Abstract
BackgroundIt 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.MethodsFifty-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.ResultFor 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.ConclusionThe results showed a positive relationship between patients’ brace wear compliance and patients’ QoL. Poor compliance would cause a lower QoL.
Highlights
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)
The purpose of this study was to assess the correlation between the effectiveness of orthosis in terms of in-brace correction, compliance with spinal orthosis and the Health-related quality of life (HRQoL) of patients with AIS during the initial treatment period
6 of them had withdrawn from the study voluntarily, 5 of them had been lost to follow-up and 2 of them had sought for alternative therapy
Summary
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). It had been documented that some researchers believe that orthotic treatment does not alter the natural history of AIS, whereas others believe it can help stop some curves from progressing [1]. Patients’ compliance with orthotic treatment, i.e., brace wear compliance, should not be ignored because corrective bracing yields a favourable outcome when the patient is compliant [3]. Bracing may be a stressful and traumatic experience, and compliance with an orthotic treatment protocol likely depends upon the patient’s physical, emotional and social well-being. Lack of compliance to orthotic treatment could have a psychological element
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