突尼斯特发性脊柱侧凸青少年的生活质量。
Quality of life among adolescents with idiopathic scoliosis in Tunisia.
机构信息
Department of Physical Medicine and Rehabilitation, University Hospital Taher Sfar, Mahdia, Tunisia.
Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
出版信息
Pan Afr Med J. 2023 May 8;45:27. doi: 10.11604/pamj.2023.45.27.38575. eCollection 2023.
INTRODUCTION
our study aimed to assess the quality of life (QOL) among adolescents with adolescent idiopathic scoliosis (AIS) receiving nonoperative treatment, and to identify the demographic and clinical factors associated with poor QOL.
METHODS
this is a cross-sectional study. We included adolescents followed in the Department of Physical Medicine and Rehabilitation at Taher Sfar Hospital (Mahdia - Tunisia). The Quality-of-Life Profile for Spine Deformities (QLPSD), the Scoliosis Research Society 22 questionnaire (SRS-22) and the visual analogue scale objectifying the QOL (EVA QOL) were used. Correlations between the QOL domains and selected characteristics were performed.
RESULTS
a total of 48 adolescents with AIS were included, with a mean age of 14.2 ± 2.1 years and a sex ratio (M/F) of 0.77. Adolescents who underwent rehabilitation treatment only had significantly better quality of life (QOL) scores than those with braces, as measured by three scales. Among brace wearers, we found a correlation between QOL and the degree of correction achieved by the brace, as measured by the EVA-QOL. We observed significant relationships between psychosocial status and age, correction angle, and treatment duration among braced patients, as measured by the QLPSD. Additionally, we found that dorsal flexibility was correlated with the correction angle and the treatment duration. According to the SRS-22, the overall QOL score of braced adolescents was significantly correlated with the correction obtained by the brace.
CONCLUSION
wearing a brace in adolescent with AIS leads to a significant decrease in QOL according to the three QOL assessment scales.
简介
我们的研究旨在评估接受非手术治疗的青少年特发性脊柱侧凸（AIS）患者的生活质量（QOL），并确定与生活质量较差相关的人口统计学和临床因素。
方法
这是一项横断面研究。我们纳入了在 Mahdia-Tunisia 的 Taher Sfar 医院康复科就诊的青少年特发性脊柱侧凸患者。使用脊柱畸形生活质量问卷（QLPSD）、脊柱侧凸研究协会 22 项问卷（SRS-22）和客观反映生活质量的视觉模拟量表（EVA QOL）。分析了 QOL 各领域与选定特征之间的相关性。
结果
共纳入 48 例 AIS 青少年患者，平均年龄为 14.2 ± 2.1 岁，男女比例（M/F）为 0.77。仅接受康复治疗的青少年在三个量表上的生活质量评分均明显优于支具治疗者。在支具佩戴者中，我们发现 EVA-QOL 测量的支具矫正程度与生活质量之间存在相关性。在支具佩戴者中，QLPSD 测量的心理社会状态与年龄、矫正角度和治疗持续时间之间存在显著关系。此外，我们发现背部灵活性与矫正角度和治疗持续时间相关。根据 SRS-22，支具治疗的青少年整体生活质量评分与支具矫正效果显著相关。
结论
根据三种生活质量评估量表，AIS 青少年佩戴支具会显著降低生活质量。
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