HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE

Sriram Harish Srinivasan; Sanjay Narayana Murthy; George JM Hourston; Girish Swamy

doi:10.1302/1358-992X.2022.1.016

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General Orthopaedics

HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE

The British Indian Orthopaedic Society (BIOS) Annual Scientific Meeting, Cardiff, Wales, 2–3 July 2021.

Sriram Harish Srinivasan
Sanjay Narayana Murthy
George JM Hourston
Girish Swamy

HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE

Srinivasan SH, Murthy SN, Hourston GJ, Swamy G. HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE. Orthop Procs. 2022;104-B(SUPP_1):16-16. doi:10.1302/1358-992X.2022.1.016

Srinivasan, Sriram Harish, et al. “HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE.” Orthopaedic Proceedings, vol. 104-B, no. SUPP_1, 2022, pp. 16-16., https://doi.org/10.1302/1358-992X.2022.1.016

Srinivasan, S. H., Murthy, S. N., Hourston, G. J., & Swamy, G. (2022). HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE. Orthopaedic Proceedings, 104-B(SUPP_1), 16-16. https://doi.org/10.1302/1358-992X.2022.1.016

Srinivasan, S. H., Murthy, S. N., Hourston, G. J. and Swamy, G. (2022) “HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE.” Orthopaedic Proceedings, 104-B(SUPP_1), pp. 16-16. Available at: https://doi.org/10.1302/1358-992X.2022.1.016

Srinivasan, Sriram Harish, Sanjay Narayana Murthy, George JM Hourston, and Girish Swamy. “HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE.” Orthopaedic Proceedings 104-B, no. SUPP_1 (2022): 16-16. https://doi.org/10.1302/1358-992X.2022.1.016

Srinivasan SH, Murthy SN, Hourston GJ, Swamy G. HOW DO ADOLESCENTS WITH IDIOPATHIC SCOLIOSIS PERCEIVE THEIR EXPERIENCE OF BRACING? A REVIEW OF THE LITERATURE. Orthop Procs. 2022 Jan 1;104-B(SUPP_1):16-16. https://doi.org/10.1302/1358-992X.2022.1.016

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Abstract

Non-operative management of AIS can present practical and psychological challenges, as effective bracing requires a considerable investment of time in adolescence which is a formative point of physical and emotional development. The management team lacks input from the psychological team and thus, it would be prudent for the spinal teams to appreciate and deal with the psychosocial effects associated with bracing.

We sought to investigate how bracing as a part of non-operative management of idiopathic scoliosis, is perceived among adolescents.

We performed a search of CINAHL, Medline, AMED, PsychARTICLES, Psychology and Behavioral Sciences Collection and PsychINFO databases to identify qualitative research investigating the thoughts, feelings and experiences and attitudes of those undergoing bracing for AIS. Keywords used were (((“adoles∗” OR “young pe∗”) AND “idiopathic scoliosis”) AND “brac∗”) AND (“perce∗” OR “experience∗” OR “perspective∗” OR “attitude∗”).

Ten research articles were identified using our search strategy. Only one article addressed our research question specifically. This reported that almost all adolescent patients experienced psychological difficulties during treatment and received most of their support from family and friends rather than health professionals.

Our interpretation of the literature on this subject has yielded three recommendations for service providers. First, the policy ought to change to ensure that psycholological support is engrained within the treatment process; second, more information and advice must be given to patients and their families; and third, health professionals should appreciate and directly address in their consultations the psychological difficulties involved in brace wearing and the need for adequate support.