Psychological effects of brace therapy on patients with idiopathic scoliosis

Matsunaga, Shunji; Sakou, Takashi; Nozoe, Shin-ichi

doi:10.1007/bf02488926

Cited by 11 publications

(10 citation statements)

References 11 publications

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“…In our previous study of patients who had undergone brace therapy, brace therapy had markedly greater psychologic effects than surgical therapy or nontreatment. 13 The psychologic effects observed did not correlate with the degree of spinal deformity. MacLean et al 5 reported that 84% of all patients undergoing brace therapy experienced emotional distress but that the distress decreased in proportion to the duration of brace therapy.…”

Section: Discussionmentioning

confidence: 88%

Psychologic Management of Brace Therapy for Patients With Idiopathic Scoliosis

Matsunaga¹,

Hayashi²,

Naruo³

et al. 2005

Spine

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Section: Discussionmentioning

confidence: 88%

Psychologic Management of Brace Therapy for Patients With Idiopathic Scoliosis

Matsunaga¹,

Hayashi²,

Naruo³

et al. 2005

Spine

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“…Matsunaga et al [31] compared three groups of patients with idiopathic scoliosis, who had undergone either brace therapy, or surgical treatment or non-treatment and showed that the use of braces had markedly greater psychologic effects than the other treatments [31].…”

Section: Discussionmentioning

confidence: 99%

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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“…Among patients treated via bracing, symptoms of distress lessen within the first few months as the patient adjusts to the treatment period 38,42 ; however, symptoms such as discomfort in social settings 39 and behavioral changes, 42 persist throughout the treatment period for up to 50% of patients. Several familial and patient variables have been identified that act as risk or protective factors for treatment outcomes in braced patients.…”

Section: Psychosocial Issues In Patients With Scoliosismentioning

confidence: 98%

“…Although psychosocial dysfunction in patients with scoliosis is not as marked in adulthood as it is during adolescence, the type of treatment chosen can impact on adulthood in some cases. 41,42 Patients treated via surgery generally express greater satisfaction with the treatment phase 5,41 than patients treated via brace, and abnormal psychological symptoms have been shown among Japanese women treated via brace during adolescence, 42 and women with severe untreated scoliosis. 49 Psychological symptoms among adult patients are usually comparable to adults without scoliosis.…”

Section: Psychosocial Issues In Patients With Scoliosismentioning

confidence: 99%