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Adölesan İdiyopatik Skolyozlu Çocuklarda Bel Farkındalığı ile Yaşam Kalitesi Arasındaki İlişki

Year 2025, Volume: 14 Issue: 2, 613 - 619, 26.06.2025
https://doi.org/10.37989/gumussagbil.1607549

Abstract

Abstract
This study aimed to evaluate back awareness and investigate the correlation between back awareness and quality of life in children with adolescent idiopathic scoliosis (AIS). The study collected data from 40 children diagnosed with AIS and 40 healthy peers. Back awareness was assessed using the Fremantle Back Awareness Questionnaire (FreBAQ), and quality of life was evaluated using the Scoliosis Research Society (SRS-22) form. Results showed that back awareness was significantly lower in the AIS group compared to healthy children, and this awareness was associated with quality of life. Significant differences were found in the SRS-22 total score and especially in the “mental health” and “self-image” sub-dimensions compared to the healthy group (p<0.05). A moderate negative correlation was identified between Cobb angle and quality of life (p<0.05). The findings emphasize that decreased back awareness in children with AIS may negatively affect the quality of life and the importance of personalized treatment approaches in these individuals.
ÖZ
Bu çalışma, Adölesan İdiopatik Skolyoz (AIS) olan çocuklarda bel farkındalığını değerlendirmeyi ve bel farkındalığı ile yaşam kalitesi arasındaki ilişkiyi incelemeyi amaçlamıştır. Çalışmada, AIS tanısı almış 40 çocuk ile sağlıklı 40 akranından veriler alınarak yürütülmüştür. Sırt farkındalığı Fremantle Bel farkındalığı Anketi ile, yaşam kalitesi ise Scoliosis Research Society (SRS-22) formu ile değerlendirilmiştir. Bulgular, AIS grubunda sırt farkındalığının sağlıklı çocuklara kıyasla anlamlı derecede düşük olduğunu ve bu farkındalığın yaşam kalitesi ile ilişkili olduğunu göstermiştir. SRS-22 toplam skorunda ve özellikle "mental sağlık" ve "öz-imaj" alt boyutlarında sağlıklı gruba göre anlamlı farklar saptanmıştır (p<0,05). Cobb açısı ile yaşam kalitesi arasında da orta düzeyde negatif korelasyon bulunmuştur (p<0,05). Bulgular, AIS olan çocuklarda bel farkındalığındaki azalmaların yaşam kalitesini olumsuz etkileyebileceğini ve bu bireylerde kişiselleştirilmiş tedavi yaklaşımlarının önemini vurgulamaktadır.

