The reliability of the augmented Lehnert-Schroth and Rigo classification in scoliosis management

Akçay, Burçin; Çolak, Tuğba Kuru; Apti, Adnan; Çolak, İlker; Kızıltaş, Önder

doi:10.4102/sajp.v77i2.1568

Cited by 7 publications

(8 citation statements)

References 15 publications

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“…The Cronbach alpha value calculated for internal reliability was 0.806. The total score for the TRv.BSSQD was 19.75 (range; [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] in the first assessment and 19.44 (range; 7-24) in the second assessment (Table 1). A total of 2% of the patients had a high-stress score, 20.4% had a medium stress score, and 77.6% had a lowstress score (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Augmented Lehnert-Schroth classification curvature types were 3CH (3-curve, with hip prominence), 3CTL (3-curve, thoracolumbar with hip prominence), 3CN (3-curve, neutral with the balanced pelvis), 3CL (3-curve with the long lumbar counter curve), 4C (4-curves, double major), 4CL (4-curves with single lumbar), and 4CTL (4-curves with single thoracolumbar). 19 Measurement of the ATR is the most appropriate and reliable method used in the clinical evaluation and follow-up of scoliosis. The angle of trunk rotation measurement was performed with a Bunnell scoliometer.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Adaptation, reliability, and validation of the Turkish version of the Bad Sobernheim Stress Questionnaire-Deformity in patients with adolescent idiopathic scoliosis

Akçay

Çolak

Apti

2023

Prosthetics &Amp; Orthotics International

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Background: There is a limited number of disease-specific outcome measurement scales in Turkish, which can be used for individuals with adolescent idiopathic scoliosis (AIS). The aim of this study was to translate, adapt, and evaluate the validity and reliability of the Turkish version of the Bad Sobernheim Stress Questionnaire-Deformity (TRv.BSSQD) questionnaire in Turkish patients with AIS. Objective(s): After the translation and back-translation process, the TRv.BSSQD and Scoliosis Research Society-22 questionnaires were completed in face-to-face interviews with 49 patients with AIS. The TRv.BSSQD questionnaire was readministered to the same patients 2 weeks later to assess test-retest reliability. Results: The Cronbach alpha value calculated for internal reliability was 0.806. The intraclass correlation coefficient values of the items of the TRv.BSSQD ranged from 0.809 (P < 0.001) (question 8) to 0.955 (P < 0.001) (question 7). The test-retest correlation coefficient for the item-total score was 0.960 (P < 0.001). Validity analysis showed a significantly positive correlation between the TRv.BSSQD total score and pain, self-image, and mental subgroup and the total scores of the SRS-22r scale (P < 0.05). Conclusions: This patient-reported outcome instrument, the TRv.BSSQD, showed good internal consistency, good reliability with test-retest analysis, and construct validity, suggesting that it is an appropriate assessment instrument for Turkish patients with AIS.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Adaptation, reliability, and validation of the Turkish version of the Bad Sobernheim Stress Questionnaire-Deformity in patients with adolescent idiopathic scoliosis

Akçay

Çolak

Apti

2023

Prosthetics &Amp; Orthotics International

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“…The Augmented Lehnert-Schroth (ALS) classification was used for pattern classification to determine the type of curvature. According to the ALS classification, the curvatures were classified as 3CH (functional 3-curve with hip prominence), 3CTL (functional 3-curve, thoracolumbar with hip prominence), 3CN (functional 3-curve, neutral with balanced pelvis), 3CL (functional 3-curve with long lumbar counter curve), 4C (functional 4-curve, double major), 4CL (functional 4-curve with single lumbar), and 4CTL (functional 4-curve with single thoracolumbar) [16,17]. The functional three-curve patterns define primarily thoracic curves, and the functional four-curve patterns define double major or single lumbar and thoracolumbar curves with additional lumbosacral curves [16,17].…”

Section: Methodsmentioning

confidence: 99%

“…curve, thoracolumbar with hip prominence), 3CN (functional 3-curve, neutral with bal anced pelvis), 3CL (functional 3-curve with long lumbar counter curve), 4C (functional 4 curve, double major), 4CL (functional 4-curve with single lumbar), and 4CTL (functiona 4-curve with single thoracolumbar) [16,17]. The functional three-curve patterns define pri marily thoracic curves, and the functional four-curve patterns define double major or sin gle lumbar and thoracolumbar curves with additional lumbosacral curves [16,17].…”

