Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress
Introduction: This study aimed to investigate the brace compliance and clinical background of patients with adolescent idiopathic scoliosis (AIS) who demonstrate different degrees of psychological brace-related stress. Methods: Forty-five patients initiating brace treatment with a Cobb angle between...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Japanese Society for Spine Surgery and Related Research
2023-07-01
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| Series: | Spine Surgery and Related Research |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/ssrr/7/4/7_2022-0246/_pdf/-char/en |
| _version_ | 1797659774274240512 |
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| author | Tomoyuki Asada Toshiaki Kotani Tsuyoshi Sakuma Yasushi Iijima Keita Nakayama Kazuhide Inage Yasuhiro Shiga Tsutomu Akazawa Shohei Minami Seiji Ohtori Masao Koda Masashi Yamazaki |
| author_facet | Tomoyuki Asada Toshiaki Kotani Tsuyoshi Sakuma Yasushi Iijima Keita Nakayama Kazuhide Inage Yasuhiro Shiga Tsutomu Akazawa Shohei Minami Seiji Ohtori Masao Koda Masashi Yamazaki |
| author_sort | Tomoyuki Asada |
| collection | DOAJ |
| description | Introduction: This study aimed to investigate the brace compliance and clinical background of patients with adolescent idiopathic scoliosis (AIS) who demonstrate different degrees of psychological brace-related stress.
Methods: Forty-five patients initiating brace treatment with a Cobb angle between 25° and 45° were included. Patients receiving brace treatment for AIS were administered a questionnaire for brace-related stress (i.e., the Japanese version of the Bad Sobernheim Stress Questionnaire-Brace [JBSSQ-brace]). Based on their scores, we allocated the patients into two stress groups: mild-stress (16 points) and below-moderate-stress (<16 points). We investigated the character of brace compliance and brace-related psychological stress in all patients and compared the demographics and brace compliance between both groups.
Results: Forty-one of 45 patients completed the study. The mean JBSSQ-brace scores were 18.7±5.1, 19.1±5.2, and 18.7±5.0 points at the 1-month, 4-month, and 1-year follow-ups, respectively. There was no significant change in JBSSQ-brace scores over one year after the brace prescription (P=0.332). There was no difference in-brace compliance between seasons during the first month of brace prescription (P=0.252). Both groups' overall brace compliance was comparable (below-moderate: 17.1±7.1 h/day vs. mild: 20.4±3.0 h/day; P=0.078). The mild-stress group showed better compliance than the below-moderate-stress group on weekdays (below-moderate: 17.0±6.9 h/day vs. mild: 20.5±2.8 h/day; P=0.048) and at nighttime (below-moderate: 82.3%±27.0%/nighttime vs. mild: 93.8%±12.4%/nighttime; P=0.008).
