PMID- 29975372 OWN - NLM STAT- MEDLINE DCOM- 20181119 LR - 20181119 IS - 2391-5854 (Electronic) IS - 0033-2674 (Linking) VI - 52 IP - 2 DP - 2018 Apr 30 TI - Conservative management strategies and stress level in children and adolescents with idiopathic scoliosis. PG - 355-369 LID - 68744 [pii] LID - 10.12740/PP/OnlineFirst/68744 [doi] AB - OBJECTIVES: The objective of the study was to evaluate the stress level in children and adolescents with idiopathic scoliosis (IS) treated conservatively using the Dobosiewicz Method (DoboMed) approach in correlation with the clinical parameters and brace therapy. METHODS: The study group (SG) comprised 63 patients (54 girls), in mean age 14.7 years. DoboMed approach was used in all studied patients (31 of them had also a brace (orhosis)). The clinical analysis included also body mass index (BMI) z-scores, age at diagnosis, spinal curvature location and the duration of brace correction. The patients completed the Bad Sobernheim Stress Questionnaire Deformity (BSSQ-Deformity) and Bad Sobernheim Stress Questionnaire Brace (BSSQ-Brace) questionnaires twice, ie., at the beginning and at the end of the hospitalization. RESULTS: IS patients experienced low or moderate deformity-related stress (58.7% and 36.5% respectively). A significantly higher stress level (BSSQ-Deformity) was revealed in the combination therapy group compared to kinesiotherapy group (p<0.05). In brace wearers, the orthosis-related was higher than the deformity-related stress (p<0.0001). A significant correlation was observed between the BSSQ-Deformity score vs. age, BMI z-score and number of hospitalizations (p<0.05). Deformity stress level was significantly related to the Cobb's angle in both analyzing subgroups. CONCLUSIONS: Stress level in IS patients is related to the severity of the disease irrespectively to the method of treatment. Brace wearing is a factor provoking and increasing stress level. Stress level related to bracing is higher than trunk deformity related. Higher stress levels were significantly correlated with age, BMI z-score and number of hospitalizations. Complex therapy should include also psychological support for young patients with IS. FAU - Zimon, Michalina AU - Zimon M AD - Wydzial Nauk o Zdrowiu, Katedra i Klinika Rehabilitacji Medycznej, Slaski Uniwersytet Medyczny w Katowicach. FAU - Matusik, Edyta AU - Matusik E AD - Wydzial Nauk o Zdrowiu, Katedra i Klinika Rehabilitacji Medycznej, Slaski Uniwersytet Medyczny w Katowicach. FAU - Kapustka, Bartosz AU - Kapustka B AD - Oddzial Neurochirurgii, Szpital Wojewodzki nr 2 w Jastrzebiu Zdroju. FAU - Durmala, Jacek AU - Durmala J AD - Wydzial Nauk o Zdrowiu, Katedra i Klinika Rehabilitacji Medycznej, Slaski Uniwersytet Medyczny w Katowicach. FAU - Doroniewicz, Iwona AU - Doroniewicz I AD - Wydzial Nauk o Zdrowiu, Katedra i Klinika Rehabilitacji Medycznej, Slaski Uniwersytet Medyczny w Katowicach. FAU - Wnuk, Bartosz AU - Wnuk B AD - Wydzial Nauk o Zdrowiu, Katedra i Klinika Rehabilitacji Medycznej, Slaski Uniwersytet Medyczny w Katowicach. LA - eng LA - pol PT - Journal Article TT - Poziom stresu u dzieci i mlodziezy leczonych z powodu skoliozy idiopatycznej w zaleznosci od sposobu leczenia zachowawczego. DEP - 20170504 PL - Poland TA - Psychiatr Pol JT - Psychiatria polska JID - 0103314 SB - IM MH - Adolescent MH - Braces/*statistics & numerical data MH - Child MH - Conservative Treatment MH - Female MH - Humans MH - Male MH - Quality of Life/*psychology MH - Scoliosis/*psychology/*therapy MH - Stress, Psychological/*etiology/psychology OTO - NOTNLM OT - brace OT - idiopathic scoliosis OT - stress level EDAT- 2018/07/06 06:00 MHDA- 2018/11/20 06:00 CRDT- 2018/07/06 06:00 PHST- 2018/07/06 06:00 [entrez] PHST- 2018/07/06 06:00 [pubmed] PHST- 2018/11/20 06:00 [medline] AID - 68744 [pii] AID - 10.12740/PP/OnlineFirst/68744 [doi] PST - ppublish SO - Psychiatr Pol. 2018 Apr 30;52(2):355-369. doi: 10.12740/PP/OnlineFirst/68744. Epub 2017 May 4.