Section: Methodsmentioning

confidence: 99%

The Effectiveness of the Schroth Best Practice Program and Chêneau-Type Brace Treatment in Adolescent Idiopathic Scoliosis: Long-Term Follow-Up Evaluation Results

et al. 2023

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Background: Although the number of studies showing the efficacy of conservative treatment in adolescent idiopathic scoliosis has increased, studies with long-term follow-up are very limited. The aim of this study was to present the long-term effects of a conservative management method including exercise and brace in adolescent idiopathic scoliosis patients. Methods: This retrospective cohort study included patients with idiopathic scoliosis who presented at our department and were followed up for at least 2 years after completing the treatment. The main outcome measurements were the Cobb angle and angle of trunk rotation (ATR). Results: The cohort participants were 90.4% female, with a mean age of 11 years and the maximum Cobb angle was mean 32.1°. The mean post-treatment follow-up period was 27.8 months (range 24–71 months). The improvements after treatment in mean maximum Cobb angle (p < 0.001) and ATR (p = 0.001) were statistically significant. At the end of treatment, the maximum Cobb angle was improved in 88.1% of the patients and worsened in 11.9% compared to baseline. In the long-term follow-up evaluations, 83.3% of the curvatures remained stable. Conclusions: The results of this study showed that moderate idiopathic scoliosis in growing adolescents can be successfully halted with appropriate conservative treatment and that long-term improvement is largely maintained.

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Results of Gensingen Bracing in Patients With Adolescent Idiopathic Scoliosis: Retrospective Cross-Sectional Feasibility Study

Nan,

Kuru Çolak,

Akçay

et al. 2024

JMIR Rehabil Assist Technol

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Background Bracing is an essential part of scoliosis treatment. The standard of brace treatment for patients with scoliosis today is still very variable in terms of brace quality and outcome. The Gensingen brace is a further developed Chêneau brace derivative with individual design, which can be adapted through computer-aided design. Objective This study aims to generate a template to obtain a database for prospective multicenter studies study to analyze the results of high-corrective asymmetric Gensingen brace treatment for patients with adolescent idiopathic scoliosis (AIS). Methods A template for the database was created, which contains the patients' basic data (age, menarcheal status, Risser Sign, curve pattern, and daily brace wearing time), the Cobb angles of curvature, and the cosmetically relevant angles of trunk rotation (ATR). A retrospective review of medical records of patients with AIS, who met the Scoliosis Research Society’s inclusion criteria for brace studies, was performed to test the feasibility of the template. Template items were filled in by the researchers. Results Out of 115 patients between 2014 and 2018, the complete data of 33 patients followed up at least 3 months after complete Gensingen brace weaning could be analyzed. The mean age was 12 years, the mean Cobb angle was 33.6°, and the mean Risser value was 0.7 at the beginning of the treatment. The mean improvement in the Cobb angle on in-brace x-ray imaging was –26.1० (80% of in-brace correction). The Cobb angle of the major curvature changed as follows: curve stabilization was achieved in 7 (21.2%) cases, and curve improvement was achieved in 26 (78.8%) cases. None of the patients showed a curve progression. The Cobb angle was significantly reduced in the brace at the end of treatment and at follow-up evaluation (P<.001). ATR improved significantly for thoracic (P<.001) and lumbar curves (P<.001). Conclusions The database proved to be informative in the assessment of radiological and clinical outcome parameters. The example data set we have generated can be a helpful tool for professionals who work in clinics but do not store regular patient data. Especially with regard to different patient collectives worldwide, different results may be achieved with the same standards of care. In addition, the results of this study suggest that above-average correction effects with a full-time brace application lead to significant improvements in the Cobb angle after brace treatment has been completed.

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The reliability of the augmented Lehnert-Schroth and Rigo classification in scoliosis management

Cited by 7 publications

References 15 publications

Adaptation, reliability, and validation of the Turkish version of the Bad Sobernheim Stress Questionnaire-Deformity in patients with adolescent idiopathic scoliosis

Adaptation, reliability, and validation of the Turkish version of the Bad Sobernheim Stress Questionnaire-Deformity in patients with adolescent idiopathic scoliosis

The Effectiveness of the Schroth Best Practice Program and Chêneau-Type Brace Treatment in Adolescent Idiopathic Scoliosis: Long-Term Follow-Up Evaluation Results

Results of Gensingen Bracing in Patients With Adolescent Idiopathic Scoliosis: Retrospective Cross-Sectional Feasibility Study

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