Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment

Bunge, Eveline M.; Juttmann, Rikard E.; Kleuver, Marinus de; Biezen, F. C. van; Koning, Harry J. de

doi:10.1007/s00586-006-0097-9

Cited by 69 publications

(49 citation statements)

References 18 publications

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“…The scores presentedespecially for satisfaction with management (2.25 ± 1.16 at baseline and 1.89 ± 0.84 during brace treatment) are clearly lower in comparison with other studies with scores of 3.8 ± 0.70 in 109 AIS patients after completion of treatment [5] and 3.55-4.03 in 46 AIS patients receiving brace treatment, depending on the size of the Cobb angles [7]. It is important to note that the scores reported in these publications were calculated in patients at an average of 24 and 27 months, respectively, after the start of brace treatment.…”

Section: Srs-22 Questionnairementioning

confidence: 52%

“…It is possible that satisfaction with management in the present study declined significantly because the patients are not yet familiar at this early stage of treatment with either the diagnosis or their braces, so that anxieties, uncertainty, and dissatisfaction may significantly affect the health-related quality of life in AIS and AK patients. However, the study by Bunge et al [5] confirmed that in patients treated with braces, the score for satisfaction with management was significantly lower in comparison with patients treated with braces and surgery, or with surgery alone.…”

Section: Srs-22 Questionnairementioning

confidence: 75%

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Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

et al. 2011

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Bracing is an established method of conservative treatment for adolescent idiopathic scoliosis and kyphosis. Compliance among adolescents is frequently inadequate due to the discomfort of wearing a brace, cosmetic issues, and fear on the part of patients and parents that bracing may reduce everyday physical activities. The aim of this prospective, controlled study was to objectify the impact of spinal bracing on daily step activity in patients receiving conservative treatment for adolescent idiopathic scoliosis (AIS) or adolescent kyphosis (AK). Forty-eight consecutive patients (mean age 13.4 ± 2.3 years), consisting of 38 AIS patients (33 girls, 5 boys) and 10 AK patients (6 girls, 4 boys) were included. Once the decision to carry out bracing had been taken and while the patients were waiting for the individual brace to be built, step activity was assessed without braces by means of step activity monitoring (SAM) for seven consecutive days. After 8 weeks of brace wearing, step activity was assessed during regular brace treatment, again for seven consecutive days. In addition, brace-wearing times were simultaneously recorded using temperature probes implanted in the braces to measure compliance. Before and during brace treatment, patients completed the Scoliosis Research Society (SRS-22) questionnaire. The SAM was worn for an average of 12.7 ± 1.5 h/day during the first measurement and 12.3 ± 1.9 h on average during the second measurement. The mean gait cycles (GCs) per day and per hour before treatment were 5,036 ± 1,465 and 395 ± 105, respectively. No significant reduction in step activity was found at the follow-up measurement during bracing, at 4,880 ± 1,529 GCs/day and 403 ± 144 GCs/h. Taking the 23-h recommended time for brace wearing as a basis (100%), patients wore the brace for 72.7 ± 27.6% of the prescribed time, indicating an acceptable level of compliance. Girls showed a higher compliance level (75.6 ± 25.6%) in comparison with boys (56.7 ± 31.9%), although the difference was not significant (P = 0.093). The SRS-22 total score showed no differences between the two measurements (2.57 ± 0.23 vs. 2.56 ± 0.28). Implementing a simultaneous and objective method of assessing step activity and brace-wearing times in everyday life proved to be feasible, and it expands the information available regarding the impact of bracing on patients' quality of life. The results clearly show that brace treatment does not negatively interfere with daily step activity in AIS and AK patients. This is an important finding that should help reduce patients' and parents' worries concerning bracing.

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Section: Srs-22 Questionnairementioning

confidence: 52%

Section: Srs-22 Questionnairementioning

confidence: 75%

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

et al. 2011

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“…In 2010 a Cochrane Database of Systematic Reviews publication revealed low-quality evidence in favor of using bracing [15]. For treatment of teenagers with progressive adolescent idiopathic scoliosis in an early stage, many doctors and patients prefer brace treatment because surgery of the spine is generally considered a drastic intervention [16]. Indications for the Chêneau brace are represented by progressive idiopathic scoliosis during growth, with an upper end vertebra caudal to T5 and a Cobb angle between 25°a nd 45° [4,17].…”

Section: Introductionmentioning

confidence: 99%

Chêneau brace for adolescent idiopathic scoliosis: long-term results. Can it prevent surgery?

et al. 2013

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Objective The aim of this study was to evaluate the effectiveness of Chêneau brace in the management of idiopathic scoliosis. Methods This is a retrospective observational study according to SOSORT and SRS (Scoliosis Research Society) recommendations involving 48 girls with documented progressive idiopathic scoliosis, treated with Chêneau brace. A statistical analysis was performed with STATA MP11.2 to validate the obtained results. Results No patient needed surgery. The average curve angle measured in Cobb degrees passed from 27°± 6.7°at the beginning (T0), to 7.6°± 7.4°in brace (T1) (72 % of correction), to 8.5°± 8.6°(69 % of correction) at the end of treatment (T2), to 11.0°± 7.4°(59.3 % of correction) at final follow-up (mean 5 years and 5 months) (T3). Conclusion Conservative treatment with Chêneau brace and physiotherapy was effective in our hands for halting scoliosis progression in 100 % of patients.

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“…It has been properly validated in both adolescents [2,4] and adults [10], and adaptations in several languages are now available [1,6,12,13,19,22]. To determine the validity of the SRS-22, the internal consistency, test-retest reliability, factorial analysis, floor and ceiling effects, and convergentdiscriminant validity have been tested [4,10,14].…”

Section: Introductionmentioning

confidence: 99%

Minimal important differences of the SRS-22 Patient Questionnaire following surgical treatment of idiopathic scoliosis

et al. 2009

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Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment

Cited by 69 publications

References 18 publications

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

Chêneau brace for adolescent idiopathic scoliosis: long-term results. Can it prevent surgery?

Minimal important differences of the SRS-22 Patient Questionnaire following surgical treatment of idiopathic scoliosis

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