The correlation between clinical and epidemiological characteristics of adolescents with idiopathic scoliosis and their quality of life
A pilot cross-sectional study
Keywords:
health-related quality of life, ISYQOL, adolescent idiopathic scoliosis, Schroth exercises, braceAbstract
Introduction:Bracing and physiotherapy in Adolescent idiopathic scoliosis, are closely linked to heightened levels of psychological distress.Objective:The objective of this study is to investigate the relationship between the clinical and epidemiological characteristics of AIS patients and their quality of life.Subjects and Methods: This study encompassed 60 patients aged 13.85 ± 1.87 years,exhibiting mild to severe AIS. All subjects adhered to a Schroth exercise program for a minimum of three months, with 26 of them additionally undergoing conservative treatment with braces. Each participant completed the ISYQOL questionnaire and an individual form detailing clinical and epidemiological characteristics. Results:A notable correlation was observed concerning the use of braces.Patients utilizing a brace demonstrated higher ISYQOL scores,indicating a lower HRQoL,compared to those exclusively following Schroth exercise programs. HRQoL exhibited positive correlations with the age at diagnosis,height,age at menstruation onset, and duration of Schroth exercise treatment. HRQoL displayed negative correlations with age,weight,duration of brace treatment, maximum angle trunk rotation , and maximum Cobb angle. The study indicated that lumbar curves were associated with a higher QoL.Conclusions:The use of a brace was found to have a negative impact on HRQoL.
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