Brace-Related Stress and Quality-of-Life Parameters in Adolescents with Idiopathic Scoliosis

Moradi, Vahideh; Memari, Amir Hossein; Saeedi, Marjan; Nadernejad, Sanaz; Kordi, Ramin

doi:10.22603/ssrr.2021-0051

Cited by 4 publications

(7 citation statements)

References 46 publications

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“…Our results suggested that the QOL measured by QLPSD decreased with age. Similarly, a recent research showed that participants under the age of 13 had a superior self-image score on the SRS-22 than adolescents beyond the age of 13 [ 30 ]. The higher brace compliance in younger than in older teenagers may be a possible reason for these findings.…”

Section: Discussionmentioning

confidence: 99%

Quality of life among adolescents with idiopathic scoliosis in Tunisia

Salah¹,

Arem²,

Fredj³

et al. 2023

Pan Afr Med J

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Introduction our study aimed to assess the quality of life (QOL) among adolescents with adolescent idiopathic scoliosis (AIS) receiving nonoperative treatment, and to identify the demographic and clinical factors associated with poor QOL. Methods this is a cross-sectional study. We included adolescents followed in the Department of Physical Medicine and Rehabilitation at Taher Sfar Hospital (Mahdia - Tunisia). The Quality-of-Life Profile for Spine Deformities (QLPSD), the Scoliosis Research Society 22 questionnaire (SRS-22) and the visual analogue scale objectifying the QOL (EVA QOL) were used. Correlations between the QOL domains and selected characteristics were performed. Results a total of 48 adolescents with AIS were included, with a mean age of 14.2 ± 2.1 years and a sex ratio (M/F) of 0.77. Adolescents who underwent rehabilitation treatment only had significantly better quality of life (QOL) scores than those with braces, as measured by three scales. Among brace wearers, we found a correlation between QOL and the degree of correction achieved by the brace, as measured by the EVA-QOL. We observed significant relationships between psychosocial status and age, correction angle, and treatment duration among braced patients, as measured by the QLPSD. Additionally, we found that dorsal flexibility was correlated with the correction angle and the treatment duration. According to the SRS-22, the overall QOL score of braced adolescents was significantly correlated with the correction obtained by the brace. Conclusion wearing a brace in adolescent with AIS leads to a significant decrease in QOL according to the three QOL assessment scales.

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Section: Discussionmentioning

confidence: 99%

Quality of life among adolescents with idiopathic scoliosis in Tunisia

Salah¹,

Arem²,

Fredj³

et al. 2023

Pan Afr Med J

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“…3 Despite often being asymptomatic and non-life-threatening, the resultant deformities of AIS can significantly affect patients' quality of life (QoL), 4 eliciting concerns about physical appearance, pain, and functional limitations. 1 The current management approach for AIS encompasses both surgical and conservative treatment. Conservative treatments include orthotic spinal bracing, exercise, and clinical monitoring.…”

Section: Introductionmentioning

confidence: 99%

“…Although many forms of scoliosis exist, most of the scoliosis cases (84%–89%) are reported in previously healthy teenagers during the adolescent growth spurt 3 . Despite often being asymptomatic and non‐life‐threatening, the resultant deformities of AIS can significantly affect patients' quality of life (QoL), 4 eliciting concerns about physical appearance, pain, and functional limitations 1 …”

Section: Introductionmentioning

confidence: 99%

“…Conservative treatments include orthotic spinal bracing, exercise, and clinical monitoring 5 . In particular, bracing emerges as the most common conservative treatment for AIS patients, aimed at limiting further spinal curve progression 1 . Bracing is the process of applying external supports to the trunk to achieve the greatest possible correction of abnormal spinal curve 6 .…”

Section: Introductionmentioning

confidence: 99%

“…Adolescent idiopathic scoliosis (AIS) is the most prevalent spinal deformity in healthy youngsters, affecting approximately 0.5%–5.2% of children aged 10–16 years globally. 1 In Saudi Arabia, the national school‐based screening program, aimed at screening and monitoring the health of school‐aged children, has estimated the prevalence of scoliosis at 0.48%. 2 Although many forms of scoliosis exist, most of the scoliosis cases (84%–89%) are reported in previously healthy teenagers during the adolescent growth spurt.…”

Section: Introductionmentioning

confidence: 99%

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Brace‐related Stress and Quality of Life Parameters between Chêneau and Boston Braces: A Cross‐sectional Comparative Study on Adolescent Idiopathic Scoliosis in Saudi Arabia

Alsiddiky,

Alharbi,

Ababtain

et al. 2024

Orthopaedic Surgery

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ObjectiveAdolescent idiopathic scoliosis (AIS) is the most prevalent spinal deformity affecting healthy children. Although AIS typically lacks symptomatic manifestations, its resultant deformities can affect patients' quality of life (QoL). Evaluating QoL and stress levels is crucial in determining the optimal brace type for AIS patients; however, research comparing the effectiveness of different brace types in this regard is lacking. Therefore, this study aimed to evaluate the impact of Boston versus Chêneau braces on QoL and stress levels in AIS patients.MethodsThis cross‐sectional study was conducted at a medical institution in Riyadh, Saudi Arabia, involving 52 eligible patients selected through stratified random sampling based on type of brace as the main stratum. The inclusion criteria were idiopathic scoliosis, age ≥ 10 years, bracing for at least 3 months, and no history of cancer. QoL was evaluated according to the revised Scoliosis Research Society 22‐item questionnaire (SRS‐22r) and stress levels according to the eight‐item Bad Sobernheim stress questionnaire (BSSQ‐Brace). Independent‐sample t‐tests were used to compare brace‐related QoL and stress level according to participants' sex and brace type.ResultsOverall, 32 participants were treated with Boston braces (seven men and 25 women), with a median (IQR) age of 11.00 years (10.00–13.00), and 20 participants were treated with Chêneau braces (three men, 17 women), with a median (IQR) age of 12.50 years (10.00–14.25). The total SRS‐22 score was not significantly different between the brace groups (p = 0.158). However, patients in the Boston brace group reported significantly higher satisfaction levels (median = 4.00, IQR = 3.50–4.50) than did those in the Chêneau brace group (median = 3.25, IQR = 2.38–4.13, p = 0.013, moderate effect size = 0.345, 95% CI = 0.060 to 0.590). Furthermore, the BSSQ‐brace total score was significantly higher in the Boston brace group (median = 9.00, IQR = 8.00–12.00) than in the Chêneau brace group (median = 7.50, IQR = 4.75–10.00, p = 0.007, moderate effect size = 0.376, 95% CI = 0.130 to 0.590), indicating higher stress levels in the Chêneau brace group.ConclusionThe QoL in AIS patients undergoing brace treatment was comparable across groups. Nonetheless, patients who used Chêneau braces experienced higher stress levels and lower treatment satisfaction rates than did those who used Boston braces. These findings can inform clinical decisions regarding prescription of bracing types and highlight the need for further in‐depth research.

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