Adölesan idiopatik skolyozlu hastalarda Boston tipi korse kullanımının yaşam kalitesine etkisi

Year 2019, , 440 - 446, 31.12.2019

Aliekber Yapar , Alpaslan Şenköylü

https://doi.org/10.18663/tjcl.626226

Abstract

Amaç: AdölesanİdiopatikSkolyoz
(AİS) nedeniyle konservatif tedaviuygulanan hastalarda, korse (Boston tipi)  kullanımının yaşam kalitesine etkisiniSkolyoz
Araştırma Cemiyeti’nin Sağlık ilişkili Yaşam Kalitesi-22 (Scoliosis Research
Society- 22; SRS-22) anketi ile değerlendirmek

Gereç ve Yöntemler: Araştırma
kesitsel tipte bir çalışmadır. Gazi Üniversitesi Tıp Fakültesi Hastanesi
Ortopedi ve Travmatoloji Kliniğinde 2008 - 2017 yılları arasında tanı almış ve
en az bir yıldır AİS tanısıyla takip edilen, konservatif tedavi uygulanan, yaş
ortalaması 16,0±2,9 (min:11,00; maks:26) olan 22’si erkek (%32,4), 46’sı kadın
68hasta çalışmaya dâhil edilmiştir. Hastaların yaşam kalitesini değerlendirmek
için SRS-22 anketi kullanılmıştır.

Bulgular:
Çalışmaya katılan hastaların23’ü (%33,8)korse ile45’iise korsesiz takip
edilmiştir.Hastaların son kontroldeki Cobb açısı dereceleri korse ile takip
edilen grupta istatistiksel olarak anlamlı yüksek bulunmuştur (p<0,001).
Korse ile takip edilen ve korsesiz takip edilen her iki grup arasında SRS-22
toplam skoru, ağrı, fonksiyon, ruh sağlığı ve tedaviden tatmin skorları
açısından istatistiksel olarak anlamlı fark bulunmamıştır (p>0,05). SRS-22
görünüş skorunun ise korse ile takip edilen grupta istatistiksel olarak anlamlı
düzeyde daha düşük olduğu saptanmıştır (p=0,019).

Sonuç:
Bu çalışmada korseli hastaların yaşam kalitelerininkorsesiz takipedilenlerle
benzer olduğu saptanmıştır. Korseli grubun Cobb açı değerlerinin diğer gruba
göre daha yüksek olması nedeniyle SRS-22 görünüş skorunun korselilerde daha
düşük olduğu saptanmıştır. Korseli hastaların ağrı, fonksiyon, ruh sağlığı ve
tedaviden tatmin ile ilişkili yaşam kalitelerinin benzer olduğu ve genel olarak
yaşam kalitelerinin korseden etkilenmediği bulunmuştur. 

Keywords

Adölesan idiopatik skolyoz, Yaşam kalitesi, SRS-22 anketi

Supporting Institution

Yok

The effect of Boston type corset on quality of life in adolescent idiopathic scoliosis

Abstract

Aim: To
evaluate the effect of the corset (Boston type) on quality of life in patients
who underwentconservativetreatment for adolescentidiopathic scoliosis (AIS)
with Scoliosis Research Society-22 (SRS-22) questionnaire.

Material and Methods: This
is a cross-sectional study. Patients who werediagnosed with AIS between 2008
and 2017 in the Orthopedics and Traumatology Clinic of Gazi University Faculty
of Medicine Hospital, 
treatedconservatively and followed for at least one yearwereincluded in
the study. Therewere 68 patients; 22 male (32.4%) and 46 female.Themeanagewas16.0
± 2.9 (min: 11.00; max: 26). SRS-22 questionnaire wasused to evaluate
health-related quality of life in patients.

Results: Twenty-three
(33.8%) of the patientswerefollowed by corset and 45 of the
patientswerefollowed without the corset. Cobb angledegrees at the
lastfollow-upweresignificantlyhigher in the corsetgroup (p <0.001).
Therewasnostatisticallysignificantdifferencebetween SRS-22 total score, pain,
function, mental health and satisfaction with managementscoresbetween the
twogroupsfollowed by the corset and without corset (p> 0.05). SRS-22 self-imagescorewasfound
to be significantly lower in the corsetgroup (p = 0.019).

Conclusion: In
this study, the quality of life of the patients with corsetswasfound to be
similar to patients without corsets. Because of the Cobb anglevalues of the
corsetgroupwerehigherthan the other group, the SRS-22 self- imagescorewasfound
to be lower in the corsets. It wasfound that the quality of life associated
with pain, function, mental health, and satisfaction with managementwassimilar
in patients with corsets and overall quality of life was not affected by the
corset.

Keywords

Adolescent idiopathic scoliosis, Quality of life, Scoliosis Research Society - 22

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