References

  • 1. Weinstein SL. The natural history of adolescent idiopathic scoliosis. Journal of Pediatric Orthopaedics. 2019;39:44-46.
  • 2. Cheng JC, Castelein RM, Chu WC, et al. Adolescent idiopathic scoliosis. Nature reviews disease primers. 2015;1(1):1-21.
  • 3. Weinstein SL, Dolan LA, Cheng JC, et al. Adolescent idiopathic scoliosis. The lancet. 2008;371(9623):1527-1537.
  • 4. Wirth B, Knecht C, Humphreys K. Spine day 2012: spinal pain in Swiss school children–epidemiology and risk factors. BMC pediatrics. 2013;13:1-10.
  • 5. Sato T, Hirano T, Ito T, et al. Back pain in adolescents with idiopathic scoliosis: epidemiological study for 43,630 pupils in Niigata City, Japan. European Spine Journal. 2011;20:274-279.
  • 6. Théroux J, Le May S, Hebert JJ, et al. Back pain prevalence is associated with curve-type and severity in adolescents with idiopathic scoliosis: a cross-sectional study. Spine. 2017;42(15):914-919.
  • 7. Picelli A, Negrini S, Zenorini A, et al. Do adolescents with idiopathic scoliosis have body schema disorders? A cross-sectional study. Journal of back and musculoskeletal rehabilitation. 2016;29(1):89-96.
  • 8. Yagci G, Karatel M, Yakut Y. Body awareness and its relation to quality of life in individuals with idiopathic scoliosis. Perceptual and Motor Skills. 2020;127(5):841-857.
  • 9. Yagci G, Ayhan C, Yakut Y. Effectiveness of basic body awareness therapy in adolescents with idiopathic scoliosis: A randomized controlled study. Journal of back and Musculoskeletal Rehabilitation. 2018;31(4):693-701.
  • 10. Wand BM, Catley MJ, Rabey MI, et al. Disrupted self-perception in people with chronic low back pain. Further evaluation of the Fremantle Back Awareness Questionnaire. The Journal of Pain. 2016;17(9):1001-1012.
  • 11. Asher M, Lai SM, Burton D, et al. Scoliosis research society-22 patient questionnaire: responsiveness to change associated with surgical treatment. Spine. 2003;28(1):70-73.
  • 12. Pehrsson K, Larsson S, Oden A, et al. Long-term follow-up of patients with untreated scoliosis a study of mortality, causes of death, and symptoms. Spine. 1992;17(9):1091-1096.
  • 13. Teles AR, Ocay DD, Shebreen AB, et al. Evidence of impaired pain modulation in adolescents with idiopathic scoliosis and chronic back pain. The Spine Journal. 2019;19(4):677-686.
  • 14. Alanay A, Cil A, Berk H, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine. 2005;30(21):2464-2468.
  • 15. Erol E, Yildiz A, Yildiz R, et al. Reliability and validity of the turkish version of the Fremantle back awareness questionnaire. Spine. 2019;44(9):549-554.
  • 16. Kaya MH, Erbahçeci F, Alkan H, et al. Factors influencing of quality of life in adolescent idiopathic scoliosis. Musculoskeletal Science and Practice. 2022;62:102628.
  • 17. Mitsiaki I, Thirios A, Panagouli E, et al. Adolescent idiopathic scoliosis and mental health disorders: a narrative review of the literature. Children. 2022;9(5):597.
  • 18. Sanders JO, Polly Jr DW, Cats-Baril W, et al. Analysis of patient and parent assessment of deformity in idiopathic scoliosis using the Walter Reed Visual Assessment Scale. Spine. 2003;28(18):2158-2163.
  • 19. Matamalas A, Bagó J, D'Agata E, et al. Body image in idiopathic scoliosis: a comparison study of psychometric properties between four patient-reported outcome instruments. Health and quality of life outcomes. 2014;12:1-8.
  • 20. Vasiliadis E, Grivas TB. Quality of life after conservative treatment of adolescent idiopathic scoliosis. Studies in health technology and informatics. 2008;135:409.
  • 21. Balagué F, Pellisé F. Adolescent idiopathic scoliosis and back pain. Scoliosis and spinal disorders. 2016;11:1-15.
  • 22. Weiss H, Goodall D. The treatment of adolescent idiopathic scoliosis (AIS) according to present evidence. A systematic review. European journal of physical and rehabilitation medicine. 2008;44(2):177-193.
  • 23. Lonner B, Yoo A, Terran JS, et al. Effect of spinal deformity on adolescent quality of life: comparison of operative scheuermann kyphosis, adolescent idiopathic scoliosis, and normal controls. Spine. 2013;38(12):1049-1055.
  • 24. Pellegrino LN, Avanzi O. Prospective evaluation of quality of life in adolescent idiopathic scoliosis before and after surgery. Clinical Spine Surgery. 2014;27(8):409-414.
  • 25. Morse LJ, Kawakami N, Lenke LG, et al. Culture and ethnicity influence outcomes of the Scoliosis Research Society Instrument in adolescent idiopathic scoliosis. Spine. 2012;37(12):1072-1076.
  • 26. Théroux J, Le May S, Fortin C, et al. Prevalence and management of back pain in adolescent idiopathic scoliosis patients: a retrospective study. Pain Research and Management. 2015;20(3):153-157.
  • 27. Bastrom TP, Bartley C, Marks MC, et al. Postoperative perfection: ceiling effects and lack of discrimination with both SRS-22 and-24 outcomes instruments in patients with adolescent idiopathic scoliosis. Spine. 2015;40(24):1323-1329.
  • 28. Daniels AH, Smith JS, Hiratzka J, et al. Functional limitations due to lumbar stiffness in adults with and without spinal deformity. Spine. 2015;40(20):1599-1604.
  • 29. Yamawaki R, Oda Y, Yamane S, et al. Factors Affecting Dynamic Postural Control Ability in Adolescent Idiopathic Scoliosis. Acta Medica Okayama. 2024;78(5):357-362.
  • 30. Burwell RG, Aujla RK, Grevitt MP, et al. Pathogenesis of adolescent idiopathic scoliosis in girls-a double neuro-osseous theory involving disharmony between two nervous systems, somatic and autonomic expressed in the spine and trunk: possible dependency on sympathetic nervous system and hormones with implications for medical therapy. Scoliosis. 2009;4:1-40.
  • 31. Smania N, Picelli A, Romano M, et al. Neurophysiological basis of rehabilitation of adolescent idiopathic scoliosis. Disability and rehabilitation. 2008;30(10):763-771.
  • 32. Han, J., Xu, Q., Yang, Y., Yao, Z., & Zhang, C. Evaluation of quality of life and risk factors affecting quality of life in adolescent idiopathic scoliosis. Intractable & rare diseases research. 2015;4(1): 12-16.
  • 33. Rumsey N, Harcourt D. Body image and disfigurement: issues and interventions. Body image. 2004;1(1):83-97.

