Article

OBJECTIVES: To determine the influence of orthopedic treatment on quality of life
(QoL) in children and adolescents with idiopathic scoliosis and treated with
either the carbon brace (CMCR, corset monocoque carbone respectant la
respiration) or the Lyon brace. To compare these braces. METHODS: A cross-sectional study on a population of 120 patients with idiopathic scoliosis,
visiting for routine evaluation following the onset of an orthopedic treatment at
the Centre des Massues in Lyon. Eighty-two patients used the carbon brace and 38
patients used the Lyon brace. The patients completed the SRS-22 questionnaire
(where a low score means a bad QoL), an evaluation scale of QoL specific to
spinal deformities, and visual analogue scales (VAS) for pain, motivation and QoL
ranging from 0 to 100mm. RESULTS: The QoL of Lyon brace-treated patients is
significantly worse than that of patients treated with a carbon brace for the
overall score (mean+/-SD, 4.05+/-0.37 vs 3.77+/-0.46, P=0.002) as well as for
function (P=0.01), pain (P=0.001), and appearance (P=0.004). These results are
confirmed by the VAS for QoL (P=0.001). CONCLUSION: The use of the carbon brace
and of the Lyon brace induces a reduction in QoL whatever the evaluation tool,
either SRS-22 or VAS. However, the use of the Lyon brace impairs QoL more than
the use of the carbon brace.
CI - Copyright A(c) 2011 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS