Negrini Stefano, Donzelli Sabrina, Dulio Monica, Zaina Fabio
Physical and Rehabilitation Medicine, University of Brescia, Italy.
Stud Health Technol Inform. 2012;176:433-6.
The SRS-22 has been developed to monitor QoL in scoliosis. Only a few studies have evaluated its effects on therapies. Consequently, doubts exist on its utility in conservative treatment.
To evaluate if SRS-22 is able to detect changes in patients treated conservatively.
Study design. Retrospective controlled cohort study nested in a prospective clinical database. Population. One hundred and thirty six consecutive adolescents at their first evaluation, age 12.8 ± 2.7, divided into 5 groups according to treatment: 30 brace for 18 hours/day, 7 for 21 h/d, 33 for 23 h/d, 48 exercises and 14 observed (controls). Methods. All patients completed SRS-22 before the first and at the 6 months follow-up evaluations. Statistical analysis. ANOVA and Kruskall-Wallis tests.
Controls did not show changes with time, while all treated patients had increase of satisfaction with treatment. Aesthetic improvement was perceived by patients treated with exercises, while brace treated patients showed a negative psychological impact: these statistical changes were not clinically significant (0.2-0.3 points out of 5), excluding satisfaction (1.15-1.8). Between the groups, the 23 h/d showed worst start but best results in functioning, aesthetics, pain and satisfaction.
SRS-22 appears to detect changes in populations, but its clinical everyday use appears less reliable.
SRS-22已被开发用于监测脊柱侧弯患者的生活质量。仅有少数研究评估了其对治疗的影响。因此，对于其在保守治疗中的效用存在疑问。
评估SRS-22能否检测出接受保守治疗患者的变化。
研究设计。嵌套于前瞻性临床数据库中的回顾性对照队列研究。研究对象。136名首次接受评估的连续青少年，年龄12.8±2.7岁，根据治疗方法分为5组：30名每天佩戴支具18小时，7名每天佩戴21小时，33名每天佩戴23小时，48名进行锻炼，14名作为观察对象（对照组）。方法。所有患者在首次评估前及随访6个月时均完成SRS-22评估。统计分析。方差分析和克鲁斯卡尔-沃利斯检验。
对照组未显示出随时间的变化，而所有接受治疗的患者对治疗的满意度均有所提高。进行锻炼治疗的患者感觉美观度有所改善，而佩戴支具治疗的患者则表现出负面心理影响：这些统计变化在临床上并不显著（满分5分中为0.2 - 0.3分），不包括满意度（1.15 - 1.8分）。在各治疗组之间，每天佩戴23小时支具组开始时情况最差，但在功能、美观、疼痛和满意度方面的结果最佳。
SRS-22似乎能够检测出人群中的变化，但其在日常临床应用中的可靠性似乎较低。
