Lee, Sin Ying and Ch'ng, Pei Ying and Wong, Tat Seng and Ling, Xiu Wen and Chung, Weng Hong and Chiu, Chee Kidd and Chan, Chris Yin Wei and Lean, Mei Li and Kwan, Mun Keong (2023) Patients' perception and satisfaction on neck and shoulder imbalance in adolescent idiopathic scoliosis. Global Spine Journal, 13 (3). pp. 752-763. ISSN 21925682, DOI https://doi.org/10.1177/21925682211007795.
Full text not available from this repository.Abstract
Study Design: Cross-sectional. Objectives: To evaluate the perception and satisfaction among adolescent idiopathic scoliosis (AIS) patients on Neck Tilt with Medial Shoulder Imbalance and Lateral Shoulder Imbalance. Methods: Lenke 1 and 2 AIS patients were stratified into 6 groups of preoperative/ postoperative Balanced (B), Lateral Shoulder Imbalance (LSI) (>2 cm), and Neck Tilt with Medial Shoulder Imbalance (NT) (Grade 3). Patients were interviewed using Modified Neck and Shoulder Appearance and SRS-22r questionnaires. T1 tilt, Cervical Axis (CA), Clavicle Angle (Cla-A) and Radiographic Shoulder Height (RSH) were measured. Results: A total of 120 Lenke 1 and 2 AIS patients were recruited. NT patients were aware and unhappy with their abnormal neck with medial shoulder appearances (P < .001). Similarly, LSI patients were aware and unhappy with their abnormal lateral shoulder appearances (P < .001). NT group had larger preoperative/ postoperative T1 tilt (9.2 +/- 5.0 degrees; 9.5 +/- 5.3 degrees) and CA (4.6 +/- 3.1 degrees; 7.0 +/- 2.0 degrees) (P < .01). LSI group had larger preoperative/ postoperative Cla-A (4.8 +/- 2.8 degrees; 4.0 +/- 1.3 degrees) and RSH (20.1 +/- 9.4 mm; 17.0 +/- 6.6 mm) (P < .001). Postoperative B group scored higher in overall SRS-22r scores, self-image and satisfaction domains (4.2 +/- 0.3; 4.0 +/- 0.5; 4.4 +/- 0.5) while preoperative LSI scored the lowest comparatively (3.5 +/- 0.4; 2.4 +/- 0.5; 3.3 +/- 0.5) (P < .001). Conclusion: NT and LSI were major concerns among AIS patients. Both NT and LSI groups were unhappy with their appearances. NT group had larger T1 tilt/ CA whereas LSI group had larger Cla-A/ RSH. Postoperative B group scored higher in overall SRS-22r scores, self-image and satisfaction domains.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Neck tilt; Medial shoulder imbalance; Lateral shoulder imbalance; Patient perception; Adolescent idiopathic scoliosis |
| Subjects: | R Medicine > RD Surgery |
| Divisions: | Faculty of Medicine > Orthopaedic Surgery DepartmentOLD |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 24 Nov 2024 12:37 |
| Last Modified: | 24 Nov 2024 12:37 |
| URI: | http://eprints.um.edu.my/id/eprint/39641 |
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