Daubs Michael D, Hung Man, Neese Ashley, Hon Shirley D, Lawrence Brandon D, Patel Alpesh A, Annis Prokopis, Smith John, Brodke Darrel S
*Division of Orthopaedics, University of Nevada School of Medicine, Las Vegas, NV; †Department of Orthopaedics, University of Utah, Salt Lake City, UT; and ‡Division of Orthopaedics, Northwestern University, Evanston, IL.
Spine (Phila Pa 1976). 2014 May 1;39(10):826-32. doi: 10.1097/BRS.0000000000000280.
Cross-sectional survey.
The purpose of our study was to evaluate a large population of adolescents from a broad mix of racial/ethnic backgrounds and age groups to better establish baseline normative values for the Scoliosis Research Society-22 (SRS-22).
The SRS-22 instrument was developed to assess treatment outcomes in patients with adolescent idiopathic scoliosis. To accurately assess real changes in outcome measures, the SRS-22 must be able to differentiate patients with and without adolescent idiopathic scoliosis.
The SRS-22 was administered to 3052 healthy adolescents, 51% female and 49% male, with a mean age of 14.6 years (range, 10-19 yr). We grouped the children into 3 age groups for analysis: 10 to 12 years (362), 13 to 15 years (1487), and 16 to 19 years (1203). Racial/ethnic groups included: Caucasian, 62%; African American, 14%; Hispanic, 9%; Asian, 6%; Native American, 5%; and Pacific Islander, 4%. SRS-22 scores were analyzed to establish normative values for each group.
Mean SRS-22 scores were: activity, (4.31 ± 0.54); pain, (4.44 ± 0.67); image, (4.41 ± 0.64); mental, (3.96 ± 0.81); and total, (4.26 ± 0.54). Females had lower scores in the mental domain (3.90) than males (4.04) (P < 0.001). The scores of children aged 10 through 12 years were higher in the domains of activity (P = 0.000), pain (P < 0.001), and mental (P < 0.001) than those of children aged 13 through 15 years and 16 through 19 years. The 13- to 15-year group had significantly higher scores than the 16- to 19-year group (P < 0.001) in each of the same categories. Regarding race/ethnicity, Caucasians tended to report higher scores in most domains than other race/ethnic groups. Hispanics scored lower in all domains than the non-Hispanic group.
Age, sex, and race had a significant impact on SRS-22 scores in a large group of healthy adolescents. In general, scores lowered as age increased from 10 to 19 years, Caucasians scored higher in function, pain, and image than other racial groups, and Hispanics scored lower than non-Hispanics in all domains. These factors should be considered when evaluating SRS-22 scores.
横断面调查。
我们研究的目的是评估来自广泛种族/族裔背景和年龄组的大量青少年，以更好地建立脊柱侧弯研究学会22项问卷（SRS - 22）的基线规范值。
SRS - 22工具旨在评估青少年特发性脊柱侧弯患者的治疗效果。为了准确评估结果指标的实际变化，SRS - 22必须能够区分患有和未患有青少年特发性脊柱侧弯的患者。
对3052名健康青少年进行了SRS - 22问卷调查，其中女性占51%，男性占49%，平均年龄为14.6岁（范围为10 - 19岁）。我们将这些儿童分为3个年龄组进行分析：10至12岁（362名）、13至15岁（1487名）和16至19岁（1203名）。种族/族裔群体包括：白种人，62%；非裔美国人，14%；西班牙裔，9%；亚洲人，6%；美洲原住民，5%；太平洋岛民，4%。对SRS - 22得分进行分析以确定每组的规范值。
SRS - 22的平均得分分别为：活动，（4.31±0.54）；疼痛，（4.44±0.67）；形象，（4.41±0.64）；心理，（3.96±0.81）；总分，（4.26±0.54）。女性在心理领域的得分（3.90）低于男性（4.04）（P < 0.001）。10至12岁儿童在活动（P = 0.000）、疼痛（P < 0.001）和心理（P < 0.001）领域的得分高于13至15岁和16至19岁的儿童。在相同的每个类别中，13至15岁组的得分显著高于16至19岁组（P < 0.001）。关于种族/族裔，白种人在大多数领域的得分往往高于其他种族/族裔群体。西班牙裔在所有领域的得分均低于非西班牙裔群体。
年龄、性别和种族对一大群健康青少年的SRS - 22得分有显著影响。一般来说，随着年龄从10岁增加到19岁，得分降低，白种人在功能、疼痛和形象方面的得分高于其他种族群体，西班牙裔在所有领域的得分均低于非西班牙裔。在评估SRS - 22得分时应考虑这些因素。
