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Article: A Correlation Study Between In-brace Correction, Compliance To Spinal Orthosis And Health-related Quality Of Life Of Patients With Adolescent Idiopathic Scoliosis
Title | A Correlation Study Between In-brace Correction, Compliance To Spinal Orthosis And Health-related Quality Of Life Of Patients With Adolescent Idiopathic Scoliosis |
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Authors | |
Keywords | Adolescent Idiopathic Scoliosis Compliance In-brace correction Quality of life |
Issue Date | 2014 |
Publisher | BioMed Central. The Journal's web site is located at http://www.scoliosisjournal.com/home/ |
Citation | Scoliosis, 2014, v. 9, article no. 1 How to Cite? |
Abstract | Background 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°. 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 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 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. |
Persistent Identifier | http://hdl.handle.net/10722/200763 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chan, SL | en_US |
dc.contributor.author | Cheung, KMC | en_US |
dc.contributor.author | Luk, KDK | en_US |
dc.date.accessioned | 2014-08-21T06:59:50Z | - |
dc.date.available | 2014-08-21T06:59:50Z | - |
dc.date.issued | 2014 | en_US |
dc.identifier.citation | Scoliosis, 2014, v. 9, article no. 1 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/200763 | - |
dc.description.abstract | Background 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°. 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 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 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. | en_US |
dc.language | eng | en_US |
dc.publisher | BioMed Central. The Journal's web site is located at http://www.scoliosisjournal.com/home/ | en_US |
dc.relation.ispartof | Scoliosis | en_US |
dc.rights | Scoliosis. Copyright © BioMed Central. | en_US |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Adolescent Idiopathic Scoliosis | - |
dc.subject | Compliance | - |
dc.subject | In-brace correction | - |
dc.subject | Quality of life | - |
dc.title | A Correlation Study Between In-brace Correction, Compliance To Spinal Orthosis And Health-related Quality Of Life Of Patients With Adolescent Idiopathic Scoliosis | en_US |
dc.type | Article | en_US |
dc.identifier.email | Chan, SL: pollycha@hku.hk | en_US |
dc.identifier.email | Cheung, KMC: cheungmc@hku.hk | en_US |
dc.identifier.email | Luk, KDK: hrmoldk@hkucc.hku.hk | en_US |
dc.identifier.authority | Chan, SL=rp00242 | en_US |
dc.identifier.authority | Cheung, KMC=rp00387 | en_US |
dc.identifier.authority | Luk, KDK=rp00333 | en_US |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1186/1748-7161-9-1 | en_US |
dc.identifier.pmid | 24559234 | - |
dc.identifier.pmcid | PMC3996075 | - |
dc.identifier.scopus | eid_2-s2.0-84899071505 | - |
dc.identifier.hkuros | 233464 | en_US |
dc.identifier.volume | 9 | en_US |
dc.identifier.eissn | 1748-7161 | - |
dc.identifier.isi | WOS:000214926100001 | - |
dc.identifier.issnl | 1748-7161 | - |