THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY

Authors : Ferhat ÖZTÜRK, Hande Güney DENİZ, Mehmet AYVAZ, Halil Gökhan DEMİRKIRAN, Gizem İrem KINIKLI

Pages : 36-44

Doi:10.21653/tjpr.510994

View : 22 | Download : 4

Publication Date : 2020-04-13

Article Type : Research Paper

Abstract :Purpose: There is a lack of evidence about trunk muscle endurance, range of motion insert ignore into journalissuearticles values(ROM);, flexibility and quality of life insert ignore into journalissuearticles values(QoL); in subjects with adolescent idiopathic scoliosis insert ignore into journalissuearticles values(AIS); following posterior instrumentation and fusion insert ignore into journalissuearticles values(PIF); surgery. The study aimed to compare trunk muscle endurance, ROM, flexibility, and QoL of the AIS subjects with lumbar or thoracic level after surgery. It also investigated the relationship between trunk muscle endurance, ROM, flexibility, and QoL in subjects with AIS. Methods: Twenty subjects aged between 10-18 years insert ignore into journalissuearticles values(mean age=15.55±1.46 years); who underwent PIF surgery before 1-3 years were included. The subjects were divided into two groups as a thoracic insert ignore into journalissuearticles values(n=10); and lumbar group insert ignore into journalissuearticles values(n=10); according to the PIF surgery level. The ROM was assessed using a universal goniometer, flexibility with sit and reach test and lateral bending, trunk extensor muscle endurance assessed with Biering-Sorensen test, trunk flexor muscle endurance with the Kraus-Weber test, and the QoL through the Scoliosis Research Society-22 revised insert ignore into journalissuearticles values(SRS-22r); scale. Results: There was significant difference between the two groups in lateral flexion ROM and lateral bending results insert ignore into journalissuearticles values(p<0.05);. Thoracic group showed better results in the lateral flexion ROM and lateral bending test. Trunk flexor muscle endurance was found correlated with extension ROM insert ignore into journalissuearticles values(r=0.718, p=0.001);, flexion ROM insert ignore into journalissuearticles values(r=0.414, p=0.007);, right lateral flexion ROM insert ignore into journalissuearticles values(r=0.721, p=0.001);, and left lateral flexion ROM insert ignore into journalissuearticles values(r=0.581, p=0.007);. Trunk extensor muscle endurance was found correlated with right rotation ROM insert ignore into journalissuearticles values(r=0.511, p=0.021);, left rotation ROM insert ignore into journalissuearticles values(r=0.410, p=0.073);, SRS-22r total score insert ignore into journalissuearticles values(r=0.677, p=0.001); and SRS-22r pain score insert ignore into journalissuearticles values(r=0.554, p=0.011);. Conclusion: Trunk muscle endurance is essential for body posture and QoL after surgery. These subject’s physiotherapy and rehabilitation programs should focus on developing trunk muscle endurance and flexibility to increase QoL following PIF surgery.
Keywords : Adölesan idiyopatik skolyoz, Endurans, Gövde