Perceptions of body image, happiness and satisfaction in adolescents wearing a Boston brace for scoliosis treatment

Sapountzi‐Krepia, Despina; Valavanis, J; Panteleakis, George P.; Zangana, Dimitra T.; Vlachojiannis, Pantelis C.; Sapkas, George

doi:10.1046/j.1365-2648.2001.01900.x

Cited by 91 publications

(88 citation statements)

References 28 publications

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“…Gender differences in compliance were also found in another study [36]. The authors looked at perceptions of body image, happiness and satisfaction in male and female adolescents wearing the Boston brace.…”

Section: Discussionmentioning

confidence: 75%

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

et al. 2006

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Bracing is the most effective non-operative treatment for mild progressive spinal deformities in adolescence but it has shown a considerable impact on several aspects of adolescents' functioning. This crosssectional study investigated the self-perceived health status of adolescents with the two most common deformities, treated with body orthosis. Seventy-nine adolescents with spinal deformities (idiopathic adolescent scoliosis, thoracic Scheuermann kyphosis) and 62 adolescents without spinal deformities were asked to complete the Quality of Life profile for Spine Deformities Instrument. This study showed that adolescents with deformities are significantly less likely to have back pain in training than controls, but more likely to have difficulty in forward bending, and in the most common daily activities while in brace. These individuals claim they wake up because of back pain and feel quite nervous with the external appearance of their body. These patients face often problems with their relations with friends, while they reported difficulties in getting up from bed and sleep at night more often than their counterparts without deformities. As they grow older, patients feel increasing ashamed of their body, as they are more concerned about the future effect of the deformity on their body. As the bracing time increases, patients have much more probability than controls to get low back pain. Girls with deformity have a higher probability than boys to get low back pain while working in the house and while training. Individuals with larger spinal curvatures have more difficulties in bending and increased incidence of back pain than their counterparts with smaller curvatures. Psychological reasons associated mainly with relations at school and back pain are the main causes for low compliance in adolescents with spinal deformities treated with body orthosis. Careful instructions for all individuals who will undergo brace therapy, psychological support for all patients who develop psychological reactions and physical training particularly for older girls should be recommended to increase bracing compliance.

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Section: Discussionmentioning

confidence: 75%

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

et al. 2006

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“…Thanks to cultural and language adaptation, we obtained tools that are methodologically correct in assessing the condition of patients who are subject to conservative therapy. Many times when considering mental implications of scoliosis, it has been observed that physical problems and aesthetic issues related to the disease and treatment itself affect the way patients perceive themselves and the type of stress they experience [2,10,12,14,15,19,22]. Danielsson et al on the other hand studied patients who were treated with braces in a 20 year long observation.…”

Section: Discussionmentioning

confidence: 99%

Polish adaptation of Bad Sobernheim Stress Questionnaire-Brace and Bad Sobernheim Stress Questionnaire-Deformity

2009

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Bad Sobernheim Stress Questionnaire-Brace and Bad Sobernheim Stress Questionnaire-Deformity are relatively new tools aimed at facilitating the evaluation of long-term results of therapy in persons with idiopathic scoliosis undergoing conservative treatment. To use these tools properly in Poland, they must be translated into Polish and adapted to the Polish cultural settings. The process of cultural adaptation of the questionnaires was compliant with the guidelines of International Quality of Life Assessment (IQOLA) Project. In the first stage, two independent translators converted the originals into Polish. Stage two, consisted of a comparison of the originals and two translated versions. During that stage, the team of two translators and authors of the project identified differences in those translations and created a combination of the two. In the third stage, two independent translators, who were native speakers of German, translated the adjusted version of the Polish translation into the language of the original document. At the last stage, a commission composed of: specialists in orthopedics, translators, a statistician and a psychologist reviewed all translations and drafted a prefinal version of the questionnaires. Thirty-five adolescent girls with idiopathic scoliosis who were treated with Cheneau brace were subjected to the questionnaire assessment. All patients were treated in an out-patient setting by a specialist in orthopedics at the Chair and Clinic of Orthopedics and Traumatology. Median age of patients was 14.8 SD 1.5, median value of the Cobb's angle was 27.8°SD 7.4. 48.6% of patients had thoracic scoliosis, 31.4% had thoracolumbar scoliosis, and 20% patients had lumbar scoliosis. Median results obtained by means of the Polish version of BSSQ-Brace and BSSQ-Deformity questionnaires were 17.9 SD 5.0 and 11.3 SD 4.7, respectively. Internal consistency of BSSQ-Brace and BSSQ-Deformity was at the level of 0.80 and 0.87, whereas the value of the absolute stability factor was 0.82 and 0.88. Overall, the Polish versions of the BSSQ-Brace and BSSQ-Deformity Questionnaires are characterized by high values of internal consistency factor and absolute stability factor. Following the process of adaptation, the authors obtained a tool that is instrumental in clinical evaluations and complies with methodological criteria.

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“…Due to stress they have the right to feel the negative emotions like anger among others. In some patients' case, anger may be externalized more in a direct manner, for example by shouting, raising voice tone (as it is in the case of external anger), while in others anger may be hidden, repressed, not shown to the object of a situation (internal anger) [6]. A difficult situation, a long-term illness, physical deficiency or hospitalization and surgery can often trigger reactions of anger which can be expressed directly or suppressed.…”

Section: Introductionmentioning

confidence: 99%

Psychological Aspects of Scoliosis Treatment in Children

Tomaszewski¹,

Janowska²

2012

Recent Advances in Scoliosis

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Perceptions of body image, happiness and satisfaction in adolescents wearing a Boston brace for scoliosis treatment

Abstract: Adolescents with scoliosis face problems during bracing and they need to be supported by health care professionals.

Cited by 91 publications

References 28 publications

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

Polish adaptation of Bad Sobernheim Stress Questionnaire-Brace and Bad Sobernheim Stress Questionnaire-Deformity

Psychological Aspects of Scoliosis Treatment in Children

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