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脊柱侧弯患者与支具相关的应力——不同支具概念的比较

Brace related stress in scoliosis patients - Comparison of different concepts of bracing.

作者信息

Weiss Hans-Rudolf, Werkmann Mario, Stephan Carola

机构信息

Asklepios Katharina Schroth Spinal Deformities Rehabilitation Centre, Korczakstr, 2, D-55566 Bad Sobernheim, Germany.

出版信息

Scoliosis. 2007 Aug 20;2:10. doi: 10.1186/1748-7161-2-10.

Abstract

BACKGROUND

The BSSQbrace questionnaire has been shown to be reliable with good internal consistency and reproducibility estimating the stress scoliosis patients have whilst wearing their brace. Eight questions are provided focussing on this topic. A max. score of 24 can be achieved (from 0 for most stress to 24 for no stress). The subdivision of the score values is: 0-8 (strong stress), 9-16 (medium stress) and 17-24 (little stress).

STUDY DESIGN

Two BSSQbrace questionnaires have been posted to 65 patients under brace treatment from our Cheneau light data base. All patients had another kind of brace prior to the Cheneau light. The patients have been asked to rate their stress level using one questionnaire for the current brace and the other for the previous one.

RESULTS

63 Patients (59 girls and 4 boys) returned their fully completed questionnaires (average age 13,6 years, average Cobb angle 43,7 degrees). Stress level in the previous brace was 11,04 and in the Cheneau light(r) 13,87. The differences were highly significant in the t-test; t = -4,67; p < 0,001.

CONCLUSION

The use of the Cheneau light(R) brace leads to reduced stress and/or impairment for the patients under treatment compared to heavier brace models used so far.

摘要

背景

BSSQbrace问卷已被证明具有可靠性,其内部一致性良好,可重复性强,用于评估脊柱侧弯患者佩戴支具时的压力。该问卷围绕这一主题设置了8个问题。最高可得24分(压力最大为0分,无压力为24分)。分数值细分如下:0 - 8分(压力大),9 - 16分(压力中等),17 - 24分(压力小)。

研究设计

从我们的Cheneau light数据库中,向65名接受支具治疗的患者发送了两份BSSQbrace问卷。所有患者在佩戴Cheneau light支具之前都使用过其他类型的支具。要求患者分别使用一份问卷对当前佩戴的支具和之前佩戴的支具的压力水平进行评分。

结果

63名患者(59名女孩和4名男孩)返还了完整填写的问卷(平均年龄13.6岁,平均Cobb角43.7度)。之前佩戴的支具的压力水平为11.04,佩戴Cheneau light(r)支具的压力水平为13.87。t检验显示差异具有高度显著性;t = -4.67;p < 0.001。

结论

与目前使用的较重的支具模型相比,使用Cheneau light(R)支具可减轻接受治疗患者的压力和/或不适。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d4c/2000861/f5f084eba4c4/1748-7161-2-10-1.jpg

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