Topographical, Kinesiological and Psychological Factors in the Surgical Management of Adolescent ldiopat hic Scoliosk

Bettany, Josette A

doi:10.1016/s0031-9406(10)61307-7

Cited by 6 publications

(7 citation statements)

References 1 publication

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“…Certainly, Thulbourne and Gillespie [18] are right in saying that even if the progression can be reduced by bracing, cosmetic appearance and the rib hump may not always be influenced positively, nor may a successful course as shown by X-ray always be appreciated as a successful treatment by the patient. Nevertheless, one must point out that neither self-image nor other psychological factors can be affected by surgical treatment either [19]. Bettany et al cosmetic results directly obtained by surgery are not necessarily stable later on either.…”

Section: Discussionmentioning

confidence: 99%

Incidence of surgery in conservatively treated patients with scoliosis

Weiss

Schaar

2003

Pediatric Rehabilitation

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The conservative treatment of scoliosis (which includes outpatient physiotherapy, inpatient intensive scoliosis rehabilitation (SIR) and high-correction-effect bracing based on plastercasting) shows an obvious reduction in the rate of surgery in patients with idiopathic scoliosis compared with untreated scoliosis patients. Thus it can be seen that the conservative treatment of scoliosis may reduce the incidence of surgery, which not only causes considerable medical expenses but also carries with it the risk of repeated operations and further complications. In our study, we also found highly significant differences by comparison with the work of a bracing centre in the USA. Therefore, the quality of the bracing itself and the effects of primary correction must receive greater consideration in future scientific studies on the subject of "conservative" treatment of scoliosis.

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Section: Discussionmentioning

confidence: 99%

Incidence of surgery in conservatively treated patients with scoliosis

Weiss

Schaar

2003

Pediatric Rehabilitation

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“…This is a cross-sectional study, and sample size was determined through data of mean and standard deviation of the spinal column lateral asymmetry angles (58.1±11.15), from the study of Bettany et al, 11 thus requiring 58 individuals, with a confidence level of 95% and a sampling error of 5%. Therefore, 59 young individuals aged between 7 and 18 years, mean age of 12.9±2.3 years, 55.9% of which were females, were evaluated.…”

Section: Methodsmentioning

confidence: 99%

“…Estudo transversal. O tamanho amostral foi determinado por meio de dados de média e desvio padrão dos ângulos de assimetria lateral da coluna vertebral (58,1±11,15) do estudo de Bettany et al, 11 foram necessários 58 indivíduos, foi adotado nível de confiança de 95% e erro amostral de 5%. Desse modo, foram avaliados 59 jovens entre sete e 18 anos, idade média de 12,9±2,3 anos, 55,9% do sexo masculino.…”

Section: Métodounclassified

Fatores de risco associados a alterações posturais estruturais da coluna vertebral em crianças e adolescentes

Sedrez

Rosa

Noll

et al. 2015

Revista Paulista de Pediatria

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OBJECTIVE: To investigate the association between behavioral risk factors, specifically postural habits, with the presence of structural changes in the spinal column of children and adolescents. METHODS: 59 students were evaluated through the self-reporting Back Pain and Body Posture Evaluation Instrument and spinal panoramic radiographic examination. Spine curvatures were classified based on Cobb angles, as normal or altered in the saggital plane and as normal or scoliotic in the frontal plane. Data were analyzed using SPSS 18.0, based on descriptive statistics and chi-square association test (a=0,05). RESULTS: The prevalence of postural changes was 79.7% (n=47), of which 47.5% (n=28) showed frontal plane changes and 61% (n=36) sagital plane changes. Significant association was found between the presence of thoracic kyphosis and female gender, practice of physical exercises only once or twice a week, sleep time greater than 10 hours, inadequate postures when sitting on a seat and sitting down to write, and how school supplies are carried. Lumbar lordosis was associated with the inadequate way of carrying the school backpack (asymmetric); and scoliosis was associated wuth the practice of competitive sports and sleep time greater than 10 hours. CONCLUSIONS: Lifestyle may be associated with postural changes. It is important to develop health policies in order to reduce the prevalence of postural changes, by decreasing the associated risk factors.

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“…Moiré has been used, for example, to define an aesthetic index called Posterior Trunk Symmetry Index (POTSI), which was proposed for the clinical assessment of scoliosis and to evaluate objectively the effect of surgery on trunk deformity (Inami et al, 1999;Suzuki et al, 1999). The Integrated Shape Imaging System (ISISI) has also been used by several groups to produce outcomes from surgery (Bettany, Partridge, and Edgar, 1995;Jefferson et al, 1988;Hullin, McMaster, Draper, and Duff, 1991;Wemyss-Holden, et al, 1992;Theologis et al, 1993). Theologis et al (1993) developed an equation based on ISIS parameters, which was able to show cosmetic changes in a reliable way.…”

Section: Trunk Deformity and Back Asymmetrymentioning

confidence: 99%

Patient evaluation in idiopathic scoliosis: Radiographic assessment, trunk deformity and back asymmetry

Rigo

2011

Physiotherapy Theory and Practice

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Progressive adolescent idiopathic scoliosis (AIS) produces specific signs and symptoms, including trunk and spinal deformity and imbalance, impairment of breathing function, pain, progression during adult life, and psychological problems, as a whole resulting in an alteration of the health-related quality of life. A scoliosis-specific rehabilitation program attempts to prevent, improve, or minimize these signs and symptoms by using exercises and braces as the main tools in the rehabilitation treatment. Patient evaluation is an essential point in the decision-making process and determines the selection of the specific exercises and the specifications of the brace design. However, this article is not addressed to scoliosis management. In this present article, a complete definition and discussion of radiological aspects, such as the Cobb angle, axial rotation, curve pattern classifications, and sagittal configuration, follow a short description of the three-dimensional nature of AIS. The relationship between AIS and growth is also discussed. There is also a section dedicated to the assessment of trunk deformity and back asymmetry. Other important clinical aspects, such as pain and disability, changes in other regions of the body, muscular balance, breathing function, and health-related quality of life, are not discussed in this present article.

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Topographical, Kinesiological and Psychological Factors in the Surgical Management of Adolescent ldiopat hic Scoliosk

Cited by 6 publications

References 1 publication

Incidence of surgery in conservatively treated patients with scoliosis

Incidence of surgery in conservatively treated patients with scoliosis

Fatores de risco associados a alterações posturais estruturais da coluna vertebral em crianças e adolescentes

Patient evaluation in idiopathic scoliosis: Radiographic assessment, trunk deformity and back asymmetry

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