保守性脊柱侧弯治疗相关应激的评估：基于BSSQ问卷的分析
Estimation of the stress related to conservative scoliosis therapy: an analysis based on BSSQ questionnaires.
作者信息
Kotwicki Tomasz, Kinel Edyta, Stryła Wanda, Szulc Andrzej
机构信息
Department of Pediatric Orthopedics and Traumatology, University of Medical Sciences of Poznan, ul, 28 Czerwca 1956 roku nr 135, 61-545 Poznan, Poland.
出版信息
Scoliosis. 2007 Jan 3;2:1. doi: 10.1186/1748-7161-2-1.
BACKGROUND
Adolescent girls treated with a brace for scoliosis are submitted to prolonged stress related to both the disease and the therapy. Currently proposed quality of life questionnaires are focused on the outcome of therapy. Bad Sobernheim Stress Questionnaire (BSSQ) enables monitoring of patients being under treatment with a brace or exercises. The aim of the study was to assess the stress level in conservatively managed scoliotic girls using BSSQ.
MATERIALS AND METHODS
111 girls, aged 14.2 +/- 2.2 years, mean Cobb angle of the primary curve 42.8 degrees +/- 17.0 degrees and mean Bunnell angle of 11.4 degrees +/- 4.5 degrees were examined with two versions of BSSQ (Deformity and Brace). The analysis considered the type of treatment, curve location, correlation of the total score with age, Cobb angle and Bunnell rotation angle.
RESULTS
The BSSQ Deformity revealed the median of 17 points in patients managed with exercises (from 4 to 24 points), 18 in patients managed with a brace (from 8 to 24 points) and 12 in patients before surgery (from 3 to 21 points). Braced patients who completed both questionnaires (n = 50) revealed significantly higher score with BSSQ Deformity (median = 18) comparing to BSSQ Brace (median = 9). There was a correlation between the total score of BSSQ Deformity and the Cobb angle (r = -0.34), Bunnell primary curve rotation (r = -0.34) and Bunnell sum of rotation (r = -0.33) but not with the age of patients.
CONCLUSION
Scoliotic adolescents managed with exercises and brace suffered little stress from the deformity. The brace increased the level of stress over the stress induced by the deformity. The stress level correlated with clinical deformity (Bunnell angle), radiological deformity (Cobb angle) and the type of treatment (exercises, bracing, surgery). Bad Sobernheim Stress Questionnaires are simple and helpful in the management of girls treated conservatively for idiopathic scoliosis.
背景
接受脊柱侧弯支具治疗的青春期女孩会承受与疾病和治疗相关的长期压力。目前提出的生活质量问卷主要关注治疗结果。巴德索伯恩海姆压力问卷（BSSQ）能够监测接受支具或运动治疗的患者。本研究的目的是使用BSSQ评估保守治疗的脊柱侧弯女孩的压力水平。
材料与方法
对111名年龄为14.2±2.2岁、主弯平均Cobb角为42.8°±17.0°、平均邦内尔角为11.4°±4.5°的女孩进行了两个版本的BSSQ（畸形和支具）检查。分析考虑了治疗类型、侧弯位置、总分与年龄、Cobb角和邦内尔旋转角的相关性。
结果
BSSQ畸形问卷显示，接受运动治疗的患者中位数为17分（4至24分），接受支具治疗的患者为18分（8至24分），手术前患者为12分（3至21分）。同时完成两份问卷的支具治疗患者（n = 50）显示，BSSQ畸形问卷的得分（中位数 = 18）显著高于BSSQ支具问卷（中位数 = 9）。BSSQ畸形问卷的总分与Cobb角（r = -0.34）、邦内尔主弯旋转（r = -0.34）和邦内尔旋转总和（r = -0.33）相关，但与患者年龄无关。
结论
接受运动和支具治疗的脊柱侧弯青少年因畸形承受的压力较小。支具增加的压力超过了畸形引起的压力。压力水平与临床畸形（邦内尔角）、放射学畸形（Cobb角）和治疗类型（运动、支具、手术）相关。巴德索伯恩海姆压力问卷简单易用，有助于对特发性脊柱侧弯进行保守治疗的女孩的管理。
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