Infantile and Juvenile Scoliosis: The Crooked Path to Diagnosis and Treatment

Wick, Jane M.; Konze, Julie; Alexander, Kelly M.; Sweeney, C. J.

doi:10.1016/j.aorn.2009.06.019

Cited by 17 publications

(16 citation statements)

References 4 publications

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“…Scoliosis is a complex deformity of the spine involving a three-dimensional deviation of the spinal axis, and is diagnosed by the spinal curvature exceeding 10° on an anterior-posterior X-ray image [ 1 ]. Adolescent idiopathic scoliosis (AIS) is the most common type of scoliosis, accounting for more than 80 % of scoliosis cases [ 2 ]. The prevalence rate of AIS in Korea is 0.19–3.9 % [ 3 ], similar to the 2–4 % in the United States [ 4 ] and 0.87 % in Japan [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life of adolescents conservatively treated for idiopathic scoliosis in Korea: a cross-sectional study

et al. 2016

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BackgroundYoung adolescents with scoliosis are more likely than adults to experience psychological distress affecting health-related quality of life (HRQoL). Adolescence is a sensitive period of psychological development, and thus physical deformity from scoliosis can negatively affect body image and appearance of adolescents. The present study evaluated HRQoL in young Korean adolescents with idiopathic scoliosis and identified related factors.MethodsOne hundred and ten adolescents with idiopathic scoliosis were recruited from two tertiary hospital outpatient clinics over one year. HRQoL was measured using the Korean version of the Scoliosis Research Society 22 revision (SRS-22r) questionnaire. In addition, participant medical records were reviewed to collect data on severity of scoliosis, type of treatment and age at which they were first diagnosed with the disease.ResultsThe mean age of the participants was 14.2 years and 48.2 % were first diagnosed at 9–12 years. Most participants (61.8 %) were under observation to follow up the curvature progression and 20.9 % received regular physiotherapy. Almost half the participants (47.3 %) had mild (10°–25°), 41.8 % moderate (25°–40°), and 10.9 % severe (>40°) scoliosis. The total score of the SRS-22r differed significantly between the groups of age at diagnosis (p = 0.033) and type of treatment (p = 0.025). Self-image, a sub-domain of the SRS 22r, was significantly lower in the severe curve deformity group than in the other groups (p = 0.031).ConclusionsAn earlier age of scoliosis diagnosis and conservative treatment were related to higher HRQoL scores of Korean adolescents with scoliosis. Although the overall HRQoL did not significantly differ by severity of disease, self-image was significantly decreased in adolescents with severe spinal deformity. HRQoL of adolescent patients with idiopathic scoliosis can be affected by several factors that medical staff needs to consider in order to produce the best and most effective treatment outcomes.

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Section: Introductionmentioning

confidence: 99%

Health-related quality of life of adolescents conservatively treated for idiopathic scoliosis in Korea: a cross-sectional study

et al. 2016

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“…1 The condition has no identifiable causes, as implied by the term "idiopathic", but significant research is ongoing, including the genetic basis for AIS. 2 It accounts for more than 80% of scoliosis cases 3 and AIS prevalence rates range from 0.47% in Turkey, 4 to 3.26% in South Korea 5 and 5.2% in Germany. 6 The female to male ratio ranges from 1.5:1 to 3:1 and increases substantially with increasing age.…”

Section: Introductionmentioning

confidence: 99%

Children’s and parents’ perspectives of health-related quality of life in newly diagnosed adolescent idiopathic scoliosis

Kontodimopoulos

Damianou

Stamatopoulou

et al. 2018

Journal of Orthopaedics

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The aim of this study is to compare child and parent perceptions of health-related quality of life in Adolescent Idiopathic Scoliosis. The scoliosis-specific SRS-22 and the generic KIDSCREEN-52 were administered to newly diagnosed patients and the latter also to a parent. Strong correlations (r > 0.5, p < 0.001) were revealed between conceptually similar dimensions of the instruments. Parents' assessments of their child's HRQoL were generally higher than the children/adolescents; however score differences were small and insignificant. The significance of parents' perceptions was also confirmed with OLS regressions. In conclusion, HRQoL is thoroughly investigated when both generic and disease-specific instruments are used.

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“…Among these types of scoliosis, approximately 80% of patients with scoliosis have adolescent idiopathic scoliosis (AIS), which typically occurs around 10 years of age when healthy bone maturation occurs during adolescence. Idiopathic scoliosis (IS) is diagnosed when there are no known causes besides spinal deformity involving a lateral curvature with a Cobb angle ≥10° (Wick et al, 2009). In other words, because IS does not show specific symptoms, early diagnosis is often difficult; however, early detection and treatment are important since it is easy to miss the proper treatment window (Weinstein, 1989).…”

Section: Introductionmentioning

confidence: 99%

Effects of 12-week core stabilization exercise on the Cobb angle and lumbar muscle strength of adolescents with idiopathic scoliosis

Ko¹,

Kang²

2017

J Exerc Rehabil

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To identify the effects of core stabilization exercise on the Cobb angle and lumbar muscle strength of adolescent patients with idiopathic scoliosis. Subjects in the present study consisted of primary school students who were confirmed to have scoliosis on radiologic examination performed during their visit to the National Fitness Center in Seoul, Korea. Depending on whether they participated in a 12-week core stabilization exercise program, subjects were divided into the exercise (n=14, age 12.71±0.72 years) or control (n=15, age 12.80±0.86 years) group. The exercise group participated in three sessions of core stabilization exercise per week for 12 weeks. The Cobb angle, flexibility, and lumbar muscle strength tests were performed before and after core stabilization exercise. Repeated-measure two-way analysis of variance was performed to compare the treatment effects between the exercise and control groups. There was no significant difference in thoracic Cobb angle between the groups. The exercise group had a significant decrease in the lumbar Cobb angle after exercise compared to before exercise (P<0.001). The exercise group also had a significant increase in lumbar flexor and extensor muscles strength after exercise compared to before exercise (P<0.01 and P<0.001, respectively). Core stabilization exercise can be an effective therapeutic exercise to decrease the Cobb angle and improve lumbar muscle strength in adolescents with idiopathic scoliosis.

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Infantile and Juvenile Scoliosis: The Crooked Path to Diagnosis and Treatment

Cited by 17 publications

References 4 publications

Health-related quality of life of adolescents conservatively treated for idiopathic scoliosis in Korea: a cross-sectional study

Health-related quality of life of adolescents conservatively treated for idiopathic scoliosis in Korea: a cross-sectional study

Children’s and parents’ perspectives of health-related quality of life in newly diagnosed adolescent idiopathic scoliosis

Effects of 12-week core stabilization exercise on the Cobb angle and lumbar muscle strength of adolescents with idiopathic scoliosis

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