Background: Adolescent idiopathic scoliosis (AIS) is a pathology that cause a deformity of the spinal column, defined from the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) as a "three-dimensional torsional deformity of the spine and trunk". The etiology is not defined, probably is multifactorial, it affects both male and female, from 10 to 17 years old. AIS could be treated using physiotherapy treatment and brace treatment. Objective: To investigate the presence of risk factors associated with more or less compliance with physiotherapy treatment which could be identified during the first evaluation. Materials and methods: Patients with AIS recruited from the Service of Orthopedic Rehabilitation of the "Azienda Ospedale Università" of Padua take part of the study. The patients answered a online standardized anonymous questionnaire aimed at the collection of data concerning their activity and sedentary level, pain, amount of hours spent on doing physiotherapy exercise program at home during a week (this parameter was chosen to calculate the treatment compliance), the social context and their opinion under the physiotherapy treatment. After this, the data was analyzed to investigate the presence of statistical correlation. Results: 20 patients was recruited (mean age 13 years old). No statistical correlations were found between the considered item and quantity of hours spent on doing physiotherapy exercise program per week. The only statistically significant correlation, not the subject of this study, was found between the BMI and the quantity of hours that patients spend in a sitting position during the day. Conclusions: The correlation between the compliance to the physiotherapy treatment and possible risk factors should be further studied. Future research is needed to establish which are the risk factors and which are the strategies to adopt to maximize the compliance to the physiotherapy treatment.
Premessa: La scoliosi idiopatica adolescenziale (AIS) è una patologia che causa una deformità della colonna, definita dall'International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) come una “deformità torsionale tridimensionale del rachide e del tronco”. L'eziologia è ignota, presumibilmente multifattoriale, colpisce sia maschi che femmine, in età compresa tra i 10 e i 17 anni di età. Il trattamento può essere esclusivamente fisioterapico, nei casi di scoliosi più lievi, al quale viene aggiunto l'impiego di un'ortesi nei casi di scoliosi moderata/grave. Obiettivo: Lo scopo dello studio è quello di indagare gli eventuali fattori associati ad una maggiore o minore aderenza al trattamento con ginnastica medica rintracciabili durante la valutazione iniziale. Materiali e metodi: Pazienti con AIS afferenti al servizio di Riabilitazione Ortopedica dell'Azienda Ospedale Università di Padova hanno partecipato allo studio. I soggetti hanno risposto ad un questionario online anonimo e standardizzato finalizzato alla raccolta di dati inerenti al loro livello di attività e sedentarietà, la presenza di dolore, il numero di ore spese per eseguire gli esercizi a casa (parametro che è stato preso come riferimento per definire l'aderenza al trattamento), il contesto sociale e le loro considerazioni sul trattamento fisioterapico. Successivamente i dati sono stati analizzati per indagare la presenza di correlazioni statistiche. Risultati: 20 pazienti sono stati reclutati (età media 13 anni). Non sono state riscontrate correlazioni tra gli item presi in considerazione e il quantitativo di ore di esercizi che i pazienti svolgono settimanalmente. L'unica correlazione statisticamente significativa, non oggetto di questo studio, si è riscontrata tra il BMI e il quantitativo di ore che i pazienti rimangono seduti durante il giorno. Conclusioni: La correlazione tra l'aderenza al trattamento fisioterapico e possibili fattori di rischio dovrebbe essere ulteriormente indagata. Ulteriori studi sono necessari per stabilire quali sono questi fattori e quali sono le strategie da adottare per massimizzare l'aderenza al trattamento con ginnastica medica.
Studio della relazione tra contesto bio-psico-sociale e aderenza al trattamento fisioterapico nella scoliosi idiopatica adolescenziale: uno studio osservazionale
LOLLI, GIOVANNI
2020/2021
Abstract
Background: Adolescent idiopathic scoliosis (AIS) is a pathology that cause a deformity of the spinal column, defined from the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) as a "three-dimensional torsional deformity of the spine and trunk". The etiology is not defined, probably is multifactorial, it affects both male and female, from 10 to 17 years old. AIS could be treated using physiotherapy treatment and brace treatment. Objective: To investigate the presence of risk factors associated with more or less compliance with physiotherapy treatment which could be identified during the first evaluation. Materials and methods: Patients with AIS recruited from the Service of Orthopedic Rehabilitation of the "Azienda Ospedale Università" of Padua take part of the study. The patients answered a online standardized anonymous questionnaire aimed at the collection of data concerning their activity and sedentary level, pain, amount of hours spent on doing physiotherapy exercise program at home during a week (this parameter was chosen to calculate the treatment compliance), the social context and their opinion under the physiotherapy treatment. After this, the data was analyzed to investigate the presence of statistical correlation. Results: 20 patients was recruited (mean age 13 years old). No statistical correlations were found between the considered item and quantity of hours spent on doing physiotherapy exercise program per week. The only statistically significant correlation, not the subject of this study, was found between the BMI and the quantity of hours that patients spend in a sitting position during the day. Conclusions: The correlation between the compliance to the physiotherapy treatment and possible risk factors should be further studied. Future research is needed to establish which are the risk factors and which are the strategies to adopt to maximize the compliance to the physiotherapy treatment.The text of this website © Università degli studi di Padova. Full Text are published under a non-exclusive license. Metadata are under a CC0 License
https://hdl.handle.net/20.500.12608/29297