Chan Chris Yin Wei, Gani Siti Mariam Abd, Lim Min Yuen, Chiu Chee Kidd, Kwan Mun Keong
Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Asian Spine J. 2019 Apr;13(2):216-224. doi: 10.31616/asj.2018.0151. Epub 2018 Nov 27.
Prospective study.
To compare patients' and parents' perceptions of physical attributes (PAs) of adolescent idiopathic scoliosis (AIS) patients and to report any correlations between their perceptions and Scoliosis Research Society-22r (SRS-22r) scores.
Few studies have looked into the differences between patients' and parents' perceptions of their appearance.
AIS patient-parent pairs (n=170) were recruited. The patients' and parents' perceptions of six PAs were evaluated: waist asymmetry (WA), rib hump (RH), shoulder asymmetry (SA), neck tilt, breast asymmetry (BrA), and chest prominence. These PAs were ranked, and an aggregate PA (Agg-PA) score was derived from a score assigned to the attribute (6 for the most important PA and 1 for the least important). The patients also completed the SRS-22r questionnaire.
Ninety-nine patients (58.2%) and 71 patients (41.8%) had thoracic and lumbar major curves, respectively. WA was ranked first by 54 patients (31.8%) and 50 parents (29.4%), whereas RH was ranked first by 50 patients (29.4%) and 38 parents (22.4%). The overall Agg-PA scores were similar for patients and parents (p>0.05). However, for thoracic major curves (TMCs) >40°, a significant difference was noted between the Agg-PA scores of patients and parents for SA (3.5±1.6 vs. 4.2±1.6, p=0.041) and BrA (3.0±1.6 vs. 2.2±1.3, p=0.006). For TMCs <40°, a significant difference was found between the Agg-PA scores of patients and parents for WA (3.7±1.6 vs. 4.4±1.5, p=0.050). BrA was negatively correlated with total SRS-22r score.
There were no significant differences between patients and parents in their ranking of the most important PAs. For TMCs >40°, there were significant differences in the Agg-PA for SA and BrA. Pa¬tients were more concerned about BrA and parents were more concerned about SA. Patients' perception of the six PAs had weak correlation with SRS-22r scores.
前瞻性研究。
比较患者及其父母对青少年特发性脊柱侧凸（AIS）患者身体特征（PA）的认知，并报告他们的认知与脊柱侧凸研究学会-22r（SRS-22r）评分之间的任何相关性。
很少有研究探讨患者及其父母对自身外貌认知的差异。
招募了170对AIS患者-父母对。评估了患者及其父母对六个PA的认知：腰部不对称（WA）、肋骨隆起（RH）、肩部不对称（SA）、颈部倾斜、乳房不对称（BrA）和胸部突出。对这些PA进行排序，并从分配给该特征的分数（最重要的PA为6分，最不重要的为1分）得出综合PA（Agg-PA）分数。患者还完成了SRS-22r问卷。
分别有99名患者（58.2%）和71名患者（41.8%）患有胸椎和腰椎主弯。54名患者（31.8%）和50名父母（29.4%）将WA列为第一，而50名患者（29.4%）和38名父母（22.4%）将RH列为第一。患者和父母的总体Agg-PA分数相似（p>0.05）。然而，对于胸椎主弯（TMC）>40°的情况，患者和父母在SA（3.5±1.6对4.2±1.6，p=0.041）和BrA（3.0±1.6对2.2±1.3，p=0.006）的Agg-PA分数上存在显著差异。对于TMC<40°的情况，患者和父母在WA的Agg-PA分数上存在显著差异（3.7±1.6对4.4±1.5，p=0.050）。BrA与SRS-22r总分呈负相关。
患者和父母在最重要PA的排序上没有显著差异。对于TMC>40°的情况，SA和BrA的Agg-PA存在显著差异。患者更关注BrA，而父母更关注SA。患者对六个PA的认知与SRS-22r评分的相关性较弱。
