Background. The SRS-22 has been developed to monitor QoL in scoliosis. Only a few studies have evaluated its effects on therapies. Consequently, doubts exist on its utility in conservative treatment. Aim. To evaluate if SRS-22 is able to detect changes in patients treated conservatively. Material and Methods. Study design. Retrospective controlled cohort study nested in a prospective clinical database. Population. One hundred and thirty six consecutive adolescents at their first evaluation, age 12.8 ± 2.7, divided into 5 groups according to treatment: 30 brace for 18 hours/day, 7 for 21 h/d, 33 for 23 h/d, 48 exercises and 14 observed (controls). Methods. All patients completed SRS-22 before the first and at the 6 months follow-up evaluations. Statistical analysis. ANOVA and Kruskall-Wallis tests. Results. Controls did not show changes with time, while all treated patients had increase of satisfaction with treatment. Aesthetic improvement was perceived by patients treated with exercises, while brace treated patients showed a negative psychological impact: these statistical changes were not clinically significant (0.2-0.3 points out of 5), excluding satisfaction (1.15-1.8). Between the groups, the 23 h/d showed worst start but best results in functioning, aesthetics, pain and satisfaction. Conclusion. SRS-22 appears to detect changes in populations, but its clinical everyday use appears less reliable.

Is the SRS-22 able to detect Quality of Life (QoL) changes during conservative treatments? / S. Negrini, S. Donzelli, M. Dulio, F. Zaina (STUDIES IN HEALTH TECHNOLOGY AND INFORMATICS). - In: Research into Spinal Deformities 8 / [a cura di] T. Kotwicki, T.B. Grivas. - [s.l] : IOS press, 2012. - ISBN 9781614990666. - pp. 433-436 (( Intervento presentato al 9. convegno Biennial Meeting of the International-Research-Society-of-Spinal-Deformities (IRSSD) tenutosi a Poznan nel 2012 [10.3233/978-1-61499-067-3-433].

Is the SRS-22 able to detect Quality of Life (QoL) changes during conservative treatments?

S. Negrini;S. Donzelli;
2012

Abstract

Background. The SRS-22 has been developed to monitor QoL in scoliosis. Only a few studies have evaluated its effects on therapies. Consequently, doubts exist on its utility in conservative treatment. Aim. To evaluate if SRS-22 is able to detect changes in patients treated conservatively. Material and Methods. Study design. Retrospective controlled cohort study nested in a prospective clinical database. Population. One hundred and thirty six consecutive adolescents at their first evaluation, age 12.8 ± 2.7, divided into 5 groups according to treatment: 30 brace for 18 hours/day, 7 for 21 h/d, 33 for 23 h/d, 48 exercises and 14 observed (controls). Methods. All patients completed SRS-22 before the first and at the 6 months follow-up evaluations. Statistical analysis. ANOVA and Kruskall-Wallis tests. Results. Controls did not show changes with time, while all treated patients had increase of satisfaction with treatment. Aesthetic improvement was perceived by patients treated with exercises, while brace treated patients showed a negative psychological impact: these statistical changes were not clinically significant (0.2-0.3 points out of 5), excluding satisfaction (1.15-1.8). Between the groups, the 23 h/d showed worst start but best results in functioning, aesthetics, pain and satisfaction. Conclusion. SRS-22 appears to detect changes in populations, but its clinical everyday use appears less reliable.
Scoliosis; Quality of Life; brace
Settore MED/34 - Medicina Fisica e Riabilitativa
2012
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/721396
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