THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY
Abstract
Purpose: There is a lack of evidence about trunk muscle endurance, range of motion (ROM), flexibility
and quality of life (QoL) in subjects with adolescent idiopathic scoliosis (AIS) following posterior
instrumentation and fusion (PIF) surgery. The study aimed to compare trunk muscle endurance, ROM,
flexibility, and QoL of the AIS subjects with lumbar or thoracic level after surgery. It also investigated
the relationship between trunk muscle endurance, ROM, flexibility, and QoL in subjects with AIS.
Methods: Twenty subjects aged between 10-18 years (mean age=15.55±1.46 years) who underwent
PIF surgery before 1-3 years were included. The subjects were divided into two groups as a thoracic
(n=10) and lumbar group (n=10) according to the PIF surgery level. The ROM was assessed using a
universal goniometer, flexibility with sit and reach test and lateral bending, trunk extensor muscle
endurance assessed with Biering-Sorensen test, trunk flexor muscle endurance with the Kraus-Weber
test, and the QoL through the Scoliosis Research Society-22 revised (SRS-22r) scale.
Results: There was significant difference between the two groups in lateral flexion ROM and lateral
bending results (p<0.05). Thoracic group showed better results in the lateral flexion ROM and lateral
bending test. Trunk flexor muscle endurance was found correlated with extension ROM (r=0.718,
p=0.001), flexion ROM (r=0.414, p=0.007), right lateral flexion ROM (r=0.721, p=0.001), and left lateral
flexion ROM (r=0.581, p=0.007). Trunk extensor muscle endurance was found correlated with right
rotation ROM (r=0.511, p=0.021), left rotation ROM (r=0.410, p=0.073), SRS-22r total score (r=0.677,
p=0.001) and SRS-22r pain score (r=0.554, p=0.011).
Conclusion: Trunk muscle endurance is essential for body posture and QoL after surgery. These
subject’s physiotherapy and rehabilitation programs should focus on developing trunk muscle endurance
and flexibility to increase QoL following PIF surgery.
Keywords
References
- 1. Ghandehari H, Mahabadi MA, Mahdavi SM, Shahsavaripour A, Tari HVS, Safdari F. Evaluation of patient outcome and satisfaction after surgical treatment of adolescent idiopathic scoliosis using scoliosis research society-30. ABJS. 2015;3(2):109.2. Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. The Lancet. 2008;371(9623):1527-1537.3. Fusco C, Donzelli S, Lusini M, Salvatore M, Zaina F, Negrini S. Low rate of surgery in juvenile idiopathic scoliosis treated with a complete and tailored conservative approach: end-growth results from a retrospective cohort. Scoliosis. 2014;9(1):12.4. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2006;31(3):275-283.5. Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL. Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. Eur Spine J. 2001;10(4):278-288.6. McIntire KL, Asher MA, Burton DC, Liu W. Trunk rotational strength asymmetry in adolescents with idiopathic scoliosis: an observational study. Scoliosis. 2007;2(1):9.7. Mooney V, Gulick J, Pozos R. A preliminary report on the effect of measured strength training in adolescent idiopathic scoliosis. Clin Sp surg. 2000;13(2):102-107.8. Schreiber S, Parent EC, Moez EK, Hedden DM, Hill D, Moreau MJ, et al. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial:“SOSORT 2015 Award Winner”. Scoliosis. 2015;10(1):24.9. Shin S-S, Woo Y-K. Characteristics of Sitting Balance and Trunk Muscle Endurance in Patients With Adolescent Idiopathic Scoliosis. Phys Ther Korea. 2007;14(4):35-43.10. Smith AJ, O'sullivan PB, Campbell AC, Straker LM. The relationship between back muscle endurance and physical, lifestyle, and psychological factors in adolescents. J Orthop Sports Phys Ther. 2010;40(8):517-523.11. Carr AJ, Gibson B, Robinson PG. Is quality of life determined by expectations or experience? Bmj. 2001;322(7296):1240-1243.12. Asher MA, Lai SM, Glattes RC, Burton DC, Alanay A, Bago J. Refinement of the SRS-22 health-related quality of life questionnaire function domain. Spine. 