TRUNK ABNORMALITIES IN ADOLESCENCE A school health care based epidemiological cohort study CIP-DATA KONINKLIJKE B!BLIOTHEEK, DEN HAAG Hazebroek-Kampschreur, A.A.J.M. Trunk abnormalities in adolescence: a school health care based epidemiological cohort study/ A.A.J.M. Hazebroek-Kampschreur. - [SJ.:s.n.J.-llL Thesis Rotterdam. - with ref. ISBN 90-9006278-5 NUGJ742 Subject headings: scoliosis; adolescents Correspondence: Koerillen 2 2904 VL Capelle aan den lJssel The Netherlands Cover: Geert P. Hazebroek. No part of this thesis may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without the permission of the author. TRUNK ABNORMALITIES IN ADOLESCENCE A school health care based epidemiological cohort study Afwijkingen van de wervelkolom bij adolescenten Een epidemiologisch cohort onderzoek vanuit de jeugdgezondheidszorg Proefschrift ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magnificus Prof. Dr P.W.C. Akkermans M.Lit. en volgens besluit van het College van Dekanen. De openbare verdediging zal plaatsvinden op woensdag 22 september 1993 om 13.45 uur. door Alice Augusta Johanna Maria Hazehroek-Kampschreur geboren te 's Gravenhage PROMOTIE COMMISSIE Promotores: Prof. Dr B. van Linge Prof. Dr A Hofman Overige !eden: Prof. Dr E. van der Does Prof. Dr T.W.J. Schulpen He is a better physician that keeps diseases off us, than he that cures them being on us. Thomas Adams, 1621-1653 Ask questions, for they are the keys that unlock the storehouse of knowledge. Blaise Pascal, 1623-1662 Voor Frans Eric Martijn Rutger Geert Voor allen die ik liefheb Acknowledgements This thesis presents the joint work of several departments. The author gratefully acknowledge the collaboration with the department of Orthopedic Surgery, University Hospital Rotterdam Dijkzigt and Sophia Children's Hospital (B. van Linge, A. Diepstraten, A. Lengkeek, P. Tangkau), the department of Orthopedic Surgery, Hospital Eudokia Rotterdam (B. Verbiest), the department of Epidemiology & Biostatistics, Erasmus University Medical School (A. Hofman), the department of Informatics (C.J. Wulffraat, B. van de Meeberg, M. Terlouw, A. Wessels), the department of Epidemiology (H.F.L. Garretsen, J.A.M. van Oers, A.Ph. van Dijk), the department of Youth Health Care, Municipal Health Service Rotterdam (N.W. Dekema-Kiaasse, J. Schipper, S.W. Ordonez-van de Reijden, J. Belder, B. van de Kamp, J. van der Valk-de Jonge, R. Badal, R. Boer, J. Breedveld, M. van Burgh, W. Pluymers). Also acknowledged is the collaboration with the school physicians and school nurses of the department of Youth Health Care, Municipal Health Service Rotterdam (G. Asma, J. Bernsen, C. Blaauw Witteveen, R. den Boer-Reuben, L. Bosselaar, M. ten Bruggcncate-Bruyncn, X. de Bruyn-van Leeuwen, W. Cheng, A. Daniels-ten Bakke! Huinink, G. van dcr Ende Kremer, V. Erjavec, E. Franken, R. Heemskerk, H.Hoogeveen-Schroot, G. Ivens, G. Iwema, M. Jacobs, F. Keiser, M. Klompenhouwer, J. Mcs-Warmolts, R. Noordermeer-Nauta, P. Nugteren-de Jager, G. van Omme, P. Osman-Handoko, G. Paul-Alderlieste, !. Pieterse-Hooft, B. Pouw-Tan, R. Reys, Y. Selier, Y. Sevenbergen, R. Slier-Schreur, A. Spaans, B. Smit-Boekelman, M. Steilen, A. Taverner-Hansen, L. Tetrode, P. Thiebaut, A. Vossenaar, S. Wiarda), and the family physicians and orthopedic surgeons in Rotterdam. Financial support for the publication of this thesis by the Stichting Orthopedic Rotterdam and the Rotterdam Medical Research Foundation is gratefully acknowledged. Contents 1. Introduction 11 2. Scoliosis and kyphosis: a review of the literature 15 3. School screening: a review of the literature 31 4. Prevalence of trunk abnormalities 39 5. Incidence of trunk abnormalities 57 6. Determinants of trunk abnormalities 67 7. Is scoliosis screening by nurses advisable? 79 8. Follow-up in children referred for trunk abnormalities 91 9. General discussion 105 Summary 115 Samenvatting 119 Epiloog 123 Curriculum vitae 127 Publications and manuscripts based on studies in this thesis Chapter 4 Hazebroek-Kampschreur AAJM, Hofman A, Dijk APh van, Linge B van. Prevalence of trunk abnormalities in eleven-year-old schoolchildren in Rotterdam, The Netherlands. J Ped Orthop 1992;12:480-4. Chapter 5 Hazebroek-Kampschreur AAJM, Hofman A, Dijk APh van, Linge B van. Two-year cumulative incidence of trunk abnormalities in a schoolpopulation m Rotterdam, The Netherlands. Submitted. Chapter 6 Hazebroek-Kampschreur AAJM, Hofman A, Dijk APh van, Linge B van. Determinants of trunk abnormalities. Submitted. Chapter 7 Hazebroek-Kampschreur AAJM, Hofman A, Dijk APh van, Linge B van. Is scoliosescreening door schoolverpleegkundigen zinvol? T Soc Gezondheidsz 1993;71:288-91. (in Dutch). Chapter 8 Hazebroek-Kampschreur AAJM, Tangkau PL, Linge B van. Follow-up in children referred for trunk abnormalities. Submitted. Chapter 1 Introduction
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