Department of Pedagogy and Psychology, University of Security, Poznan, Poland.
HCP Medical Centre, Poznan, Poland.
PLoS One. 2018 Feb 23;13(2):e0193447. doi: 10.1371/journal.pone.0193447. eCollection 2018.
We aimed to provide a complex assessment of adult females with adolescent idiopathic scoliosis (AIS) after a minimum of 23 years after completed Milwaukee brace treatment. In the present study, a comparison between healthy female and AIS patients' perception of trunk disfigurement, self-image, mental health, pain level and everyday activity was made. Thirty AIS patients with a mean of 27.77 yrs (SD 3.30) after the treatment were included in the study. The control group consisted of 42 females, matching the age profile of the patient group. Study participants from both groups were examined using the same protocol, except for the radiological evaluation. Patients and healthy controls completed the Polish versions of the Scoliosis Research Society (SRS-22) and Spinal Appearance Questionnaire (SAQ). Patients additionally filled the Bad Sobberheim Stress Questionnaire-Deformity (BSSQ-Deformity) and Bad Sobberheim Stress Questionnaire-Brace (BSSQ-Brace). The study group's SAQ results differ significantly in regard to the total score and all individual domains, indicating better functioning among healthy controls. Except for the General domain (p = 0.002), among the remaining subscales the study group's results differed significantly at p<0.001. Considering SRS-22 results, it was revealed that the patient group scored higher, signaling better functioning with reference to pain level (p = 0.016), function/activity (p<0.001) and the total score (p<0.001). The findings add to the complexity of long-term effect evaluations of AIS, particularly amongst females treated with a Milwaukee brace. Long-term results were not conclusive in terms of nonverbal assessment of body image and emotional tension regarding the experiences of brace-wearing. Future patients can be reassured that scoliosis treated conservatively does not negatively affect everyday activity, pain level, childbearing and mental health. Subjects who declared to have psychological problems due to scoliosis had a bigger curve size after treatment and in this study than the other AIS patients.
我们旨在对接受密尔沃基支具治疗后至少 23 年的青春期特发性脊柱侧凸（AIS）成年女性进行综合评估。在本研究中，比较了健康女性和 AIS 患者对躯干畸形、自我形象、心理健康、疼痛程度和日常活动的感知。研究纳入了 30 名 AIS 女性患者，治疗后平均年龄为 27.77 岁（SD 3.30）。对照组由 42 名女性组成，与患者组的年龄分布相匹配。两组研究参与者均采用相同的方案进行检查，除了放射学评估。患者和健康对照组完成了波兰语版的脊柱侧凸研究协会（SRS-22）和脊柱外观问卷（SAQ）。患者还填写了巴德索布赫尔海姆压力问卷-畸形（BSSQ-Deformity）和巴德索布赫尔海姆压力问卷-支具（BSSQ-Brace）。研究组的 SAQ 结果在总分和所有单项领域均有显著差异，表明健康对照组的功能更好。除了一般领域（p=0.002）外，研究组在其余子量表中的结果差异均具有统计学意义（p<0.001）。考虑到 SRS-22 结果，发现患者组的得分更高，表明在疼痛程度（p=0.016）、功能/活动（p<0.001）和总分（p<0.001）方面功能更好。这些发现增加了 AIS 长期效果评估的复杂性，特别是在接受密尔沃基支具治疗的女性中。长期结果在非言语评估身体形象和对佩戴支具的体验的情绪紧张方面并不一致。未来的患者可以放心，保守治疗的脊柱侧凸不会对日常活动、疼痛程度、生育能力和心理健康产生负面影响。本研究中，与其他 AIS 患者相比，因脊柱侧凸而宣布存在心理问题的受试者在治疗后和本研究中的曲线大小更大。
