ScoliosisJournal posted a new article which talks about the correlation study between in-brace correction, compliance to spinal orthosis and health-related quality of life of patients with Adolescent Idiopathic Scoliosis
Authors: Siu Ling Chan, Kenneth MC Cheung, Keith DK Luk, Kenneth WH Wong and Man Sang Wong
Background
It has been proposed that in-brace correction is the best guideline for prediction
of the results of brace treatment for patients with Adolescent Idiopathic Scoliosis
(AIS). However, bracing may be a stressful experience for patients and bracing non-compliance
could be psychologically related. The purpose of this study was to assess the correlation
between brace compliance, in-brace correction and QoL of patients with AIS.
Methods
Fifty-five patients with a diagnosis of AIS were recruited. All were female and aged
10?years or above when a brace was prescribed, none had undergone prior treatment,
and all had a Risser sign of 0?2 and a Cobb angle of 25-40?. The patients were examined
in three consecutive visits with 4 to 6?months between each visit. The Chinese translated
Trunk Appearance Perception Scale (TAPS), the Chinese translated Brace Questionnaires
(BrQ) and the Chinese translated SRS-22 Questionnaires were used in the study. The
in-brace Cobb angle, vertebral rotation and trunk listing were also measured. Patients?
compliance, in-brace correction and patients? QoL were assessed. To identify the relationship
among these three areas, logistic regression model and generalized linear model were
used. Result For the compliance measure, a significant difference (p?=?0.008) was
detected on TAPS mean score difference between Visit 1 and Visit 2 in the least compliant
group (0?8?hours) and the most compliant group (17?23?hours). In addition, a significant
difference (p?=?0.000) was detected on BrQ mean score difference between Visit 2 and
Visit 3 in the least compliant group (0?8?hours) and the most compliant group (17?23?hours).
For the orthosis effectiveness measure, no significant difference was detected between
the three groups of bracing hours (0?8?hours, 9?16?hours, 17?23?hours) on in-brace
correction (below 40% and 40% or above). For the QoL measure, no significant difference
was detected between the two different in-brace correction groups (below 40% and 40%
or above) on QoL as reflected by the TAPS, BrQ and SRS-22r mean scores.
Conclusion
The results showed a positive relationship between patients? brace wear compliance
and patients? QoL. Poor compliance would cause a lower QoL.
To read the completre article please follow the link for a PDF version.
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