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

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.

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

“…The scores presentedespecially for satisfaction with management (2.25 ± 1.16 at baseline and 1.89 ± 0.84 during brace treatment) are clearly lower in comparison with other studies with scores of 3.8 ± 0.70 in 109 AIS patients after completion of treatment [5] and 3.55-4.03 in 46 AIS patients receiving brace treatment, depending on the size of the Cobb angles [7]. It is important to note that the scores reported in these publications were calculated in patients at an average of 24 and 27 months, respectively, after the start of brace treatment.…”

Milwaukee brace or thoracolumbosacral orthosis? Which one affects the quality of life of adolescents with idiopathic scoliosis more? A cross-sectional study using the SRS-22 questionnaire

“…The main finding of the current study was that the difference between average scores of QoL based on the SRS-22 questionnaire domains in the Milwaukee brace and TLSO groups were trivial and not significant. Cheung et al 4 using the SRS-22 questionnaire, compared a group of 46 patients treated with a Boston brace for a progressive curve with an age-and curve-matched group of 46 patients who were treated with observation (control group) to evaluate the effect of bracing on the QoL. It might be possible to consider the control group in the Cheung et al 4 study as a basis for comparison with the results of the current study.…”

“…Cheung et al 4 using the SRS-22 questionnaire, compared a group of 46 patients treated with a Boston brace for a progressive curve with an age-and curve-matched group of 46 patients who were treated with observation (control group) to evaluate the effect of bracing on the QoL. It might be possible to consider the control group in the Cheung et al 4 study as a basis for comparison with the results of the current study. The mean total score of the QoL in all of the participants in the current study was 3.65.…”

“…3 Not only does scoliosis itself influence the patient's quality of life (QoL), but the method of treatment (especially bracing) may aggravate the condition. 4 The psychological aspects of the management of scoliosis should be considered an important feature of treatment. 5 One of the crucial factors in prescribing orthoses is patient acceptance because psychosocial consequences may lead patients to reject the orthosis and lead to treatment failure.…”

Rib-vertebral angle measurements predict brace treatment outcome in Risser grade 0 and premenarchal girls with adolescent idiopathic scoliosis

“…The current study confirmed the predictive value of RVAD and CRVA for the effectiveness of bracing in early AIS patients. Moreover, measurements of initial RVAD and CRVA before bracing can help to more accurately identify patients who are at higher risk of curve progression, thus to refine the indications and the protocols of brace treatment, because of the potential drawbacks of brace treatment, such as affecting the quality of life [31], reducing the flexibility of the spine [32], and so on. In addition, serial measurements of RVAD and CRVA provide constant assessments of the risk of curve progression, which are certainly more accurate and more reliable than that the measurements at brace initiation.…”