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Outcome assessment of bracing in adolescent idiopathic scoliosis by the use of the SRS-22 questionnaire

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Abstract

The SRS-22 questionnaire is specifically designed for the assessment of quality of life in spinal deformity patients. This study is the first to use it to assess the quality of life of adolescent idiopathic scoliosis patients under brace treatment and compares the results with an observational group matched by age and curve magnitude. Forty-six patients were enrolled into each group. Overall, it was found that patients under observation had a significantly better quality of life than braced patients. Specifically, the domains for function/activity and self-image were most affected. This effect was most apparent in those with a curve magnitude of under 20°. The scores did not improve significantly with the duration of brace wear, suggesting little adaptation. This study has implications for treatment, and more attention will need to be given to those with mild but progressive curves to help improve patients’ understanding of their treatment and hence their compliance and satisfaction.

Résumé

Le questionnaire SRS-22 est spécifiquement dévolu à l’évaluation de la qualité de vie chez les patients présentant une déformation rachidienne. Cette étude est la première qui utilise l’information relative à la qualité de vie des adolescents présentant une scoliose idiopathique, traitée par plâtre, en comparant ces résultats avec un groupe identique sur le plan de l’âge et de l’importance de la déformation. Quarante-six patients ont été étudiés dans chaque groupe. Il est évident que les patients sous simple surveillance ont une qualité de vie bien supérieure à ceux traités par plâtre. De façon spécifique, ce sont surtout les critères d’activité et d’image de soi-même qui sont les plus affectés. Cet effet est surtout apparent chez les patients dont la courbe est inférieure à 20°. Les scores ne s’améliorent pas avec le temps, ce qui aurait pu suggérer une petite adaptation. Cette étude a des implications sur le traitement et une attention particulière doit être apportée à tous les patients présentant une courbe d’aggravation progressive de façon à améliorer leur compréhension du traitement et améliorer leur compréhension, leur compliance et leur satisfaction vis-à-vis du traitement.

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Acknowledgements

This study was supported by the Society for the Relief of Disabled Children, Sandy Bay, Hong Kong.

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong, People’s Republic of China

    Kenneth M. C. Cheung, Elaine Y. L. Cheng, Samantha C. W. Chan, Kelvin W. K. Yeung & Keith D. K. Luk

  2. Department of Orthopaedics and Traumatology, Queen Mary Hospital and The Duchess of Kent Children’s Hospital, The University of Hong Kong, Pokfulam, Hong Kong, People’s Republic of China

    Kenneth M. C. Cheung

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  1. Kenneth M. C. Cheung
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  2. Elaine Y. L. Cheng
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  3. Samantha C. W. Chan
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  4. Kelvin W. K. Yeung
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  5. Keith D. K. Luk
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Correspondence to Kenneth M. C. Cheung.

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Cheung, K.M.C., Cheng, E.Y.L., Chan, S.C.W. et al. Outcome assessment of bracing in adolescent idiopathic scoliosis by the use of the SRS-22 questionnaire. International Orthopaedics (SICO 31, 507–511 (2007). https://doi.org/10.1007/s00264-006-0209-5

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  • DOI: https://doi.org/10.1007/s00264-006-0209-5

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