Low Back Awareness in Children with Adolescent Idiopathic Scoliosis and its Relationship Quality of Life

Year 2025, Volume: 14 Issue: 2, 613 - 619, 26.06.2025
https://doi.org/10.37989/gumussagbil.1607549

Abstract

Abstract
This study aimed to evaluate back awareness and investigate the correlation between back awareness and quality of life in children with adolescent idiopathic scoliosis (AIS). The study collected data from 40 children diagnosed with AIS and 40 healthy peers. Back awareness was assessed using the Fremantle Back Awareness Questionnaire (FreBAQ), and quality of life was evaluated using the Scoliosis Research Society (SRS-22) form. Results showed that back awareness was significantly lower in the AIS group compared to healthy children, and this awareness was associated with quality of life. Significant differences were found in the SRS-22 total score and especially in the “mental health” and “self-image” sub-dimensions compared to the healthy group (p<0.05). A moderate negative correlation was identified between Cobb angle and quality of life (p<0.05). The findings emphasize that decreased back awareness in children with AIS may negatively affect the quality of life and the importance of personalized treatment approaches in these individuals.

References

  • 1. Weinstein SL. The natural history of adolescent idiopathic scoliosis. Journal of Pediatric Orthopaedics. 2019;39:44-46.
  • 2. Cheng JC, Castelein RM, Chu WC, et al. Adolescent idiopathic scoliosis. Nature reviews disease primers. 2015;1(1):1-21.
  • 3. Weinstein SL, Dolan LA, Cheng JC, et al. Adolescent idiopathic scoliosis. The lancet. 2008;371(9623):1527-1537.
  • 4. Wirth B, Knecht C, Humphreys K. Spine day 2012: spinal pain in Swiss school children–epidemiology and risk factors. BMC pediatrics. 2013;13:1-10.
  • 5. Sato T, Hirano T, Ito T, et al. Back pain in adolescents with idiopathic scoliosis: epidemiological study for 43,630 pupils in Niigata City, Japan. European Spine Journal. 2011;20:274-279.
  • 6. Théroux J, Le May S, Hebert JJ, et al. Back pain prevalence is associated with curve-type and severity in adolescents with idiopathic scoliosis: a cross-sectional study. Spine. 2017;42(15):914-919.
  • 7. Picelli A, Negrini S, Zenorini A, et al. Do adolescents with idiopathic scoliosis have body schema disorders? A cross-sectional study. Journal of back and musculoskeletal rehabilitation. 2016;29(1):89-96.
  • 8. Yagci G, Karatel M, Yakut Y. Body awareness and its relation to quality of life in individuals with idiopathic scoliosis. Perceptual and Motor Skills. 2020;127(5):841-857.
  • 9. Yagci G, Ayhan C, Yakut Y. Effectiveness of basic body awareness therapy in adolescents with idiopathic scoliosis: A randomized controlled study. Journal of back and Musculoskeletal Rehabilitation. 2018;31(4):693-701.
  • 10. Wand BM, Catley MJ, Rabey MI, et al. Disrupted self-perception in people with chronic low back pain. Further evaluation of the Fremantle Back Awareness Questionnaire. The Journal of Pain. 2016;17(9):1001-1012.
  • 11. Asher M, Lai SM, Burton D, et al. Scoliosis research society-22 patient questionnaire: responsiveness to change associated with surgical treatment. Spine. 2003;28(1):70-73.
  • 12. Pehrsson K, Larsson S, Oden A, et al. Long-term follow-up of patients with untreated scoliosis a study of mortality, causes of death, and symptoms. Spine. 1992;17(9):1091-1096.
  • 13. Teles AR, Ocay DD, Shebreen AB, et al. Evidence of impaired pain modulation in adolescents with idiopathic scoliosis and chronic back pain. The Spine Journal. 2019;19(4):677-686.
  • 14. Alanay A, Cil A, Berk H, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine. 2005;30(21):2464-2468.
