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Tag: adolescent|article link|conservative treatment|female patients|parents|Scoliosis|stress

Female Patients’ and Parents’ Assessment of Deformity- and Brace-Related Stress in the Conservative Treatment of Adolescent Idiopathic Scoliosis.

By wp_zaman

Female Patients’ and Parents’ Assessment of Deformity- and Brace-Related Stress in the Conservative Treatment of Adolescent Idiopathic Scoliosis.

Spine (Phila Pa 1976). 2012 Feb 2;

Authors: Misterska E, Glowacki PM, Latuszewska J

Abstract
STRUCTURED ABSTRACT: Study Design. A cross-sectional analysis of parents’ and patients’ perceptions of deformity- and brace-related stress regarding conservative treatment of adolescent idiopathic scoliosis (AIS).Objective. The purpose of this study was to determine the agreement between patients’ and parents’ assessments of emotional stress and to compare these assessments with radiographic measurements of spinal deformity.Summary of Background Data. Conservative treatment in scoliosis patients may cause emotional stress. To our knowledge, no group has ever reported patient and parental estimation of stress related to wearing a brace and spinal deformity in females with AIS.Methods. Sixty-three pairs of parents and females with AIS treated with a Cheneau brace were separately asked to complete the Bad Sobberheim Stress Questionnaire-Deformity (BSSQ-Deformity) and the Bad Sobberheim Stress Questionnaire-Brace (BSSQ-Brace). The age range of the patients was from 10 to 17 years. Patients were assessed at a mean of 14.12 SD 10.99 months after the start of the conservative treatment.Results. Patients felt a moderate level of stress connected with conservative treatment, however the stress level, related to perceived trunk deformation, was low. From the parents’ perspective, patients felt a moderate level of stress during conservative treatment and related to spinal deformity. The study groups differ in their perception of stress levels due to body disfigurement but not during the conservative treatment. Parent-patient stress level disparities were not related to Body Mass Index, age of the patient, brace application and radiographic measurements of spinal deformity.Conclusions. Patients and parents perceive the emotional stress related to brace treatment in the same way, however parents overestimate the assessment of stress levels related to body deformity. From the perspective of patients and parents brace-wearing increased the level of stress induced by the deformity alone. Complete assessment of conservative treatment should include evaluation of emotional stress from the perspective of patients and parents.

PMID: 22310093 [PubMed – as supplied by publisher]