Cheung Kenneth M C, Cheng Elaine Y L, Chan Samantha C W, Yeung Kelvin W K, Luk Keith D K
Department of Orthopaedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong, People's Republic of China.
Int Orthop. 2007 Aug;31(4):507-11. doi: 10.1007/s00264-006-0209-5. Epub 2006 Aug 1.
The SRS-22 questionnaire is specifically designed for the assessment of quality of life in spinal deformity patients. This study is the first to use it to assess the quality of life of adolescent idiopathic scoliosis patients under brace treatment and compares the results with an observational group matched by age and curve magnitude. Forty-six patients were enrolled into each group. Overall, it was found that patients under observation had a significantly better quality of life than braced patients. Specifically, the domains for function/activity and self-image were most affected. This effect was most apparent in those with a curve magnitude of under 20 degrees . The scores did not improve significantly with the duration of brace wear, suggesting little adaptation. This study has implications for treatment, and more attention will need to be given to those with mild but progressive curves to help improve patients' understanding of their treatment and hence their compliance and satisfaction.
SRS-22问卷是专门为评估脊柱畸形患者的生活质量而设计的。本研究首次使用该问卷评估接受支具治疗的青少年特发性脊柱侧弯患者的生活质量，并将结果与年龄和侧弯程度相匹配的观察组进行比较。每组招募了46名患者。总体而言，发现观察组患者的生活质量明显优于佩戴支具的患者。具体来说，功能/活动和自我形象领域受影响最大。这种影响在侧弯程度小于20度的患者中最为明显。支具佩戴时间的延长并没有使评分显著提高，表明适应程度很小。这项研究对治疗具有启示意义，需要更多地关注那些侧弯程度较轻但呈进展性的患者，以帮助提高患者对治疗的理解，从而提高他们的依从性和满意度。