2006;31(5):593-597.13. Bunge EM, Juttmann RE, de Kleuver M, van Biezen FC, de Koning HJ. Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment. Eur Spine J. 2007;16(1):83-89.14. Carreon LY, Sanders JO, Diab M, Sturm PF, Sucato DJ, Group SDS. Patient satisfaction after surgical correction of adolescent idiopathic scoliosis. Spine. 2011;36(12):965-968.15. Gum JL, Bridwell KH, Lenke LG, Bumpass DB, Sugrue PA, Karikari IO, et al. SRS22R appearance domain correlates most with patient satisfaction after adult deformity surgery to the sacrum at 5-year follow-up. Spine. 2015;40(16):1297-1302.16. Sanders JO, Browne RH, McConnell SJ, Margraf SA, Cooney TE, Finegold DN. Maturity assessment and curve progression in girls with idiopathic scoliosis. J Bone Joint Surg Br. 2007;89(1):64-73.17. Zhang J, He D, Gao J, Yu X, Sun H, Chen Z, et al. Changes in life satisfaction and self-esteem in patients with adolescent idiopathic scoliosis with and without surgical intervention. Spine. 2011;36(9):741-745.18. Helenius I, Remes V, Yrjönen T, Ylikoski M, Schlenzka D, Helenius M, et al. Does gender affect outcome of surgery in adolescent idiopathic scoliosis? Spine. 2005;30(4):462-467.19. Biering-Sørensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9(2):106-119.20. Ito T, Shirado O, Suzuki H, Takahashi M, Kaneda K, Strax TE. Lumbar trunk muscle endurance testing: an inexpensive alternative to a machine for evaluation. Arch Phys Med Rehabil. 1996;77(1):75-79.21. Fong DYT, Lee CF, Cheung KMC, Cheng JCY, Ng BKW, Lam TP, et al. A meta-analysis of the clinical effectiveness of school scoliosis screening. Spine. 2010;35(10):1061-1071.22. Engsberg JR, Lenke LG, Reitenbach AK, Hollander KW, Bridwell KH, Blanke K. Prospective evaluation of trunk range of motion in adolescents with idiopathic scoliosis undergoing spinal fusion surgery. Spine. 2002;27(12):1346-1354.23. Wilk B, Karol LA, Johnston CE, Colby S, Haideri N. The effect of scoliosis fusion on spinal motion: a comparison of fused and nonfused patients with idiopathic scoliosis. Spine. 2006;31(3):309-314.24. Brody L. Endurance impairment. Therapeutic Exercise: Moving toward function Philadelphia, Lippincott Williams & Wilkins. 1999:70-73.25. Kisner C, Colby LA. Therapeutic exercise. Foundations and techniques. 2002;4.26. Salminen JJ, Maki P, Oksanen A, Pentti J. Spinal mobility and trunk muscle strength in 15-year-old schoolchildren with and without low-back pain. Spine. 1992;17(4):405-411.27. Shin S-s, Woo Y-k. Characteristics of static balance in patients with adolescent idiopathic scoliosis. Phys Ther Korea. 2006;13(4):47-55.28. O’Sullivan PB, Mitchell T, Bulich P, Waller R, Holte J. The relationship beween posture and back muscle endurance in industrial workers with flexion-related low back pain. Manual therapy. 2006;11(4):264-271.29. Lanzetta D, Cattaneo D, Pellegatta D, Cardini R. Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis1. Arch Phys Med Rehabil. 2004;85(2):279-283.30. Freidel K, Petermann F, Reichel D, Steiner A, Warschburger P, Weiss HR. Quality of life in women with idiopathic scoliosis. Spine. 2002;27(4):E87-E91.31. Weinstein SL, Dolan LA, Spratt KF, Peterson KK, Spoonamore MJ, Ponseti IV. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. Jama. 2003;289(5):559-567.
THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY
Abstract
Purpose: There is a lack of evidence about trunk muscle endurance, range of motion (ROM), flexibility
and quality of life (QoL) in subjects with adolescent idiopathic scoliosis (AIS) following posterior
instrumentation and fusion (PIF) surgery. The study aimed to compare trunk muscle endurance, ROM,
flexibility, and QoL of the AIS subjects with lumbar or thoracic level after surgery. It also investigated
the relationship between trunk muscle endurance, ROM, flexibility, and QoL in subjects with AIS.
