Body Image and Quality-of-Life in Untreated Versus Brace-Treated Females With Adolescent Idiopathic Scoliosis

Schwieger, Traci; Campo, Shelly; Weinstein, Stuart L.; Dolan, Lori A.; Ashida, Sato; Steuber, Keli Ryan

doi:10.1097/brs.0000000000001210

Cited by 57 publications

(54 citation statements)

References 23 publications

(25 reference statements)

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“…Thus, enhancing motor skills can be an important support to improve the perception of one's body schema (33). The data we found, that the entire amount of young scoli-otics was wrong to identify the main characteristics of its scoliotic column, is cohesive with other studies in the liter-ature, in which it was shown that these patients tend to overestimate the severity of their scoliosis, triggering prob-lems regarding psychophysical behaviours (eg, anorexia, bulimia, depression, etc) (11,34,35). Furthermore, during growth, the young patients have a negative perception of their body, due to their inexperience in controlling senso-rial perceptions and developing motor skills, resulting in a distorted view of their body image.…”

Section: Discussionsupporting

confidence: 74%

“…The negative effect of spinal deformity on perceived self-image and appearance appears to be the predominant clinical symptom and cause for treatment in adolescent IS (AIS). In addition to the structural deformity of the spine, also therapeutic approaches, such as the need to wear an orthosis for many hours in a day, can have a negative effect on the aesthetic appearance of the body, leading to physical and psychological discomfort (11). Research has demonstrated that body disfigurement, which can be seen in AIS, can have a consistent negative effect on the development of an individual's body image.…”

Section: Introductionmentioning

confidence: 99%

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Teenagers’ perceptions of their scoliotic curves. Comparison between sports people and non-sports people

Notarnicola

Farì

Maccagnano

et al. 2019

Muscle Ligaments and Tendons J

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Background. Idiopathic scoliosis is a disease caused by a deformity of the spine and is frequently found during adolescence. Sports, and so the training of motor skills and proprioception, could have a positive influence on the perception of the body schema and scoliotic deformity. Methods. We designed an observational study in which we recruited young patients with scoliosis. Analysis of the scoliotic radiographic curve was conducted with specific radiograph examination. The giving of the spine silhouette to the patient allowed the patient to quantify his/her perception of the scoliotic curve. Results. We recruited 106 young patients with scoliosis (mean age: 14.1 ± 2.2 years; age range: 8-18 years), with at least one scoliotic curve. 37.7% of the sample performed one or more of the following sporting activities: swimming, dance, gym, football, volleyball, martial arts, tennis and athletics. 34.8% of the sedentary patients reported that they did not sense their existing scoliotic curve compared to 17.5% of those who did sports (p=0.05). Conclusion. There exists a circular relationship between physical activity, physical self-concept and motorial abilities. However, there did not emerge a greater perception of young athletes compared to sedentary adolescent regarding the characteristics of their own column.

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Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Teenagers’ perceptions of their scoliotic curves. Comparison between sports people and non-sports people

Notarnicola

Farì

Maccagnano

et al. 2019

Muscle Ligaments and Tendons J

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“…Moreover, the effectiveness of further treatment strategies for patients with a Cobb angle < 45°i s ambiguous [11], and observation is recommended for most patients. However, curve progression was reported to be inevitable after skeletal maturity, with a mean Cobb angle progression from baseline 29.2°-29.3° to 35.0°-37.8° in adulthood [4,15].…”

Section: Effect Of Schroth Exercises On Preventing Curve Progressionmentioning

confidence: 99%

Improvement of health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients after Schroth exercises

