患者家長也能取得可靠的 ATR 讀數（ICC 0.91），接近脊椎外科醫師使用 scoliometer 的水準——支持居家監測。 DOI

Navarro IJRL, et al. (ISICO, Milan). Sensors (Basel). 2026;26(7):2099.

在 Adams 前彎測試中，基於應用程式的 ATR 測量與 scoliometer 高度相關，偏差極小。 DOI

2. scoliometer / ATR 方法是成熟的篩查工具

數十年的研究驗證了 scoliometer 用於脊柱側彎篩查以及長期追蹤軀幹旋轉的價值。
Amendt LE, et al. Phys Ther. 1990;70(2):108–17.

確立了 scoliometer 作為篩查工具的高再現性（r = 0.86–0.97）——同時指出，單憑讀數不足以作出診斷。 DOI

Coelho DM, et al. Braz J Phys Ther. 2013;17(2):179–84.

與 X 光 Cobb 角有良好相關性（r = 0.7），在 5° 閾值下靈敏度達 87%；並指出患者在追蹤期間可能接受約 25 次 X 光檢查。 DOI

3. 家長和患者可以在家監測

經驗證的居家篩查讓家庭能在兩次就診之間追蹤變化，更早發現進展。
Yılmaz HG, et al. Asian Spine J. 2023;17(4):656–65.

一項由家長執行的遠端篩查測試涵蓋 865 名兒童，準確率 94.97%、靈敏度 83.51%、特異度 98.87%。 DOI

Bottino L, et al. Int J Environ Res Public Health. 2023;20(8):5520.

一篇評估 ScolioTrack 的同行評審應用程式綜述認為，應用程式類工具可減少到診次數，並支持遠端進展追蹤。 DOI

4. 為什麼減少不必要的 X 光很重要

兒童對游離輻射更為敏感；盡量減少可避免的 X 光檢查是公認的臨床目標。
Ilharreborde B, et al. Eur Spine J. 2015;25(2):526–31.

文章指出，常規 X 光與兒童終生癌症風險增加 1–2% 相關，支持 ALARA 原則以及在必要檢查之間採用無輻射監測。 DOI

5. 誠實說明侷限性

我們列出這一點，是因為臨床醫師更信任承認自身邊界的證據。

Nadler EB, et al. (SickKids, Toronto). Bone Jt Open. 2026;7(4):473–81.

一款智慧型手機表面形貌應用程式在估計彎曲度方面與 X 光僅為中等至較低的一致性，尚不能替代 X 光和面對面評估——但作為篩查輔助工具顯示出明確潛力。居家應用程式是臨床照護的補充，而非替代。 DOI

Li H, et al. J Med Internet Res. 2024;26:e50631.

一款 AI 應用程式自動測量 Cobb 角，與 PACS 參考值誤差約 2°——值得關注的相鄰技術。 DOI

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