  • 15. Erol E, Yildiz A, Yildiz R, et al. Reliability and validity of the turkish version of the Fremantle back awareness questionnaire. Spine. 2019;44(9):549-554.
  • 16. Kaya MH, Erbahçeci F, Alkan H, et al. Factors influencing of quality of life in adolescent idiopathic scoliosis. Musculoskeletal Science and Practice. 2022;62:102628.
  • 17. Mitsiaki I, Thirios A, Panagouli E, et al. Adolescent idiopathic scoliosis and mental health disorders: a narrative review of the literature. Children. 2022;9(5):597.
  • 18. Sanders JO, Polly Jr DW, Cats-Baril W, et al. Analysis of patient and parent assessment of deformity in idiopathic scoliosis using the Walter Reed Visual Assessment Scale. Spine. 2003;28(18):2158-2163.
  • 19. Matamalas A, Bagó J, D'Agata E, et al. Body image in idiopathic scoliosis: a comparison study of psychometric properties between four patient-reported outcome instruments. Health and quality of life outcomes. 2014;12:1-8.
  • 20. Vasiliadis E, Grivas TB. Quality of life after conservative treatment of adolescent idiopathic scoliosis. Studies in health technology and informatics. 2008;135:409.
  • 21. Balagué F, Pellisé F. Adolescent idiopathic scoliosis and back pain. Scoliosis and spinal disorders. 2016;11:1-15.
  • 22. Weiss H, Goodall D. The treatment of adolescent idiopathic scoliosis (AIS) according to present evidence. A systematic review. European journal of physical and rehabilitation medicine. 2008;44(2):177-193.
  • 23. Lonner B, Yoo A, Terran JS, et al. Effect of spinal deformity on adolescent quality of life: comparison of operative scheuermann kyphosis, adolescent idiopathic scoliosis, and normal controls. Spine. 2013;38(12):1049-1055.
  • 24. Pellegrino LN, Avanzi O. Prospective evaluation of quality of life in adolescent idiopathic scoliosis before and after surgery. Clinical Spine Surgery. 2014;27(8):409-414.
  • 25. Morse LJ, Kawakami N, Lenke LG, et al. Culture and ethnicity influence outcomes of the Scoliosis Research Society Instrument in adolescent idiopathic scoliosis. Spine. 2012;37(12):1072-1076.
  • 26. Théroux J, Le May S, Fortin C, et al. Prevalence and management of back pain in adolescent idiopathic scoliosis patients: a retrospective study. Pain Research and Management. 2015;20(3):153-157.
  • 27. Bastrom TP, Bartley C, Marks MC, et al. Postoperative perfection: ceiling effects and lack of discrimination with both SRS-22 and-24 outcomes instruments in patients with adolescent idiopathic scoliosis. Spine. 2015;40(24):1323-1329.
  • 28. Daniels AH, Smith JS, Hiratzka J, et al. Functional limitations due to lumbar stiffness in adults with and without spinal deformity. Spine. 2015;40(20):1599-1604.
  • 29. Yamawaki R, Oda Y, Yamane S, et al. Factors Affecting Dynamic Postural Control Ability in Adolescent Idiopathic Scoliosis. Acta Medica Okayama. 2024;78(5):357-362.
  • 30. Burwell RG, Aujla RK, Grevitt MP, et al. Pathogenesis of adolescent idiopathic scoliosis in girls-a double neuro-osseous theory involving disharmony between two nervous systems, somatic and autonomic expressed in the spine and trunk: possible dependency on sympathetic nervous system and hormones with implications for medical therapy. Scoliosis. 2009;4:1-40.
  • 31. Smania N, Picelli A, Romano M, et al. Neurophysiological basis of rehabilitation of adolescent idiopathic scoliosis. Disability and rehabilitation. 2008;30(10):763-771.
  • 32. Han, J., Xu, Q., Yang, Y., Yao, Z., & Zhang, C. Evaluation of quality of life and risk factors affecting quality of life in adolescent idiopathic scoliosis. Intractable & rare diseases research. 2015;4(1): 12-16.
  • 33. Rumsey N, Harcourt D. Body image and disfigurement: issues and interventions. Body image. 2004;1(1):83-97.
There are 33 citations in total.

