This article is part of the supplement: 5th International Conference on Conservative Management of Spinal Deformities .

Oral presentation

Effect of conservative treatments on QoL according to the SRS-22

Salvatore Atanasio, Monica Dulio, Fabio Zaina and Stefano Negrini

ISICO (Italian Scientific Spine Institute), Via Carlo Crivelli 20, 20122 Milan, Italy

corresponding author email

from 5^th International Conference on Conservative Management of Spinal Deformities
Athens, Greece. 3–5 April 2008

Scoliosis 2009, 4(Suppl 1):O62doi:10.1186/1748-7161-4-S1-O62

The electronic version of this abstract is the complete one and can be found online at: http://www.scoliosisjournal.com/content/4/S1/O62

Published:

15 January 2009

© 2009 Atanasio et al; licensee BioMed Central Ltd.

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.

Study design

Pre-post and cross-sectional study.

Population

One hundred and thirty two consecutive AIS patients 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 compiled SRS-22 before the first and at the 6 months follow-up evaluations. Statistical analysis required 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 did show a psychological negative 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.

References

1. Vasiliadis E, Grivas TB, Gkoltsiou K: Development and preliminary validation of Brace Questionnaire (BrQ): a new instrument for measuring quality of life of brace treated scoliotics.

   Scoliosis 1:7. PubMed Abstract | BioMed Central Full Text | PubMed Central Full Text

   2006 May 20;

2. Vasiliadis E, Grivas TB: Quality of life after conservative treatment of adolescent idiopathic scoliosis.

   Stud Health Technol Inform 2008 , 135:409-13. PubMed Abstract | Publisher Full Text

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