Introduction
Materials and methods
Systematic literature search
Outcome tick your choice and write your priority | Why tick your choice or propose another one | Type tick your choice |
---|---|---|
Aesthetics | ○Literature evidence | ○Primary |
Breathing function | ○General belief | ○Secondary |
Disability | ○Personal belief | ○..... |
Kypho-lordosis Cobb degrees (radiographic lateral alignment) | ○..... | |
Needs of further treatments in adulthood | ||
Back Pain | ||
Perdriolle degrees (radiographic rotation) | ||
Progression in adulthood | ||
Quality of life | ||
Rib hump | ||
Scoliosis Cobb degrees (radiographic lateral flexion) |
Outcome | Word used for Medline search (combined with idiopathic scoliosis) | Papers found | |
---|---|---|---|
Number | Percentage | ||
Scoliosis Cobb degrees (radiographic lateral flexion) | Cobb | 395 | 16.65% |
Back Pain | Pain | 207 | 8.73% |
Kypho-lordosis Cobb degrees (radiographic lateral alignment) | Coronal, Lordosis, Kyphosis, Sagittal combined with Cobb, Radiology | 197 | 8.31% |
Self control of posture – Sensory motor integration of the corrective ideal pattern | Posture | 163 | 6.87% |
Perdriolle degrees (radiographic rotation) | Rotation combined with Cobb, Radiology | 156 | 6.58% |
Progression in adulthood | Progression AND Adult, Adulthood | 109 | 4.60% |
Balance – Improved processing of vestibular input – Equality of weight bearing | Balance | 107 | 4.51% |
Movement of the vertebral column (sagittal plane) – Improved body motor awareness and motor learning skills | Movement | 97 | 4.09% |
Breathing function – Exercise efficiency | Breath, Respiration, Ventilation | 87 | 3.67% |
Aesthetics | Aesthetics, Appearance, Cosmetic, Cosmesis | 85 | 3.58% |
Rib hump | Hump, Prominence, Bunnell (NOT author) | 79 | 3.33% |
Psychological well-being | Psychology | 72 | 3.04% |
Knowledge and understanding of scoliosis | Knowledge, Belief, Concern | 72 | 3.04% |
Quality of life | Quality of life | 35 | 1.48% |
Disability | Disability | 29 | 1.22% |
Questionnaire preparatory to the Consensus Meeting
Consensus Meeting
Final questionnaire
Statistical analysis
Results
Literature search
Questionnaire preparatory to the Consensus Meeting
Outcome | Rank obtained | Percentage of responders | Priority | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Post | Pre |
Chi
| ||||||||||
Post | Pre | Post | Pre | P1 | P2 | P3 | P1 | P2 | P3 | P | ||
Aesthetics | Aes | 1 | 3 | 100% | 89% | 78% | 19% | 3% | 58% | 26% | 5% | <0.01 |
Quality of life | QoL | 2 | 4 | 91% | 74% | 75% | 6% | 9% | 63% | 21% | 0% | <0.01 |
Disability | Dis | 3 | 11 | 91% | 63% | 69% | 6% | 16% | 47% | 11% | 5% | <0.01 |
Back Pain | BP | 4 | 7 | 87% | 68% | 63% | 13% | 13% | 58% | 16% | 11% | <0.01 |
Psychological well-being | PWB | 5 | 84% | 66% | 13% | 6% | 79% | 5% | 0% | |||
Progression in adulthood | PiA | 6 | 2 | 84% | 84% | 56% | 28% | 0% | 74% | 5% | 16% | <0.01 |
Breathing function | BF | 7 | 1 | 84% | 95% | 44% | 25% | 16% | 63% | 16% | 5% | <0.01 |
Scoliosis Cobb degrees | SCD | 8 | 5 | 84% | 84% | 44% | 34% | 6% | 58% | 11% | 21% | <0.01 |
Needs of further treatments in adulthood | NTA | 9 | 6 | 81% | 89% | 53% | 22% | 6% | 53% | 21% | 0% | <0.01 |
Rib hump | RH | 10 | 8 | 78% | 84% | 59% | 13% | 6% | 42% | 26% | 0% | <0.01 |
Self control of posture | 11 | 75% | 41% | 25% | 9% | |||||||
Perdriolle degrees | PD | 12 | 9 | 75% | 84% | 16% | 50% | 9% | 47% | 11% | 11% | <0.01 |
