Lertudomphonwanit Thamrong, Pengrung Nachapan, Kriwattanapong Chaiwat, Angsanuntsukh Chanika, Leelapattana Pittavat, Chanplakorn Pongsthorn
Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Orthop Rev (Pavia). 2021 Apr 7;13(1):8840. doi: 10.4081/or.2021.8840. eCollection 2021 Mar 30.
Bracing is an effective non-operative treatment, in patients with adolescent idiopathic scoliosis (AIS). The relationship between patients' quality of life (QOL) and brace wear adherence has been reported. This study aims to determine brace wear adherence for AIS patients with novel questionnaire. A nested case-control study was conducted, included patient age 10-18 years, coronal Cobb angle 20-50°, and Risser grade 0-3. Correlation between patients' QOL and the average hours of daily brace-wear were determined. Patients were divided into 3 groups based on brace wear adherence and were compared. QOL domains associated with the incompleteness of brace-wearing were determined by Cox proportional-hazards regression. Mean age of patients was 13.3 years (range 11-17.3 years) with initial Cobb angle of 33.5° (range 20-48°). There were significant negative correlations between total QOL scores and brace wearing time. Increased social domain scores was significantly associated with less brace wearing time (HR 1.5, 95% CI 1.12-2.04). Significant correlations between patients' QOL and the average hours per day of brace wear. Poor social QOL have a significant impact on brace wear adherence.
支具治疗是青少年特发性脊柱侧凸（AIS）患者一种有效的非手术治疗方法。患者生活质量（QOL）与支具佩戴依从性之间的关系已有报道。本研究旨在通过新型问卷确定AIS患者的支具佩戴依从性。开展了一项巢式病例对照研究，纳入年龄在10 - 18岁、冠状面Cobb角为20 - 50°且Risser分级为0 - 3级的患者。确定患者生活质量与每日支具佩戴平均时长之间的相关性。根据支具佩戴依从性将患者分为3组并进行比较。通过Cox比例风险回归确定与支具佩戴不完整相关的生活质量领域。患者的平均年龄为13.3岁（范围11 - 17.3岁），初始Cobb角为33.5°（范围20 - 48°）。生活质量总分与支具佩戴时间之间存在显著负相关。社交领域得分增加与支具佩戴时间减少显著相关（风险比1.5，95%置信区间1.12 - 2.04）。患者生活质量与每日支具佩戴平均时长之间存在显著相关性。较差的社交生活质量对支具佩戴依从性有显著影响。
