Aziz Ahmad.
Correlation between psychosocial issues and noncompliance in spinal orthosis in patients with adolescent idiopathic scoliosis.
Kust Med J Jan ;3(1):15-9.

Objective: The aim of this study was to find a correlation between psychosocial issues and noncompliance in spinal orthosis, in patients with adolescent idiopathic scoliosis. Material and Methods: This study was conducted at Pakistan Institute of Prosthetic and Orthotic Sciences (PIPOS),Peshawar, Pakistan in 2008-09. The brace questionnaire (BrQ) was used to collect the quantitative data. All the questions were answered according to the Likert scale in the following five responses, “Always”, “Most of the times”, “Some times”, “Almost Never” and “Never”. Descriptive statistical analyses were done and a correlation coefficient test was applied to get the results. Results: The total numbers of participants were 15 (06 boys and 09 girls) with mean age of 14.13+ 1.68 years (range 12 to 17). Average wearing time was recorded as 2 years with a range of 0.25 to 04 years. Average compliance rate was recorded as 16.7 hours per 24 hours with a range of 4 to 24 hours use of orthosis per 24 hours. The average negative psychosocial impact was 51.4% + 10.5%. A strong correlation of 0.85 was found between noncompliance and the psychosocial issues in clients with spinal orthosis. Conclusion: A positive correlation was found in our study between noncompliance and psychosocial issues. Psychosocial counselling of adolescents with AIS along with orthotic treatment may improve compliance and therefore, the outcome. Large scale study is required to address the psychosocial issues in AIS patients to improve the compliance and the outcome of treatment.

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