Methods: Twenty subjects aged between 10-18 years (mean age=15.55±1.46 years) who underwent
PIF surgery before 1-3 years were included. The subjects were divided into two groups as a thoracic
(n=10) and lumbar group (n=10) according to the PIF surgery level. The ROM was assessed using a
universal goniometer, flexibility with sit and reach test and lateral bending, trunk extensor muscle
endurance assessed with Biering-Sorensen test, trunk flexor muscle endurance with the Kraus-Weber
test, and the QoL through the Scoliosis Research Society-22 revised (SRS-22r) scale.
Results: There was significant difference between the two groups in lateral flexion ROM and lateral
bending results (p<0.05). Thoracic group showed better results in the lateral flexion ROM and lateral
bending test. Trunk flexor muscle endurance was found correlated with extension ROM (r=0.718,
p=0.001), flexion ROM (r=0.414, p=0.007), right lateral flexion ROM (r=0.721, p=0.001), and left lateral
flexion ROM (r=0.581, p=0.007). Trunk extensor muscle endurance was found correlated with right
rotation ROM (r=0.511, p=0.021), left rotation ROM (r=0.410, p=0.073), SRS-22r total score (r=0.677,
p=0.001) and SRS-22r pain score (r=0.554, p=0.011).
Conclusion: Trunk muscle endurance is essential for body posture and QoL after surgery. These
subject’s physiotherapy and rehabilitation programs should focus on developing trunk muscle endurance
and flexibility to increase QoL following PIF surgery.
References
- 1. Ghandehari H, Mahabadi MA, Mahdavi SM, Shahsavaripour A, Tari HVS, Safdari F. Evaluation of patient outcome and satisfaction after surgical treatment of adolescent idiopathic scoliosis using scoliosis research society-30. ABJS. 2015;3(2):109.2. Weinstein SL, Dolan LA, Cheng JC, Danielsson A, Morcuende JA. Adolescent idiopathic scoliosis. The Lancet. 2008;371(9623):1527-1537.3. Fusco C, Donzelli S, Lusini M, Salvatore M, Zaina F, Negrini S. Low rate of surgery in juvenile idiopathic scoliosis treated with a complete and tailored conservative approach: end-growth results from a retrospective cohort. Scoliosis. 2014;9(1):12.4. Danielsson AJ, Romberg K, Nachemson AL. Spinal range of motion, muscle endurance, and back pain and function at least 20 years after fusion or brace treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2006;31(3):275-283.5. Danielsson AJ, Wiklund I, Pehrsson K, Nachemson AL. Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgery. Eur Spine J. 2001;10(4):278-288.6. McIntire KL, Asher MA, Burton DC, Liu W. Trunk rotational strength asymmetry in adolescents with idiopathic scoliosis: an observational study. Scoliosis. 2007;2(1):9.7. Mooney V, Gulick J, Pozos R. A preliminary report on the effect of measured strength training in adolescent idiopathic scoliosis. Clin Sp surg. 2000;13(2):102-107.8. Schreiber S, Parent EC, Moez EK, Hedden DM, Hill D, Moreau MJ, et al. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis—an assessor and statistician blinded randomized controlled trial:“SOSORT 2015 Award Winner”. Scoliosis. 2015;10(1):24.9. Shin S-S, Woo Y-K. Characteristics of Sitting Balance and Trunk Muscle Endurance in Patients With Adolescent Idiopathic Scoliosis. Phys Ther Korea. 2007;14(4):35-43.10. Smith AJ, O'sullivan PB, Campbell AC, Straker LM. The relationship between back muscle endurance and physical, lifestyle, and psychological factors in adolescents. J Orthop Sports Phys Ther. 2010;40(8):517-523.11. Carr AJ, Gibson B, Robinson PG. Is quality of life determined by expectations or experience? Bmj. 2001;322(7296):1240-1243.12. Asher MA, Lai SM, Glattes RC, Burton DC, Alanay A, Bago J. Refinement of the SRS-22 health-related quality of life questionnaire function domain. Spine. 