Abstract
Adolescent idiopathic scoliosis (AIS) is the most prevalent types of scoliosis, affecting up to 3% of children around the world. The progression of AIS can cause alteration in psychological components such as self-perceived body image and self-identity, which negatively affect the teenager quality of life (QoL). The mainly aim of this cross-sectional study is to investigate how mild AIS impacts self-perceived body image in young people. Fifteen participants (mean age = 14.47 ± 2.825) of both sexes (male = 5; female = 10) with a curve magnitude from 10° up to 25° completed the Scoliosis Research Society Patient Questionnaire (SRS-22), the Trunk Appearance Perception Scale (TAPS) and were subject to spinal analysis and photogrammetry. Results display statistical differences between self-perceived body image and other SRS-22 domains (Hotelling t2= 70.29; F (3,12) = 20.08; p < 0.001). Additionally, the regression model, which better explained the self-perceived variability, was fit by function/activity, pain, and mental health domains (F (4,10) = 4.39; p = 0.029; R2 = 0.545). Although AIS was not severe, it negatively affected participants self-perceived body image. More attention in AIS qualify of life is needed, and early treatments could be necessary to prevent psychological impairments self-perception related.
Highlights
Scoliosis is a three-dimensional complex deformity of the spine mainly characteristic in the frontal plane [1]
The main purpose of the present study is to investigate whether the mild magnitude of the curve affects self-perceived body image measured by SRS-22 in people with diagnosis of Adolescent idiopathic scoliosis (AIS)
The criteria of selection included a diagnosis of adolescent idiopathic scoliosis, no other morphological alterations, no prior surgical intervention for scoliosis, magnitude of the main curve ranging from 10◦ up to 25◦, and age from 12 to 22 years old
Summary
Scoliosis is a three-dimensional complex deformity of the spine mainly characteristic in the frontal plane [1]. AIS affects up to 2–3% of children around the world, and its occurrence is more likely in girls [4]. AIS is characterized by a radiological spinal curve of at least 10◦ in the frontal plane (measured by the Cobb method), with different grades of vertebral axial rotation [1]. Radiographic image is the current gold standard for AIS diagnosis, several non-invasive devices and surface metrics have been validated to measure spinal curvatures and trunk shape in the last years [5–7]. SpinalMouse® and photogrammetry have been proposed like non-invasive and reliable methods for spinal analysis and postural evaluation in AIS [8,9]. Surgical and non-surgical interventions have been compared to manage prognosis in people with AIS and different treatments are recommended to improve physiological, functional, and psychological conditions [1,10,11]
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