The effect of Boston type corset on quality of life in adolescent idiopathic scoliosis

Öz

Aim: To evaluate the effect of the corset (Boston type) on quality of life in patients who underwentconservativetreatment for adolescentidiopathic scoliosis (AIS) with Scoliosis Research Society-22 (SRS-22) questionnaire.

Material and Methods: This is a cross-sectional study. Patients who werediagnosed with AIS between 2008 and 2017 in the Orthopedics and Traumatology Clinic of Gazi University Faculty of Medicine Hospital,  treatedconservatively and followed for at least one yearwereincluded in the study. Therewere 68 patients; 22 male (32.4%) and 46 female.Themeanagewas16.0 ± 2.9 (min: 11.00; max: 26). SRS-22 questionnaire wasused to evaluate health-related quality of life in patients.

Results: Twenty-three (33.8%) of the patientswerefollowed by corset and 45 of the patientswerefollowed without the corset. Cobb angledegrees at the lastfollow-upweresignificantlyhigher in the corsetgroup (p <0.001). Therewasnostatisticallysignificantdifferencebetween SRS-22 total score, pain, function, mental health and satisfaction with managementscoresbetween the twogroupsfollowed by the corset and without corset (p> 0.05). SRS-22 self-imagescorewasfound to be significantly lower in the corsetgroup (p = 0.019).

Conclusion: In this study, the quality of life of the patients with corsetswasfound to be similar to patients without corsets. Because of the Cobb anglevalues of the corsetgroupwerehigherthan the other group, the SRS-22 self- imagescorewasfound to be lower in the corsets. It wasfound that the quality of life associated with pain, function, mental health, and satisfaction with managementwassimilar in patients with corsets and overall quality of life was not affected by the corset.

Anahtar Kelimeler

• Adolescent idiopathic scoliosis,Quality of life,Scoliosis Research Society - 22

Adölesan idiopatik skolyozlu hastalarda Boston tipi korse kullanımının yaşam kalitesine etkisi

Öz

Amaç: AdölesanİdiopatikSkolyoz (AİS) nedeniyle konservatif tedaviuygulanan hastalarda, korse (Boston tipi)  kullanımının yaşam kalitesine etkisiniSkolyoz Araştırma Cemiyeti’nin Sağlık ilişkili Yaşam Kalitesi-22 (Scoliosis Research Society- 22; SRS-22) anketi ile değerlendirmek

Gereç ve Yöntemler: Araştırma kesitsel tipte bir çalışmadır. Gazi Üniversitesi Tıp Fakültesi Hastanesi Ortopedi ve Travmatoloji Kliniğinde 2008 - 2017 yılları arasında tanı almış ve en az bir yıldır AİS tanısıyla takip edilen, konservatif tedavi uygulanan, yaş ortalaması 16,0±2,9 (min:11,00; maks:26) olan 22’si erkek (%32,4), 46’sı kadın 68hasta çalışmaya dâhil edilmiştir. Hastaların yaşam kalitesini değerlendirmek için SRS-22 anketi kullanılmıştır.

Bulgular: Çalışmaya katılan hastaların23’ü (%33,8)korse ile45’iise korsesiz takip edilmiştir.Hastaların son kontroldeki Cobb açısı dereceleri korse ile takip edilen grupta istatistiksel olarak anlamlı yüksek bulunmuştur (p<0,001). Korse ile takip edilen ve korsesiz takip edilen her iki grup arasında SRS-22 toplam skoru, ağrı, fonksiyon, ruh sağlığı ve tedaviden tatmin skorları açısından istatistiksel olarak anlamlı fark bulunmamıştır (p>0,05). SRS-22 görünüş skorunun ise korse ile takip edilen grupta istatistiksel olarak anlamlı düzeyde daha düşük olduğu saptanmıştır (p=0,019).

Sonuç: Bu çalışmada korseli hastaların yaşam kalitelerininkorsesiz takipedilenlerle benzer olduğu saptanmıştır. Korseli grubun Cobb açı değerlerinin diğer gruba göre daha yüksek olması nedeniyle SRS-22 görünüş skorunun korselilerde daha düşük olduğu saptanmıştır. Korseli hastaların ağrı, fonksiyon, ruh sağlığı ve tedaviden tatmin ile ilişkili yaşam kalitelerinin benzer olduğu ve genel olarak yaşam kalitelerinin korseden etkilenmediği bulunmuştur. 

Anahtar Kelimeler

• Adölesan idiopatik skolyoz,Yaşam kalitesi,SRS-22 anketi

Kaynakça

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