Conclusions: Overall, brace compliance was comparable among patients with different brace-related stress, but brace compliance during weekdays and nighttime was significantly better in the mild-stress group. |
| first_indexed | 2024-03-11T18:20:02Z |
| format | Article |
| id | doaj.art-54f4ebcc07bc48688fc0297709520a2c |
| institution | Directory Open Access Journal |
| issn | 2432-261X |
| language | English |
| last_indexed | 2024-03-11T18:20:02Z |
| publishDate | 2023-07-01 |
| publisher | The Japanese Society for Spine Surgery and Related Research |
| record_format | Article |
| series | Spine Surgery and Related Research |
| spelling | doaj.art-54f4ebcc07bc48688fc0297709520a2c2023-10-16T00:32:24ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2023-07-017437738410.22603/ssrr.2022-02462022-0246Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related StressTomoyuki Asada0Toshiaki Kotani1Tsuyoshi Sakuma2Yasushi Iijima3Keita Nakayama4Kazuhide Inage5Yasuhiro Shiga6Tsutomu Akazawa7Shohei Minami8Seiji Ohtori9Masao Koda10Masashi Yamazaki11Department of Orthopedic Surgery, Seirei Sakura Citizen HospitalDepartment of Orthopedic Surgery, Seirei Sakura Citizen HospitalDepartment of Orthopedic Surgery, Seirei Sakura Citizen HospitalDepartment of Orthopedic Surgery, Seirei Sakura Citizen HospitalDepartment of Orthopedic Surgery, Tsukuba Medical Center HospitalDepartment of Orthopedic Surgery, Chiba University, Graduate School of MedicineDepartment of Orthopedic Surgery, Chiba University, Graduate School of MedicineDepartment of Orthopedic Surgery, St. Marianna University School of MedicineDepartment of Orthopedic Surgery, Seirei Sakura Citizen HospitalDepartment of Orthopedic Surgery, Chiba University, Graduate School of MedicineDepartment of Orthopedic Surgery, Faculty of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Faculty of Medicine, University of TsukubaIntroduction: This study aimed to investigate the brace compliance and clinical background of patients with adolescent idiopathic scoliosis (AIS) who demonstrate different degrees of psychological brace-related stress. Methods: Forty-five patients initiating brace treatment with a Cobb angle between 25° and 45° were included. Patients receiving brace treatment for AIS were administered a questionnaire for brace-related stress (i.e., the Japanese version of the Bad Sobernheim Stress Questionnaire-Brace [JBSSQ-brace]). Based on their scores, we allocated the patients into two stress groups: mild-stress (16 points) and below-moderate-stress (<16 points). We investigated the character of brace compliance and brace-related psychological stress in all patients and compared the demographics and brace compliance between both groups. Results: Forty-one of 45 patients completed the study. The mean JBSSQ-brace scores were 18.7±5.1, 19.1±5.2, and 18.7±5.0 points at the 1-month, 4-month, and 1-year follow-ups, respectively. There was no significant change in JBSSQ-brace scores over one year after the brace prescription (P=0.332). There was no difference in-brace compliance between seasons during the first month of brace prescription (P=0.252). Both groups' overall brace compliance was comparable (below-moderate: 17.1±7.1 h/day vs. mild: 20.4±3.0 h/day; P=0.078). The mild-stress group showed better compliance than the below-moderate-stress group on weekdays (below-moderate: 17.0±6.9 h/day vs. mild: 20.5±2.8 h/day; P=0.048) and at nighttime (below-moderate: 82.3%±27.0%/nighttime vs. mild: 93.8%±12.4%/nighttime; P=0.008). Conclusions: Overall, brace compliance was comparable among patients with different brace-related stress, but brace compliance during weekdays and nighttime was significantly better in the mild-stress group.https://www.jstage.jst.go.jp/article/ssrr/7/4/7_2022-0246/_pdf/-char/enadolescent idiopathic scoliosisbrace treatmentin-brace thermometerbssq-brace |
| spellingShingle | Tomoyuki Asada Toshiaki Kotani Tsuyoshi Sakuma Yasushi Iijima Keita Nakayama Kazuhide Inage Yasuhiro Shiga Tsutomu Akazawa Shohei Minami Seiji Ohtori Masao Koda Masashi Yamazaki Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress Spine Surgery and Related Research adolescent idiopathic scoliosis brace treatment in-brace thermometer bssq-brace |
| title | Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress |
| title_full | Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress |
| title_fullStr | Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress |
| title_full_unstemmed | Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress |
| title_short | Impact of Brace-Related Stress on Brace Compliance in Adolescent Idiopathic Scoliosis: A Single-Center Comparative Study Using Objective Compliance Measurement and Brace-Related Stress |
| title_sort | impact of brace related stress on brace compliance in adolescent idiopathic scoliosis a single center comparative study using objective compliance measurement and brace related stress |
| topic | adolescent idiopathic scoliosis brace treatment in-brace thermometer bssq-brace |
| url | https://www.jstage.jst.go.jp/article/ssrr/7/4/7_2022-0246/_pdf/-char/en |
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