201201052244Estimation of the stress related to conservative scoliosis therapy: an analysis based on BSSQ

Estimation of the stress related to conservative scoliosis therapy: an analysis based on BSSQ questionnaires.

 

Abstract

BACKGROUND:

Adolescent girls treated with a brace for scoliosis are submitted to prolonged stress related to both the disease and the therapy. Currently proposed quality of life questionnaires are focused on the outcome of therapy. Bad Sobernheim Stress Questionnaire (BSSQ) enables monitoring of patients being under treatment with a brace or exercises. The aim of the study was to assess the stress level in conservatively managed scoliotic girls using BSSQ.

MATERIALS AND METHODS:

111 girls, aged 14.2 +/- 2.2 years, mean Cobb angle of the primary curve 42.8 degrees +/- 17.0 degrees and mean Bunnell angle of 11.4 degrees +/- 4.5 degrees were examined with two versions of BSSQ (Deformity and Brace). The analysis considered the type of treatment, curve location, correlation of the total score with age, Cobb angle and Bunnell rotation angle.

RESULTS:

The BSSQ Deformity revealed the median of 17 points in patients managed with exercises (from 4 to 24 points), 18 in patients managed with a brace (from 8 to 24 points) and 12 in patients before surgery (from 3 to 21 points). Braced patients who completed both questionnaires (n = 50) revealed significantly higher score with BSSQ Deformity (median = 18) comparing to BSSQ Brace (median = 9). There was a correlation between the total score of BSSQ Deformity and the Cobb angle (r = -0.34), Bunnell primary curve rotation (r = -0.34) and Bunnell sum of rotation (r = -0.33) but not with the age of patients.

CONCLUSION:

Scoliotic adolescents managed with exercises and brace suffered little stress from the deformity. The brace increased the level of stress over the stress induced by the deformity. The stress level correlated with clinical deformity (Bunnell angle), radiological deformity (Cobb angle) and the type of treatment (exercises, bracing, surgery). Bad Sobernheim Stress Questionnaires are simple and helpful in the management of girls treated conservatively for idiopathic scoliosis.

Abstract

BACKGROUND:

青少年女孩以背架來治療脊柱側彎,無疑地會受到長時間與疾病本身和治療方式相關的壓力。目前所提出的生活品質問卷著重於治療的成果,而巴特索本海姆心理壓力問卷則能夠監控患者穿戴背架時的治療狀況或者是運動的情形。此篇研究的目標是使用BSSQ評估其保守療法對於脊柱側彎女孩所產生的心理壓力等級。

 

MATERIALS AND METHODS:

此研究共有111位女孩參與研究,其年紀範圍為12~16.4歲、平均主側彎的Cobb角為42.8+/- 17.0度、平均Bunnell角為11.4+/- 4.5度,並且由2個版本的巴特索本海姆心理壓力問卷進行檢測(脊柱變形版本與穿戴背架版本)。分析方式會考慮到治療類型、側彎位置、與年齡有關的總得分、Cobb角與Bunnell旋轉角。

 

RESULTS:

巴特索本海姆心理壓力問卷脊柱變形版本顯示,以運動方式的患者族群,中位數=17(範圍從4分到24);穿戴背架的患者族群,中位數=18(範圍從8分到24);在手術之前的患者族群,中位數=12(範圍從3分到21)。對於穿戴背架的患者族群(n = 50),又分別給予2個版本的問卷進行評量,其中脊柱變形版本的中位數為18分,而穿戴背架版本的中位數為9分,因此我們可以發現前者的得分顯著的高於後者。由研究中可以看出BSSQ脊柱變形版本與Cobb(r = -0.34)Bunnell 主側彎旋轉(r = -0.34)Bunnell總旋轉量(r = -0.33)成相關性,不過並無發現與年齡有相關性。

補充:

{median在此譯為中位數,因為如果是平均數的話原文應該=mean or average,由於在此只閱讀摘要部分,因此無法確保完全正確。}

 

CONCLUSION:

若進行運動與背架來治療患有脊柱側彎的青少年,則可以發現他們的心理壓力程度會較小一些,不過穿戴背架卻會增加因為脊柱變形而產生的心理壓力。總的來說心理壓力的程度會與臨床上的變形(Bunnell angle)、顯影上的變形(Cobb angle)、治療的類型(運動、背架與手術)呈現相關性。巴特索本海姆心理壓力問卷對於以保守性療法治療原發性脊柱側彎的青少女而言是種簡單且有益的管理方式。

出處:http://www.ncbi.nlm.nih.gov/pubmed/17201928

 

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