Cultural Adaptation and Validation for Portuguese of the Spinal Appearance Questionnaire

Rosendo, Marcelo Guerra de Albuquerque; Rangel, Túlio Albuquerque de Moura; Freire, Flávio Henrique Miranda de Araújo; Ferreira, Marcus André Costa; Medeiros, Rodrigo Castro de; Cabral, Luciano Temporal Borges

doi:10.1590/s1808-185120161503163067

Cited by 8 publications

(2 citation statements)

References 9 publications

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“…The SAQ was well-validated and had been adapted to different languages. [15][16][17][18][19][20] Our system provided both English 8 and Traditional Chinese 15 languages and patients could choose their preferred language. The SAQ contained two main sections: (1) standardized drawing illustrating increasing severity…”

Section: Spinal Appearance Questionnairementioning

confidence: 99%

What Kinds of Cosmetic Appearances were Improved after Scoliosis Surgery in Adolescent Idiopathic Patients? A Longitudinal Long-term Postoperative 7-year Study Using Spinal Appearance Questionnaire

Chau¹,

Ng²

2022

Journal of Orthopedics and Joint Surgery

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appearance questionnaire (SAQ) are well-known scoliosis-specific questionnaires both aiming for the health issues related to idiopathic scoliosis. 4 Spinal Appearance Questionnaire was modified by Sanders et al. from the Walter Reed Visual Assessment Scale to access a patient's perception of several aspects of the spinal deformity based on a pictorial scale. [5][6][7][8] Spinal appearance questionnaire was proved to be reliable, valid, and responsive. [5][6][7] Long-term follow-up of patients' perceptions of their cosmetic appearance has not yet been discussed. The shoulder balance of AIS patients who underwent surgery was changed from left down to left up [reflected by the changes in T1 Tilt IntroductIonAdolescent idiopathic scoliosis (AIS) is a three-dimensional deformity presenting with back deformity, a rib hump, and/or shoulder asymmetry. 1 Adolescent idiopathic scoliosis patients of major Cobb angle ≥60° require spinal surgical correction. The primary purpose of spinal corrective surgery is to prevent scoliosis progression by achieving a spinal fusion of the regions of the spine that are involved in the curve. 2 On patients' perspective, they would like to see their trunk or cosmetic appearances improved after surgery. These kinds of "outlook improvements" are hugely concerned by surgical patients, although no specific and objective discussion evaluating their long-term changes in appearances after surgery has been reported. "Appearance" or similar terms might appear in different questionnaires, these tools are non-appearance specific which lacks a comprehensive reflection of cosmetic appearance from patients who underwent spinal correction surgery, even though the questionnaires are scoliosis-specific.The number of studies on health-related quality of life (HRQOL) of surgical AIS patients after surgery has been increasing due to the increase in patient's awareness of their well-being after surgery, as a result of the popularity of social media. This leads to the development of different kinds of patient-reported outcome questionnaires or tools, of which some of them are diseasespecific and some of them are for a non-specific purpose (e.g., Short Form-36 3 ).

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Section: Spinal Appearance Questionnairementioning

confidence: 99%

What Kinds of Cosmetic Appearances were Improved after Scoliosis Surgery in Adolescent Idiopathic Patients? A Longitudinal Long-term Postoperative 7-year Study Using Spinal Appearance Questionnaire

Chau¹,

Ng²

2022

Journal of Orthopedics and Joint Surgery

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show abstract

“…Spinal Appearance Questionnaire was well-validated and had been adapted to different languages. [11][12][13][14][15][16] Our system provided both English 6 and Traditional Chinese 11 languages for patients to choose to answer the questions. Spinal Appearance Questionnaire contained two main sections: (1) standardized drawing illustrating increasing severity according to various components of spinal deformity, and (2) textual questions rating dissatisfaction on an abnormal appearance on the spinal deformity.…”

Section: Saqmentioning

confidence: 99%

Longitudinal Changes of Spinal Appearance Questionnaire and SRS-22 Questionnaire Domain Scores on Surgical Adolescent Idiopathic Scoliosis Patients before and after 2 Years of Operation

Chau¹,

Ng²

2021

Journal of Orthopedics and Joint Surgery

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Background: Both Scoliosis Research Society-22 questionnaire and Spinal Appearance Questionnaire (SAQ) are well-established disease-specific patient-reported outcome questionnaires on adolescent idiopathic scoliosis (AIS). Our severe AIS patients were administered both questionnaires before and after surgery. The use of SRS-22 on surgical cases was well documented, however, SAQ which focused on patients' perceptions of spinal appearance, was merely reported. This study summarized the longitudinal changes of SAQ and SRS-22 domain scores in surgical AIS patients from preoperative to 2 years after surgery. Materials and methods: All surgical AIS patients operated on in the year 2014 to 2016 were recruited. They completed both questionnaires at (1) before surgery ("Pre-op"), (2) immediately before hospital discharge ("Post-op"), (3) 1 year after surgery ("Post-op 1 year"), and (4) 2 years after surgery ("Post-op 2 years"). Results: There were 135 severe AIS patients recruited in this study, of which 74.1% were females, and the mean age at operation was 15.97. All SAQ domains were increasing (improving) until 2 years after surgery. Curve and prominence scored the highest among the nine domains across four time points. Significant increases were observed in "Trunk shift", "Shoulders", "Prominence", "Curve", and "General". Conclusion: Improvements in appearance after surgery responded differently from function, pain, and other factors immediately after surgery. Patients' appearance perception was continuously improving after surgery despite function, pain, and mental were dropped then recovered in the next 2 years. Using SAQ in conjunction with SRS-22 in health-related quality of life (HRQOL)-related studies on AIS patients greatly improves and complements the interpretations on patients' appearance which endeavors further research on cognitive behavior in AIS patients after years of surgery in long-term follow-up studies.

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Reliability and validity of the adapted Turkish version of the Spinal Appearance Questionnaire

Yapar

Ergişi³

et al. 2020

Spine Deform

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Cultural Adaptation and Validation for Portuguese of the Spinal Appearance Questionnaire

Cited by 8 publications

References 9 publications

What Kinds of Cosmetic Appearances were Improved after Scoliosis Surgery in Adolescent Idiopathic Patients? A Longitudinal Long-term Postoperative 7-year Study Using Spinal Appearance Questionnaire

What Kinds of Cosmetic Appearances were Improved after Scoliosis Surgery in Adolescent Idiopathic Patients? A Longitudinal Long-term Postoperative 7-year Study Using Spinal Appearance Questionnaire

Longitudinal Changes of Spinal Appearance Questionnaire and SRS-22 Questionnaire Domain Scores on Surgical Adolescent Idiopathic Scoliosis Patients before and after 2 Years of Operation

Reliability and validity of the adapted Turkish version of the Spinal Appearance Questionnaire

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