The importance of trunk perception during brace treatment in moderate juvenile idiopathic scoliosis: What is the impact on self-image?

J Back Musculoskelet Rehabil. 2017;30(2):203-210. doi: 10.3233/BMR-160733.

Abstract

Background: The perception of body image and the deformity of the trunk in patients with adolescent idiopathic scoliosis (AIS) are a silver lining that has yet to be discussed in the relevant literature during brace rehabilitation treatment.

Objective: To determine whether and how the use of the brace changes perception of the trunk in patients with AIS by the drawing test.

Methods: We observed 32 subjects with AIS from our Rehabilitation outpatient clinic and divided them into the brace treatment (BG-16 subjects) and the non-brace treatment (CG-16 subjects). Trunk perception and quality of life were evaluated using the Trunk Appearance Perception Scale and Scoliosis Research Society-22 questionnaire, and the perception of one's back was measured by the drawing test.

Results: Pain was lower in BG versus CG (p= 0.095). Satisfaction with the treatment was higher in BG than in CG (p= 0.002). Self-image did not differ significantly between the groups in terms of TAPS. Drawings of the most severe cases of scoliosis were made by the group without the brace.

Conclusions: The use of the brace corrects the function of the trunk and has a positive influence on its perception.

Keywords: Body image; ChĂȘneau brace; TAPS; drawing; quality of life.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Body Image / psychology*
  • Braces*
  • Case-Control Studies
  • Child
  • Female
  • Humans
  • Male
  • Patient Satisfaction
  • Quality of Life
  • Scoliosis / physiopathology
  • Scoliosis / psychology
  • Scoliosis / therapy*
  • Self Concept*
  • Surveys and Questionnaires
  • Torso / physiopathology