Gao¹,

Li²,

Shao³

et al. 2020

Preprint

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Abstract Background Finding an optimal treatment strategy for adolescent idiopathic scoliosis (AIS) patients remains challenging because of its intrinsic complexity. For mild to moderate scoliosis patients with lower skeletal growth potential (Risser 3–5), most clinicians agree with observation treatment; however, the curve progression that occurs during puberty, the adolescent period, and even in adulthood, remains a challenging issue for clinicians. The aim of study is to investigate the efficacy of Schroth exercise in adolescent idiopathic scoliosis (AIS) patients with lower skeletal growth potential (Risser 3-5) and moderate scoliosis (Cobb angle 20-40°). Methods Data from 43 patients diagnosed with AIS and performed Schroth exercise were reviewed, and outcomes were measured by health-related quality of life (HRQOL) and radiographic parameters. HRQOL was assessed using the visual analog scale (VAS) scores for back, Scoliosis Research Society-22 (SRS-22) patient questionnaire. Radiographic spinopelvic parameters were obtained from anteroposterior and lateral X-rays. The pre-treatment and post-treatment HRQOL and radiographic parameters were tested to validate Schroth exercise efficacy.Results Vas back score, SRS-22 pain and SRS-22 self-image domain domain were significantly improved from pre-treatment 3.0±0.8, 3.6±0.5 and 3.5±0.7 to post-treatment 1.6±0.6, 4.0±0.3 and 3.7±0.4, respectively. No significant improvement of SRS-22 function domain and mental health domain. The mean Cobb angle decreased from 28.9±5.5° to 26.3±5.2° at the final follow-up, despite no statistical significance was observed. The mean C2-C7 sagittal vertical axis (SVA) value decreased from 21.7±8.4 mm to 17.0±8.0mm and mean T1 tilt decreased from 4.9±4.2 ° to 3.5±3.1°. No other significant improvement of radiographic parameters was observed.Conclusions For AIS patients with a Risser 3–5 and a Cobb angle 20°–40°, Schroth exercises improved HRQOL and halted curve progression during the follow-up period. Both cervical spine alignment and shoulder balance were also significantly improved after Schroth exercises. We recommend Schroth exercises for patients with AIS.

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“…The angle at the intersection of lines drawn perpendicular to the above two lines is the Cobb angle or the curvature of the scoliosis. The reported prevalence of adolescent scoliosis is between 0.5% and 3% (16)(17)(18)(19)(20)(21).…”

Section: Adolescent Idiopathic Scoliosismentioning

confidence: 99%

“…Several studies have shown effectiveness of bracing if done appropriately and when the patient is adherent to the treatment protocol (17)(18)(19)(20). Surgery is considered in rapidly progressive curves, and curves more than 45 degrees (22).…”

Section: Treatmentmentioning

confidence: 99%

Evaluation and management of lower back pain in young athletes

Patel¹,

Kinsella²

2017

Transl. Pediatr.

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Lower back pain in young athletes is a common problem. The prevalence of back pain from different causes in adolescent age group is between 20% and 30%. However, the incidence of low back pain in young athletes varies widely in different sports. Overuse injuries are the most common cause of low back pain in young athletes. In case of overuse injuries, the cause and effect relationship between back pain and specific condition is often difficult to establish. In adolescent athletes, the most common underlying identified cause of low back pain is lumbar spondylolysis. During adolescent growth spurt, the severity of the pain generally correlates with adolescent growth spurt. Participation in sports starting at an early age and for a longer duration tends to increase the risk for back pain. Numerous conditions cause low back pain in athletes. These include acute trauma, chronic overuse or repetitive trauma, and referred pain. Our focus in here will be on selected conditions that cause recurrent or chronic low back pain.

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Body Image and Quality-of-Life in Untreated Versus Brace-Treated Females With Adolescent Idiopathic Scoliosis

Cited by 57 publications

References 23 publications

Teenagers’ perceptions of their scoliotic curves. Comparison between sports people and non-sports people

Teenagers’ perceptions of their scoliotic curves. Comparison between sports people and non-sports people

Improvement of health-related quality of life and radiographic parameters in adolescent idiopathic scoliosis patients after Schroth exercises

Evaluation and management of lower back pain in young athletes

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