The relationship between quality of life and compliance to a brace protocol in adolescents with idiopathic scoliosis: a comparative study
2009

Quality of Life and Brace Compliance in Adolescents with Scoliosis

Sample size: 31 publication 10 minutes Evidence: moderate

Author Information

Author(s): LouAnn Rivett, Alan Rothberg, Aimee Stewart, Rowan Berkowitz

Primary Institution: University of the Witwatersrand

Hypothesis

The study aims to compare the quality of life in adolescents with idiopathic scoliosis who comply with a brace protocol versus those who do not.

Conclusion

Poor compliance with a brace protocol is associated with poorer quality of life, particularly in terms of vitality and psychosocial functioning.

Supporting Evidence

  • Compliant patients had a mean total BrQ score of 83.7, while non-compliant patients scored 64.4.
  • The compliant group scored significantly higher in six out of eight domains measuring vitality and social, emotional, and physical functioning.
  • Non-compliant subjects reported lower self-esteem and vitality.

Takeaway

If kids with scoliosis wear their braces as they should, they feel better about themselves and their lives. If they don't, they feel worse.

Methodology

The Brace Questionnaire was administered to 31 AIS patients after a minimum of 1 year of wearing a brace, comparing scores between compliant and non-compliant groups.

Potential Biases

Reliance on patient self-reporting for compliance may introduce bias.

Limitations

The sample size is relatively small, and results may not be generalizable.

Participant Demographics

Participants were South African girls aged 13-16 with idiopathic scoliosis and Cobb angles of 25-40 degrees.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2474-10-5

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