2006;31(5):593-597.13. Bunge EM, Juttmann RE, de Kleuver M, van Biezen FC, de Koning HJ. Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment. Eur Spine J. 2007;16(1):83-89.14. Carreon LY, Sanders JO, Diab M, Sturm PF, Sucato DJ, Group SDS. Patient satisfaction after surgical correction of adolescent idiopathic scoliosis. Spine. 2011;36(12):965-968.15. Gum JL, Bridwell KH, Lenke LG, Bumpass DB, Sugrue PA, Karikari IO, et al. SRS22R appearance domain correlates most with patient satisfaction after adult deformity surgery to the sacrum at 5-year follow-up. Spine. 2015;40(16):1297-1302.16. Sanders JO, Browne RH, McConnell SJ, Margraf SA, Cooney TE, Finegold DN. Maturity assessment and curve progression in girls with idiopathic scoliosis. J Bone Joint Surg Br. 2007;89(1):64-73.17. Zhang J, He D, Gao J, Yu X, Sun H, Chen Z, et al. Changes in life satisfaction and self-esteem in patients with adolescent idiopathic scoliosis with and without surgical intervention. Spine. 2011;36(9):741-745.18. Helenius I, Remes V, Yrjönen T, Ylikoski M, Schlenzka D, Helenius M, et al. Does gender affect outcome of surgery in adolescent idiopathic scoliosis? Spine. 2005;30(4):462-467.19. Biering-Sørensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9(2):106-119.20. Ito T, Shirado O, Suzuki H, Takahashi M, Kaneda K, Strax TE. Lumbar trunk muscle endurance testing: an inexpensive alternative to a machine for evaluation. Arch Phys Med Rehabil. 1996;77(1):75-79.21. Fong DYT, Lee CF, Cheung KMC, Cheng JCY, Ng BKW, Lam TP, et al. A meta-analysis of the clinical effectiveness of school scoliosis screening. Spine. 2010;35(10):1061-1071.22. Engsberg JR, Lenke LG, Reitenbach AK, Hollander KW, Bridwell KH, Blanke K. Prospective evaluation of trunk range of motion in adolescents with idiopathic scoliosis undergoing spinal fusion surgery. Spine. 2002;27(12):1346-1354.23. Wilk B, Karol LA, Johnston CE, Colby S, Haideri N. The effect of scoliosis fusion on spinal motion: a comparison of fused and nonfused patients with idiopathic scoliosis. Spine. 2006;31(3):309-314.24. Brody L. Endurance impairment. Therapeutic Exercise: Moving toward function Philadelphia, Lippincott Williams & Wilkins. 1999:70-73.25. Kisner C, Colby LA. Therapeutic exercise. Foundations and techniques. 2002;4.26. Salminen JJ, Maki P, Oksanen A, Pentti J. Spinal mobility and trunk muscle strength in 15-year-old schoolchildren with and without low-back pain. Spine. 1992;17(4):405-411.27. Shin S-s, Woo Y-k. Characteristics of static balance in patients with adolescent idiopathic scoliosis. Phys Ther Korea. 2006;13(4):47-55.28. O’Sullivan PB, Mitchell T, Bulich P, Waller R, Holte J. The relationship beween posture and back muscle endurance in industrial workers with flexion-related low back pain. Manual therapy. 2006;11(4):264-271.29. Lanzetta D, Cattaneo D, Pellegatta D, Cardini R. Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis1. Arch Phys Med Rehabil. 2004;85(2):279-283.30. Freidel K, Petermann F, Reichel D, Steiner A, Warschburger P, Weiss HR. Quality of life in women with idiopathic scoliosis. Spine. 2002;27(4):E87-E91.31. Weinstein SL, Dolan LA, Spratt KF, Peterson KK, Spoonamore MJ, Ponseti IV. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. Jama. 2003;289(5):559-567.
Details
| Primary Language | English |
|---|---|
| Subjects | Rehabilitation |
| Journal Section | Araştırma Makaleleri |
| Authors | |
| Publication Date | April 13, 2020 |
| Published in Issue | Year 2020 |