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青少年特发性脊柱侧弯患者对颈肩失衡的认知与满意度

Patients' Perception and Satisfaction on Neck and Shoulder Imbalance in Adolescent Idiopathic Scoliosis.

作者信息

Lee Sin Ying, Ch'ng Pei Ying, Wong Tat Seng, Ling Xiu Wen, Chung Weng Hong, Chiu Chee Kidd, Chan Chris Yin Wei, Lean Mei Li, Kwan Mun Keong

机构信息

Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, 37447University of Malaya, Kuala Lumpur, Malaysia.

出版信息

Global Spine J. 2023 Apr;13(3):752-763. doi: 10.1177/21925682211007795. Epub 2021 Apr 7.

DOI:10.1177/21925682211007795
PMID:33823628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10240612/
Abstract

STUDY DESIGN

Cross-sectional.

OBJECTIVES

To evaluate the perception and satisfaction among adolescent idiopathic scoliosis (AIS) patients on Neck Tilt with Medial Shoulder Imbalance and Lateral Shoulder Imbalance.

METHODS

Lenke 1 and 2 AIS patients were stratified into 6 groups of preoperative/ postoperative and Patients were interviewed using Modified Neck and Shoulder Appearance and SRS-22r questionnaires. T1 tilt, Cervical Axis (CA), Clavicle Angle (Cla-A) and Radiographic Shoulder Height (RSH) were measured.

RESULTS

A total of 120 Lenke 1 and 2 AIS patients were recruited. patients were aware and unhappy with their abnormal neck with medial shoulder appearances ( < .001). Similarly, patients were aware and unhappy with their abnormal lateral shoulder appearances ( < .001). group had larger preoperative/ postoperative T1 tilt (9.2 ± 5.0°; 9.5 ± 5.3°) and CA (4.6 ± 3.1°; 7.0 ± 2.0°) ( < .01). group had larger preoperative/ postoperative Cla-A (4.8 ± 2.8°; 4.0 ± 1.3°) and RSH (20.1 ± 9.4 mm; 17.0 ± 6.6 mm) ( < .001). Postoperative group scored higher in overall SRS-22r scores, self-image and satisfaction domains (4.2 ± 0.3; 4.0 ± 0.5; 4.4 ± 0.5) while preoperative scored the lowest comparatively (3.5 ± 0.4; 2.4 ± 0.5; 3.3 ± 0.5) ( < .001).

CONCLUSION

NT and LSI were major concerns among AIS patients. Both and groups were unhappy with their appearances. group had larger T1 tilt/ CA whereas group had larger Cla-A/ RSH. Postoperative group scored higher in overall SRS-22r scores, self-image and satisfaction domains.

摘要

研究设计

横断面研究。

目的

评估青少年特发性脊柱侧凸（AIS）患者对伴有内侧肩部失衡和外侧肩部失衡的颈部倾斜的认知及满意度。

方法

将Lenke 1型和2型AIS患者分为术前/术后6组，使用改良的颈部和肩部外观问卷及SRS - 22r问卷对患者进行访谈。测量T1倾斜度、颈椎轴（CA）、锁骨角（Cla - A）和影像学肩部高度（RSH）。

结果

共招募了120例Lenke 1型和2型AIS患者。患者意识到并对其伴有内侧肩部外观的异常颈部不满意（P <.001）。同样，患者意识到并对其异常的外侧肩部外观不满意（P <.001）。[未提及的组]术前/术后T1倾斜度（9.2±5.0°；9.5±5.3°）和CA（4.6±3.1°；7.0±2.0°）更大（P <.01）。[未提及的组]术前/术后Cla - A（4.8±2.8°；4.0±1.3°）和RSH（20.1±9.4 mm；17.0±6.6 mm）更大（P <.001）。术后[未提及的组]在SRS - 22r总分、自我形象和满意度领域得分更高（4.2±0.3；4.0±0.5；4.4±0.5），而术前[未提及的组]得分相对最低（3.5±0.4；2.4±0.5；3.3±0.5）（P <.001）。

结论

颈部倾斜（NT）和外侧肩部失衡（LSI）是AIS患者的主要关注点。[未提及的组]和[未提及的组]对自己的外观都不满意。[未提及的组]T1倾斜度/CA更大，而[未提及的组]Cla - A/RSH更大。术后[未提及的组]在SRS - 22r总分、自我形象和满意度领域得分更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/08e1b59da6c6/10.1177_21925682211007795-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/3b3019fa66eb/10.1177_21925682211007795-fig1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/348822bb8026/10.1177_21925682211007795-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/2e04ccb3a88b/10.1177_21925682211007795-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/468ceef394e7/10.1177_21925682211007795-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/08e1b59da6c6/10.1177_21925682211007795-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/3b3019fa66eb/10.1177_21925682211007795-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/f289c90afdc4/10.1177_21925682211007795-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/9988f3e4fe0e/10.1177_21925682211007795-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/348822bb8026/10.1177_21925682211007795-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/2e04ccb3a88b/10.1177_21925682211007795-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/468ceef394e7/10.1177_21925682211007795-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/10240612/08e1b59da6c6/10.1177_21925682211007795-fig7.jpg

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