摘要或動機

台灣大多數學校並無全面性脊椎側彎篩檢與追蹤的健康服務，因此學生脊椎側彎的問題都不易被發現。本研究的目的希望藉由長期的追蹤與鼓勵學生進行治療，以降低脊椎側彎的盛行率與側彎角度。台灣地區學齡兒童脊椎側彎的盛行率大約是3-3.5％，而本校脊椎側彎的盛行率大約在1％左右，而且女生明顯多於男生。根據篩檢發現本校脊椎側彎較易發生在BMI（Body Mass Index）值較低的學童身上，也就是說，瘦型體格罹患脊椎側彎的機會較高。脊椎側彎可以藉由簡單的目測及儀器測量實施篩檢，並配合醫師復健運動，可達預防與治療之效果。本校實施兩年即約有60%的成效。因此建議將脊椎側彎納入學校健康檢查的項目之一（包含國小五、六年級與國中階段）。 ;The scoliosis of school children cannot be discovered easily because the overall scoliosis screening and tracing are not provided in most schools in Taiwan. The main purpose of this study is to reduce the prevalence rate and the angle of scoliosis by proceeding scoliosis screening continuously, and encouraging the patients to take physical treatment at the same time. Compared with the scoliosis prevalence rate in Taiwan(3-3.5%), the rate in our school is about 1%. Furthermore, the girls with scoliosis are outnumber the boys with the disease. This study shows children with low BMI value will have higher probability to acquire scoliosis. In other words, thin children may fall victims of the disease more often. The scoliosis can be examined with some easy methods, such as unaided-eyes measuring or scoliosis detecting. Besides screening, hospital treatment can attain the effects of prevention and cure. For the first two years, the practice of scoliosis screening in our school can improve the disease obviously (about 60%). In conclusion, the study strongly suggests the scoliosis screening can be included into an item of health examination from the fifth graders to the ninth.