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[degree sign].
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 the 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 the 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.
Author: Siu Ling ChanKenneth MC CheungKeith DK LukKenneth WH WongMan Sang Wong
Credits/Source: Scoliosis 2014, 9:1
Published on: 2014-02-22
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News Provider: EUPB – European Press Bureau
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