Çolak Tuğba Kuru, Akgül Turgut, Çolak Ilker, Dereli Elif Elçin, Chodza Mehmet, Dikici Fatih
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Marmara University, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
J Back Musculoskelet Rehabil. 2017;30(3):597-602. doi: 10.3233/BMR-160564.
Quality of life and cosmethic appearance have gained importance as outcomes in AIS treatment. Improving aesthetic appearance and quality of life are defined as the primary aims of scoliosis treatment by health professionals. Studies that assess and compare the different treatment results in the field of quality of life and cosmethics are some what limited.
A cross-sectional study was designed to compare quality of life and deformity perception in patients with adolescent idiopathic scoliosis (AIS) received conservative (exercise or exercise + brace) or surgical treatment.
A total of 68 (58 females) patients aged 10-18 years with AIS received conservative (exercise or exercise+brace) or surgical treatment were invited to participate in the study. Quality of life (Scoliosis Research Society-23 (SRS-23)) and perception of deformity (Walter Reed Visual Assessment (WRVAS)) were assessed.
Conservatively treated patients had significantly superior scores in function domain of SRS-23 than surgically treated patients (exercise/surgery, exercise+brace/surgery; p= 0.009, 0.004). Otherwise, surgically treated patients had significantly superior scores in self-image (p= 0.000, 0.000), and satisfaction with management (p= 0.001, 0.006) domains of SRS-23, and WRVAS (p= 0.000, 0.000) than conservative groups.
In addition to radiographic assessments, quality of life, aesthetic perception, functionality, satisfaction with management, psycho-social status should carefully be taken into consideration by health professionals in the teratment of AIS.
生活质量和美观在特发性脊柱侧凸（AIS）治疗的结果中变得越发重要。改善美观和生活质量被健康专家定义为脊柱侧凸治疗的主要目标。评估和比较生活质量与美观领域不同治疗结果的研究颇为有限。
设计一项横断面研究，以比较接受保守治疗（运动或运动+支具）或手术治疗的青少年特发性脊柱侧凸（AIS）患者的生活质量和畸形认知。
共邀请了68名年龄在10至18岁、接受了保守治疗（运动或运动+支具）或手术治疗的AIS患者参与研究。评估了生活质量（脊柱侧凸研究学会23项问卷（SRS-23））和畸形认知（沃尔特·里德视觉评估（WRVAS））。
保守治疗的患者在SRS-23功能领域的得分显著高于手术治疗的患者（运动/手术，运动+支具/手术；p=0.009，0.004）。此外，手术治疗的患者在SRS-23的自我形象（p=0.000，0.000）、对治疗的满意度（p=0.001，0.006）领域以及WRVAS（p=0.000，0.000）方面的得分显著高于保守治疗组。
除了影像学评估外，健康专家在治疗AIS时应仔细考虑生活质量、审美认知、功能、对治疗的满意度、心理社会状况。
