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KMID : 1189320190130020216
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Asian Spine Journal
2019 Volume.13 No. 2 p.216 ~ p.224
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APSS-ASJ Best Clinical Research Award: Is There a Difference between Patients’ and Parents’ Perception of Physical Appearance in Adolescent Idiopathic Scoliosis?
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Chan Chris Yin Wei
Gani Siti Mariam Abd
Lim Min Yuen
Chiu Chee Kidd
Kwan Mun Keong
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Abstract
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Study Design: Prospective study.
Purpose: To compare patients’ and parents’ perceptions of physical attributes (PAs) of adolescent idiopathic scoliosis (AIS) patients and to report any correlations between their perceptions and Scoliosis Research Society-22r (SRS-22r) scores.
Overview of Literature: Few studies have looked into the differences between patients’ and parents’ perceptions of their appearance.
Methods: AIS patient?parent pairs (n=170) were recruited. The patients’ and parents’ perceptions of six PAs were evaluated: waist asymmetry (WA), rib hump (RH), shoulder asymmetry (SA), neck tilt, breast asymmetry (BrA), and chest prominence. These PAs were ranked, and an aggregate PA (Agg-PA) score was derived from a score assigned to the attribute (6 for the most important PA and 1 for the least important). The patients also completed the SRS-22r questionnaire.
Results: Ninety-nine patients (58.2%) and 71 patients (41.8%) had thoracic and lumbar major curves, respectively. WA was ranked first by 54 patients (31.8%) and 50 parents (29.4%), whereas RH was ranked first by 50 patients (29.4%) and 38 parents (22.4%). The overall Agg-PA scores were similar for patients and parents (p>0.05). However, for thoracic major curves (TMCs) >40°, a significant difference was noted between the Agg-PA scores of patients and parents for SA (3.5±1.6 vs. 4.2±1.6, p=0.041) and BrA (3.0±1.6 vs. 2.2±1.3, p=0.006). For TMCs <40°, a significant difference was found between the Agg-PA scores of patients and parents for WA (3.7±1.6 vs. 4.4±1.5, p=0.050). BrA was negatively correlated with total SRS-22r score.
Conclusions: There were no significant differences between patients and parents in their ranking of the most important PAs. For TMCs >40°, there were significant differences in the Agg-PA for SA and BrA. Pa￢tients were more concerned about BrA and parents were more concerned about SA. Patients’ perception of the six PAs had weak correlation with SRS-22r scores.
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KEYWORD
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Physical appearance, Patients, Parents, Perception, Adolescent idiopathic scoliosis
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