Details

Primary Language English
Subjects Physical Medicine and Rehabilitation
Journal Section Articles
Authors

Ramazan Yıldız 0000-0002-8007-7854

Ayşe Yildiz 0000-0002-1101-1069

Musa Eymir 0000-0002-9671-9583

Publication Date June 26, 2025
Submission Date December 26, 2024
Acceptance Date February 14, 2025
Published in Issue Year 2025 Volume: 14 Issue: 2

Cite

APA Yıldız, R., Yildiz, A., & Eymir, M. (2025). Low Back Awareness in Children with Adolescent Idiopathic Scoliosis and its Relationship Quality of Life. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 14(2), 613-619. https://doi.org/10.37989/gumussagbil.1607549
AMA Yıldız R, Yildiz A, Eymir M. Low Back Awareness in Children with Adolescent Idiopathic Scoliosis and its Relationship Quality of Life. Gümüşhane Sağlık Bilimleri Dergisi. June 2025;14(2):613-619. doi:10.37989/gumussagbil.1607549
Chicago Yıldız, Ramazan, Ayşe Yildiz, and Musa Eymir. “Low Back Awareness in Children With Adolescent Idiopathic Scoliosis and Its Relationship Quality of Life”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14, no. 2 (June 2025): 613-19. https://doi.org/10.37989/gumussagbil.1607549.
EndNote Yıldız R, Yildiz A, Eymir M (June 1, 2025) Low Back Awareness in Children with Adolescent Idiopathic Scoliosis and its Relationship Quality of Life. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14 2 613–619.
IEEE R. Yıldız, A. Yildiz, and M. Eymir, “Low Back Awareness in Children with Adolescent Idiopathic Scoliosis and its Relationship Quality of Life”, Gümüşhane Sağlık Bilimleri Dergisi, vol. 14, no. 2, pp. 613–619, 2025, doi: 10.37989/gumussagbil.1607549.
ISNAD Yıldız, Ramazan et al. “Low Back Awareness in Children With Adolescent Idiopathic Scoliosis and Its Relationship Quality of Life”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14/2 (June 2025), 613-619. https://doi.org/10.37989/gumussagbil.1607549.
JAMA Yıldız R, Yildiz A, Eymir M. Low Back Awareness in Children with Adolescent Idiopathic Scoliosis and its Relationship Quality of Life. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14:613–619.
MLA Yıldız, Ramazan et al. “Low Back Awareness in Children With Adolescent Idiopathic Scoliosis and Its Relationship Quality of Life”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 14, no. 2, 2025, pp. 613-9, doi:10.37989/gumussagbil.1607549.
Vancouver Yıldız R, Yildiz A, Eymir M. Low Back Awareness in Children with Adolescent Idiopathic Scoliosis and its Relationship Quality of Life. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14(2):613-9.