Knowledge and understanding of scoliosis | 13 | 72% | 44% | 16% | 13% | |||||||
Movement of the vertebral column | 14 | 72% | 38% | 25% | 9% | |||||||
Kypho-lordosis Cobb degrees | KLD | 15 | 10 | 72% | 68% | 31% | 34% | 6% | 58% | 26% | 5% | <0.01 |
Balance | 16 | 69% | 44% | 19% | 6% | |||||||
Body motor awareness and learning skills | 17 | 69% | 9% | 34% | 25% | |||||||
Sensory motor integration of the corrective pattern | 18 | 62% | 41% | 16% | 6% | |||||||
Improved processing of vestibular input | 19 | 59% | 6% | 31% | 22% | |||||||
Equality of weight bearing | 20 | 56% | 22% | 19% | 16% | |||||||
Exercise efficiency | 21 | 56% | 22% | 28% | 6% |
Outcome | Motivation of choice | ||
---|---|---|---|
Literature Evidence | General belief | Personal belief | |
Scoliosis Cobb degrees | 68% | 16% | 0% |
Breathing function | 68% | 21% | 5% |
Progression in adulthood | 53% | 32% | 0% |
Quality of life | 53% | 16% | 16% |
Disability | 47% | 11% | 11% |
Kypho-lordosis Cobb degrees | 37% | 21% | 11% |
Perdriolle degrees | 37% | 16% | 16% |
Back Pain | 42% | 16% | 32% |
Aesthetics | 32% | 42% | 16% |
Needs of further treatments in adulthood | 32% | 21% | 37% |
Rib hump | 32% | 21% | 37% |
Rank obtained | Importance | ||||||
---|---|---|---|---|---|---|---|
Post | Pre |
Chi
| |||||
Outcome
| Post | Pre | Primary | Secondary | Primary | Secondary | P |
Aesthetics | 1 | 4 | 84% | 9% | 58% | 32% | <0.01 |
Quality of life | 2 | 2 | 75% | 6% | 63% | 26% | <0.01 |
Psychological well-being | 3 | 72% | 6% | ||||
Disability | 4 | 7 | 66% | 16% | 47% | 21% | <0.01 |
Back Pain | 5 | 9 | 59% | 22% | 32% | 58% | <0.01 |
Rib hump | 6 | 3 | 53% | 22% | 63% | 26% | <0.01 |
Breathing function | 7 | 6 | 44% | 31% | 53% | 42% | <0.01 |
Progression in adulthood | 8 | 1 | 41% | 31% | 63% | 21% | <0.01 |
Needs of further treatments in adulthood | 9 | 8 | 38% | 38% | 47% | 42% | NS |
Knowledge and understanding of scoliosis in general and their specific pattern | 10 | 34% | 28% | ||||
Balance | 11 | 34% | 31% | ||||
Scoliosis Cobb degrees (radiographic lateral flexion) | 12 | 5 | 28% | 44% | 53% | 32% | <0.05 |
Self control of posture | 13 | 25% | 38% | ||||
Movement of the vertebral column (sagittal plane) | 14 | 22% | 38% | ||||
Perdriolle degrees (radiographic rotation) | 15 | 11 | 19% | 50% | 21% | 53% | <0.01 |
Kypho-lordosis Cobb degrees (radiographic lateral alignment) | 16 | 10 | 16% | 50% | 26% | 42% | <0.01 |
Sensory motor integration of the corrective ideal pattern | 17 | 16% | 41% | ||||
Exercise efficiency | 18 | 16% | 38% | ||||
Equality of weight bearing | 19 | 13% | 31% | ||||
Improved body motor awareness and motor learning skills | 20 | 3% | 56% | ||||
Improved processing of vestibular input | 21 | 3% | 47% |
Final Consensus
Discussion
Aesthetics (Aes)
Quality of life (QoL) and Disability (Dis)
Back Pain (BP)
Psychological Well-Being (PWB)
Progression in Adulthood (PiA)
Needs of further Treatments in Adulthood (NTA)
Breathing Function (BF)
Radiographic and clinical data
Treatment | Surgery | Brace | Controls | |
---|---|---|---|---|
Years follow-up
| 23.3 | 22.3 | ||
Population
| 146 | 116 | 100 | |
Scoliosis
|
Start
| 61.8 | 33.2 | |
End of treatment
| 33.1 | 29.7 | ||
Change from start
| -53.6% | -89.5% | ||
Today
| 36.5 | 37.6 | ||
Change from start
| -59.1% | 12% | ||
Change from end
| 9% | 21% | ||
Kyphosis
|
Today
| 24.5 | 30.8 | 38.5 |
Lordosis
|
Today
| 33.3 | 44.8 | 43.9 |
Hump
|
Measuring device
| Bunnell | Bunnell | |
Today
| 11.4 | 10.3 |