Effect of bracing on the quality of life of adolescents with idiopathic scoliosis

Ugwonali, Obinwanne F.C.; Lomas, Guillem; Choe, Julie C; Hyman, Joshua E.; Lee, Francis Y.; Vitale, Michael G.; Roye, David P.

doi:10.1016/j.spinee.2003.12.001

Cited by 108 publications

(81 citation statements)

References 22 publications

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“…The effect of bracing on the quality of life of individuals has not been well studied, with some suggesting a negative impact, while others found no significant differences [5,[16][17][18]. This may be explained by the use of different kinds of braces, different bracing regimes and cultural differences in patients' ability to accept bracing.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have questioned the effectiveness of bracing in patients with adolescent idiopathic scoliosis [6,9,10]. Most of these were long-term follow-up studies assessing the effectiveness of bracing in terms of curve progression on radiographs; however, very few of them used lifestyle questionnaires as a method of assessment [3,7,16]. However, this is of importance as it may have a significant impact on compliance and therefore the success of brace treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Other studies suggested that bracing had a psychological impact, causing low selfesteem and a more negative self-image, but no psychopathological changes in the long term [4,12]. On the other hand, there are studies claiming that bracing did not have a negative impact on body image [13,14,16]. Differences may result from the type of brace used, as well as differences in culture and the attitudes of patients.…”

Section: Introductionmentioning

confidence: 99%

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Outcome assessment of bracing in adolescent idiopathic scoliosis by the use of the SRS-22 questionnaire

Cheung

Cheng

Chan

et al. 2006

International Orthopaedics (SICO

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The SRS-22 questionnaire is specifically designed for the assessment of quality of life in spinal deformity patients. This study is the first to use it to assess the quality of life of adolescent idiopathic scoliosis patients under brace treatment and compares the results with an observational group matched by age and curve magnitude. Forty-six patients were enrolled into each group. Overall, it was found that patients under observation had a significantly better quality of life than braced patients. Specifically, the domains for function/activity and self-image were most affected. This effect was most apparent in those with a curve magnitude of under 20°. The scores did not improve significantly with the duration of brace wear, suggesting little adaptation. This study has implications for treatment, and more attention will need to be given to those with mild but progressive curves to help improve patients' understanding of their treatment and hence their compliance and satisfaction.Résumé Le questionnaire SRS-22 est spécifiquement dévolu à l'évaluation de la qualité de vie chez les patients présentant une déformation rachidienne. Cette étude est la première qui utilise l'information relative à la qualité de vie des adolescents présentant une scoliose idiopathique, traitée par plâtre, en comparant ces résultats avec un groupe identique sur le plan de l'âge et de l'importance de la déformation. Quarante-six patients ont été étudiés dans chaque groupe. Il est évident que les patients sous simple surveillance ont une qualité de vie bien supérieure à ceux traités par plâtre. De façon spécifique, ce sont surtout les critères d'activité et d'image de soi-même qui sont les plus affectés. Cet effet est surtout apparent chez les patients dont la courbe est inférieure à 20°. Les scores ne s'améliorent pas avec le temps, ce qui aurait pu suggérer une petite adaptation. Cette étude a des implications sur le traitement et une attention particulière doit être apportée à tous les patients présentant une courbe d'aggravation progressive de façon à améliorer leur compréhension du traitement et améliorer leur compréhension, leur compliance et leur satisfaction vis-à-vis du traitement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcome assessment of bracing in adolescent idiopathic scoliosis by the use of the SRS-22 questionnaire

Cheung

Cheng

Chan

et al. 2006

International Orthopaedics (SICO

View full text Add to dashboard Cite

show abstract

“…[16].Obinwanne F Ugwonali and the coworkers' study evaluating differences in the functioning of the gender(CHQ domains: Psychical Functioning, Role/Social Limitation, Bodily Pain, Behaviour, Mental Health, Parental ImpactEmotional, Parental Impact-Time, Family Activities, Family Cohesion) have shown that there were no differences between braced boys andgirls, except for Family Activity, which was significantly higher among boys [17]. One can suppose that the boys in question have, in fact, tried not to show inconveniences they experienced.…”

Section: Introductionmentioning

confidence: 99%

“…There is evidence that bracing tends to affect them psychologically due to disturbances of their perceptions of self and body image [17,18].…”

Section: Introductionmentioning

confidence: 99%