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特发性脊柱侧弯青少年的生活质量:一项横断面比较研究。

Quality of life in adolescents with idiopathic scoliosis: A cross-sectional comparison.

作者信息

Güttinger Kathrin, Neuhaus Cornelia, Schwank Ariane

机构信息

Department of Physiotherapy, Faculty of Health, Zurich University of Applied Sciences, Winterthur, Switzerland.

Skoliopraxis, Winterthur, Switzerland.

出版信息

S Afr J Physiother. 2025 Aug 14;81(1):2099. doi: 10.4102/sajp.v81i1.2099. eCollection 2025.

Abstract

BACKGROUND

Idiopathic scoliosis is a three-dimensional spinal curvature treated during adolescence with physiotherapy, braces or surgery. This can be stressful for patients. Few studies compare the quality of life of adolescents with and without scoliosis. Our study aims to investigate the quality of life of adolescents with and without scoliosis using the KIDSCREEN-27 questionnaire.

OBJECTIVES

The aim of this study was to investigate the quality of life of adolescents with scoliosis in comparison to adolescents without scoliosis.

METHOD

This comparative cross-sectional study included 60 participants who answered KIDSCREEN-27 accompanied by questions about age, sport intensity and their school category. Girls between the ages of 12 and 17 were included in the study. For each category of KIDSCREEN-27, the values were compared between participants with and without scoliosis.

RESULTS

Statistical analysis was done using R Version 4.3.3. In none of the categories were the mean -scores of adolescents with scoliosis significantly lower than those of the comparison group. In the scoliosis group, 33% ( = 10) showed values rated as 'low' quality of life in the category 'physical well-being'. In the category 'psychological well-being', 36% ( = 11) showed 'low' values.

CONCLUSION

A general statement about the quality of life in adolescents with scoliosis cannot be made, but monitoring during treatment appears to be important. It is a complex construct that varies for each patient. KIDSCREEN-27 can quickly and easily identify low quality of life in patients with scoliosis.

CLINICAL IMPLICATIONS

Physiotherapists play an important role in the scoliosis treatment team as they usually see the patients most often. Thus, early recognition of impaired quality of life is crucial to offer a targeted therapy plan.

摘要

背景

特发性脊柱侧弯是一种三维脊柱弯曲,在青少年时期通过物理治疗、支具或手术进行治疗。这对患者来说可能会有压力。很少有研究比较有和没有脊柱侧弯的青少年的生活质量。我们的研究旨在使用儿童生活质量量表27(KIDSCREEN - 27)问卷调查有和没有脊柱侧弯的青少年的生活质量。

目的

本研究的目的是比较有脊柱侧弯的青少年与没有脊柱侧弯的青少年的生活质量。

方法

这项比较性横断面研究纳入了60名参与者,他们回答了儿童生活质量量表27,并伴有关于年龄、运动强度和学校类型的问题。年龄在12至17岁之间的女孩被纳入研究。对于儿童生活质量量表27的每个类别,比较了有和没有脊柱侧弯的参与者之间的值。

结果

使用R版本4.3.3进行统计分析。在任何类别中,有脊柱侧弯的青少年的平均得分均未显著低于对照组。在脊柱侧弯组中,33%(n = 10)在“身体健康”类别中显示生活质量值被评为“低”。在“心理健康”类别中,36%(n = 11)显示“低”值。

结论

不能对有脊柱侧弯的青少年的生活质量做出一般性陈述,但治疗期间的监测似乎很重要。它是一个复杂的结构,因每个患者而异。儿童生活质量量表27可以快速轻松地识别脊柱侧弯患者的低生活质量。

临床意义

物理治疗师在脊柱侧弯治疗团队中起着重要作用,因为他们通常最常接触患者。因此,早期识别生活质量受损对于提供有针对性的治疗计划至关重要。

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