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Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery

PURPOSE: To reveal the prevalence of low back pain (LBP) and association between LBP and patient-reported QOL outcomes (JOABPEQ and SRS-22r) in patients with adolescent idiopathic scoliosis (AIS) without corrective surgery. METHODS: Ninety-eight female patients with AIS without corrective surgery wh...

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Autores principales: Makino, Takahiro, Kaito, Takashi, Kashii, Masafumi, Iwasaki, Motoki, Yoshikawa, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526512/
https://www.ncbi.nlm.nih.gov/pubmed/26261755
http://dx.doi.org/10.1186/s40064-015-1189-y
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author Makino, Takahiro
Kaito, Takashi
Kashii, Masafumi
Iwasaki, Motoki
Yoshikawa, Hideki
author_facet Makino, Takahiro
Kaito, Takashi
Kashii, Masafumi
Iwasaki, Motoki
Yoshikawa, Hideki
author_sort Makino, Takahiro
collection PubMed
description PURPOSE: To reveal the prevalence of low back pain (LBP) and association between LBP and patient-reported QOL outcomes (JOABPEQ and SRS-22r) in patients with adolescent idiopathic scoliosis (AIS) without corrective surgery. METHODS: Ninety-eight female patients with AIS without corrective surgery who answered JOABPEQ, SRS-22r, and VAS for LBP were included. The scores of all subdomains in JOABPEQ and SRS-22r were calculated. From the standing radiographs, we measured the Risser grade and radiographic parameters regarding the curve magnitude, coronal and sagittal balance, and spinopelvic alignment. Furthermore, we recorded whether the patients were undergoing brace treatment at the time of visiting our outpatient clinic. The patients with VAS >30 mm (moderate or severe LBP) were designated as Group P; VAS ≤30 mm, Group N. All variables were compared between the groups. RESULTS: The prevalence of LBP (VAS >0 mm) was 34.7% and that of moderate or severe LBP was 16.2%. All subdomain scores in JOABPEQ and those for function and pain in SRS-22r were significantly smaller in Group P than Group N. The subdomain scores for self-image and satisfaction/dissatisfaction with management in SRS-22r did not differ between the groups. The age, Risser grade, radiographic parameters, and whether the patients were undergoing brace treatment did not differ between the groups. CONCLUSIONS: The prevalence of LBP was 34.7%, which was approximately three times higher than that previously reported in Japanese pupils without scoliosis. The patients with LBP demonstrated poorer QOL outcomes associated with LBP regardless of radiographic parameters, patients’ self-image and satisfaction with treatment.
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spelling pubmed-45265122015-08-10 Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery Makino, Takahiro Kaito, Takashi Kashii, Masafumi Iwasaki, Motoki Yoshikawa, Hideki Springerplus Research PURPOSE: To reveal the prevalence of low back pain (LBP) and association between LBP and patient-reported QOL outcomes (JOABPEQ and SRS-22r) in patients with adolescent idiopathic scoliosis (AIS) without corrective surgery. METHODS: Ninety-eight female patients with AIS without corrective surgery who answered JOABPEQ, SRS-22r, and VAS for LBP were included. The scores of all subdomains in JOABPEQ and SRS-22r were calculated. From the standing radiographs, we measured the Risser grade and radiographic parameters regarding the curve magnitude, coronal and sagittal balance, and spinopelvic alignment. Furthermore, we recorded whether the patients were undergoing brace treatment at the time of visiting our outpatient clinic. The patients with VAS >30 mm (moderate or severe LBP) were designated as Group P; VAS ≤30 mm, Group N. All variables were compared between the groups. RESULTS: The prevalence of LBP (VAS >0 mm) was 34.7% and that of moderate or severe LBP was 16.2%. All subdomain scores in JOABPEQ and those for function and pain in SRS-22r were significantly smaller in Group P than Group N. The subdomain scores for self-image and satisfaction/dissatisfaction with management in SRS-22r did not differ between the groups. The age, Risser grade, radiographic parameters, and whether the patients were undergoing brace treatment did not differ between the groups. CONCLUSIONS: The prevalence of LBP was 34.7%, which was approximately three times higher than that previously reported in Japanese pupils without scoliosis. The patients with LBP demonstrated poorer QOL outcomes associated with LBP regardless of radiographic parameters, patients’ self-image and satisfaction with treatment. Springer International Publishing 2015-08-07 /pmc/articles/PMC4526512/ /pubmed/26261755 http://dx.doi.org/10.1186/s40064-015-1189-y Text en © Makino et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research
Makino, Takahiro
Kaito, Takashi
Kashii, Masafumi
Iwasaki, Motoki
Yoshikawa, Hideki
Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery
title Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery
title_full Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery
title_fullStr Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery
title_full_unstemmed Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery
title_short Low back pain and patient-reported QOL outcomes in patients with adolescent idiopathic scoliosis without corrective surgery
title_sort low back pain and patient-reported qol outcomes in patients with adolescent idiopathic scoliosis without corrective surgery
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526512/
https://www.ncbi.nlm.nih.gov/pubmed/26261755
http://dx.doi.org/10.1186/s40064-015-1189-y
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