Quality of life and patient satisfaction in bracing treatment of adolescent idiopathic scoliosis.

Q1 Medicine

Scoliosis and Spinal Disorders Pub Date : 2018-12-14 eCollection Date: 2018-01-01 DOI:10.1186/s13013-018-0172-0

Lucas Piantoni, Carlos A Tello, Rodrigo G Remondino, Ernesto S Bersusky, Celica Menéndez, Corina Ponce, Susana Quintana, Felisa Hekier, Ida A Francheri Wilson, Eduardo Galaretto, Mariano A Noël

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Abstract

Background: Bracing is used as a valid non-surgical treatment for adolescent idiopathic scoliosis (AIS) to avoid progression of the deformity and thereby surgery. The effect of bracing treatment on quality of life of patients with AIS has been a topic of interest in the international literature. The aim of this study was to evaluate the quality of life and patient satisfaction during bracing treatment for AIS of a pediatric hospital.

Material and method: We assessed a total of 43 non-consecutive female patients (mean age at questionnaire, 13 years and 1 month and 10 years and 8 months to 14 years and 5 months; mean period of usage of brace, 1 year and 7 months), with adolescent idiopathic scoliosis (AIS), older than 10 years of age until skeletal maturity, with a Risser sign less than 3 and scoliosis between 20 and 45°, treated with thoracolumbosacral orthosis (TLSO) for a period longer than 6 months, and without other comorbidities or previous surgeries, were evaluated. The patients were administered a previously validated to Spanish questionnaire on quality of life (Brace Questionnaire (BrQ); Grivas TB et al.). BrQ is a validated tool and is considered a disease-specific instrument; its score ranges from 20 to 100 points, and higher BrQ scores are associated with better quality of life.

Results: The patients reported using the brace for a mean of 17.6 h daily and for a mean period of 1 year and 7 months at the time of the study. Overall, 72% of the study population reported to be in some way psychologically affected by the brace wearing, 56% felt their basic motor activities were affected, 54% felt socialization with their environment was affected, 46% considered their quality of life deteriorated due to pain, and 40% reported conflicts in the school environment.

Conclusion: Patients with AIS treated with bracing reported a negative impact (53.5% overall) on quality of life and treatment satisfaction in terms of psychological, motor, social, and school environment aspects. An interdisciplinary approach would be important for the integrated psychosocial care of these patients.

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青少年特发性脊柱侧凸矫正治疗中的生活质量和患者满意度。

背景：支撑疗法是治疗青少年特发性脊柱侧凸（AIS）的一种有效的非手术疗法，可避免畸形发展，从而避免手术。支具治疗对 AIS 患者生活质量的影响一直是国际文献关注的话题。本研究旨在评估一家儿科医院的 AIS 患者在支具治疗期间的生活质量和满意度：我们共评估了 43 名非连续就诊的女性患者（问卷调查时的平均年龄为 13 岁零 1 个月和 10 岁零 8 个月至 14 岁零 5 个月；青少年特发性脊柱侧弯症（AIS）患者的平均使用时间为 1 年零 7 个月），年龄在 10 岁以上至骨骼发育成熟，里瑟征小于 3，脊柱侧弯角度在 20 至 45°之间，接受胸腰骶矫形器（TLSO）治疗的时间超过 6 个月，无其他合并症或既往手术。这些患者接受了一份先前经过验证的西班牙生活质量调查问卷（Brace Questionnaire (BrQ); Grivas TB et al.）。BrQ是一种经过验证的工具，被认为是一种针对特定疾病的工具；其分值从20分到100分不等，BrQ分值越高，生活质量越好：患者报告称，每天平均使用支具 17.6 小时，平均使用时间为 1 年零 7 个月。总体而言，72%的研究对象表示佩戴支具对他们的心理造成了一定影响，56%的研究对象认为他们的基本运动活动受到了影响，54%的研究对象认为他们与周围环境的社交受到了影响，46%的研究对象认为他们的生活质量因疼痛而下降，40%的研究对象表示他们与学校环境产生了冲突：结论：接受支具治疗的 AIS 患者在心理、运动、社交和学校环境方面对生活质量和治疗满意度产生了负面影响（总体比例为 53.5%）。跨学科方法对于这些患者的综合心理社会护理非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scoliosis and Spinal Disorders Medicine-Orthopedics and Sports Medicine

CiteScore

5.60

自引率

0.00%

发文量

期刊介绍： Cessation.Scoliosis and Spinal Disorders is an open access, multidisciplinary journal that encompasses all aspects of research on prevention, diagnosis, treatment, outcomes and cost-analyses of conservative and surgical management of all spinal deformities and disorders. Both clinical and basic science reports form the cornerstone of the journal in its endeavour to provide original, primary studies as well as narrative/systematic reviews and meta-analyses to the academic community and beyond. Scoliosis and Spinal Disorders aims to provide an integrated and balanced view of cutting-edge spine research to further enhance effective collaboration among clinical spine specialists and scientists, and to ultimately improve patient outcomes based on an evidence-based spine care approach.