Adolescent idiopathic scoliosis: a comprehensive approach to aetiology, diagnostic assessment and treatment

Hamad, Abdulkader; Ahmed, El-Nasri

doi:10.1016/j.mporth.2017.09.004

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…2 Comprising of a lateral curvature and axial rotation of spinal vertebrae, the cause is unknown in most cases. 3 AIS has been linked to back pain, 4 psychological stress, 5 and respiratory dysfunction, 6 potentially impacting on quality of life (QoL). 7 A dimension of any QoL measurement is ''physical functioning'' this being the ability to carry out activities of daily living.…”

mentioning

confidence: 99%

Physical Functioning in Adolescents with Idiopathic Scoliosis

Alamrani

Rushton

Gardner

et al. 2021

Spine

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Study Design. A systematic review. Objective. To summarize evidence on measurement properties of Outcome Measures (OM) used to assess physical functioning in adolescents with idiopathic scoliosis (AIS). Summary of Background Data. The AIS is a common spine deformity in those aged 10 to 18 years old. Associated health problems (e.g., back pain) significantly impact the quality of life (QoL). One important domain in QoL is physical functioning, which can be measured with patient-reported outcome measures (PROM), performance-based outcome measures (PBOM), and body structure and function OM. Adequate measurement properties of OM are important for precision in research and practice. Methods. A two-staged search strategy was performed on electronic databases up to December 2019. Search one revealed a list of OM was used for physical functioning assessment in AIS. Search two identified studies that evaluated the measurement properties of OM in AIS; using the list identified in search one. Two independent reviewers determined study eligibility, risk of bias assessment (COnsensus-based Standards for the selection of health Measurement INstruments [COSMIN] checklist), and performed data extraction. The level of evidence was established using a modified GRADE approach.Results. Search one yielded: 28 PROM, 20 PBOM, and 10 body structure and function OM. Search two revealed: 16 measurement properties studies for PROM, one for PBOM, and three for body structure and function measures. Construct validity, reliability, and responsiveness of most PROM has been established in AIS, but not content validity or internal consistency (moderate evidence). Construct validity was sufficient for the Timed Up and Go test and body structure and function measures (very low to low evidence). Conclusion. Currently, physical functioning is evaluated with a variety of measures in AIS. The majority of measurement properties studies evaluated PROM with a paucity of information on measurement properties of PBOM and body structure and function OM. Based on COSMIN methodology, none of the OM identified in this review can be recommended with confidence in individuals with AIS.

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mentioning

confidence: 99%

Physical Functioning in Adolescents with Idiopathic Scoliosis

Alamrani

Rushton

Gardner

et al. 2021

Spine

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“…The scoliosis in all cases was determined with Adams’ forward bend test and scoliometer measurement. [7]…”

Section: Methodsmentioning

confidence: 99%

Association between adolescent idiopathic scoliosis and sacroiliac joint dysfunction in young athletes

Šarčević

Tepavčević

2019

Medicine

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Adolescent idiopathic scoliosis (AIS) is the most common form of scoliosis, a 3-dimensional deviation in the axis of the spine. Etiology of AIS is unclear and the general belief is that AIS is multifactorial disorder possibly caused by different factors. It would be worthwhile to reveal new factors associated with AIS. The present study aimed to investigate association between sacroiliac joint (SIJ) dysfunction and AIS in young athletes. This case–control study included 196 children athletes (basketball, football, volleyball, handball, ballet, and others), 82 males and 114 females aged 8 to 17, 98 of them with the diagnosis of AIS. The case group consisted of young athletes examined at a regular checkup by a sport physician and diagnosed with AIS. The control group consisted of athletes matched to the case group according to sex, age, sports, number of training years and number of training hours per week, but without AIS. The scoliosis was diagnosed with Adams’ forward bend test and the scoliometer measurement. The SIJ dysfunction was determined using the palpation meter (PALM) measuring the sagittal pelvic position in standing position and in standing position with the hip flexion angle of 90°. The data were analyzed using Student t test, Mann–Whitney U test, contingency coefficients, and logistic regression. The average difference in pelvic position in the sagittal plane (in standing position), with and without hip flexion 90° was found to be statistically different in the case and the control groups (t = 13.88, P = .00). There was a strong positive association between variables representing presence of AIS and SIJ dysfunction (determined by contingency coefficient C = 0.62, coefficient Phi = 0.79 and tetrachoric correlation coefficient 0.95). The logistic regression indicated that the average difference in pelvic position in the sagittal plane (in standing position), with and without hip flexion 90° was significantly associated with the probability of scoliosis in young athletes ( P = .00, Wald test). There was a strong positive association between SIJ dysfunction and AIS in young athletes.

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“…De acordo com o Comité de Nomenclatura da Scoliosis Research Society, a escoliose pode ser definida como uma deformidade na coluna vertebral no plano frontal superior a 10º, medida pelo método de Cobb (Oliveira, 2000), que provoca um conjunto de alterações anatómicas e sofrimento físico, psíquico e social. A escoliose idiopática tem uma causa desconhecida e surge com mais frequência no início da adolescência de um modo inesperado, afetando cerca de 0.5%-3% dos adolescentes (Hamad, Ahmed, & Tsirikos, 2017). Em Portugal, a escoliose idiopática do adolescente afeta predominantemente o sexo feminino, tem uma prevalência de 2 a 4% e requer tratamento em 10% dos casos (Oliveira, 2000).…”

Section: A Doença Crónica: Escoliose E Diabetesunclassified

“…Na vivência da escoliose existem duas situações específicas que podem ser especialmente stressantes para o indivíduo -o diagnóstico e a adaptação ao tratamento. Os tratamentos consistem na observação clínica nos casos que têm uma angulação de Cobb de 20º-25º, no uso de colete para angulações entre os 25º-40º e na cirurgia sugerida para angulações com maior severidade (Hamad et al, 2017).…”

Section: A Doença Crónica: Escoliose E Diabetesunclassified

Experiências traumáticas na doença crónica: Relatos de adolescentes com escoliose e diabetes

Lopes¹,

Lemos²,

Henriques³

et al. 2019

Análise Psicológica

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A vivência de uma doença crónica é um fator de stress que pode originar um conjunto de vivências traumáticas ainda pouco estudadas. A escrita expressiva permite aceder aos significados de vivências pessoais criando simultaneamente oportunidades de insight e reorganização de experiências traumáticas. Usando esta técnica o presente estudo analisou as experiências traumáticas narradas por 36 adolescentes com escoliose (19 dos quais usam colete) e 20 com diabetes. Os resultados identificaram a monitorização da terapêutica, as queixas físicas, as relações interpessoais e as preocupações com o desenvolvimento da doença como sendo as experiências traumáticas mais frequentes. A comparação das narrativas dos três grupos de adolescentes mostrou que mais do que o tipo de doença, o uso do colete está significativamente implicado nas vivências traumáticas destes adolescentes. A análise dos resultados ao longo do tempo, mostrou ainda efeitos positivos da escrita expressiva na diminuição da vivência traumática destes adolescentes, reforçando a sua pertinência como instrumento para a clínica.

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Adolescent idiopathic scoliosis: a comprehensive approach to aetiology, diagnostic assessment and treatment

Cited by 6 publications

References 19 publications

Physical Functioning in Adolescents with Idiopathic Scoliosis

Physical Functioning in Adolescents with Idiopathic Scoliosis

Association between adolescent idiopathic scoliosis and sacroiliac joint dysfunction in young athletes

Experiências traumáticas na doença crónica: Relatos de adolescentes com escoliose e diabetes

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