Quality of Life of Children and Adolescents with Idiopathic Scoliosis Treated Conservatively with DoboMed Method. Issue 1 (April 2016)

• Record Type: Journal Article
• Authors: Kapustka, Bartosz; Zimon, Michalina; Matusik, Edyta; Pawel, Chodakowski; Durmala, Jacek
• Is Part Of: Global spine journal. Volume 6:Issue 1(2016)Supplement
• Page Start: s-0036-1583061
• Page End: s-0036-1583061
• Publication Date: 2016-04
• Subjects: Spine -- Diseases -- Periodicals; Spine -- Diseases -- Treatment -- Periodicals; Spine -- Abnormalities -- Periodicals; Spine -- Surgery -- Periodicals; 616.73
• DOI: 10.1055/s-0036-1583061
• Languages: English
• ISSNs: 2192-5682

Abstract

Introduction: The purpose of this study was to determine the Quality of Life of children and adolescents with IS (idiopathic scoliosis) treated conservatively with DoboMed method. Material and Methods: We examined group of 63 patients (54 girls) with mean age (14, 7 years) – 32 were treated with a DoboMed method only and 31 were treated both with DoboMed method and with Cheneau brace. Mean patients' Cobb angle was 24, 2° and mean apical vertebral rotation (AVR) was 11, 4°. We also analyzed the patients' BMI (body mass index) z-score, the age of the diagnosis, the deformity location and the duration of brace application. Two questionnaires were used: BSSQ-Deformity and BSSQ-Brace, patients were examined twice at the beginning and at the end of hospitalization. Results: At the beginning of hospitalization, the median value of BSSQ-Deformity was 18 and for BSSQ-Brace 9, 5. Statistically significant correlations between BSSQ-Deformity results and patient's age, BMI z-score and numer of hospitalizations in the Department were observed. In the group of patients treated with a DoboMed method and a brace, we observed the higher level of stress associated with application of the brace (median=9, 5) than the level of stress associated with a deformity (median=16) ( p = 0, 0001). This group presented also a higher level of stress evaluated with BSSQ-Deformity than group treated only with DoboMed (median=19) ( p = 0, 041). Conclusion: Children and adolescents with a scoliosis treated with a DoboMed method presented a low or moderate level of stress associated with the deformity. Higher observed the level of stress was significantly correlated with an older age of patients, a higher BMI z-score value and more hospitalizations in the Department. There was no correlation between the patients' quality of life and the duration of a brace aplication. Group of patients treated with both: the physiotherapy and brace presented the higher level of stress associated with deformity. The level of stress associated with the brace usage (BSSQ-brace) is higher than a stress associated with deformity (BSSQ-deformity) in a group treated with the Chenau brace.