Avtor/Urednik		Mršnik, Marina; Groleger Sršen, Katja
Naslov		Kakovost življenja odraslih po zdravljenju skolioze
Prevedeni naslov		Quality of life in adults with scoliosis treated conservatively
Tip		članek
Vol. in št.		Letnik 18, št. 1
Leto izdaje		2019
Obseg		str. str.53-61
ISSN		1580-9315 - Rehabilitacija
Jezik		slv
Abstrakt		Izhodišča: Skolioza je tridimenzionalna torzijska deformacija hrbtenice in trupa, ki jo najdemo pri dveh do treh odstotkih celotne populacije ljudi, pogosteje pri ženskah. Najpogostejša oblika skolioze je adolescentna idiopatska skolioza (AIS). Medtem ko se zdravniki in ostalo zdravstveno osebje vedno bolj zavedajo pomena psiholoških dejavnikov, s katerimi se srečujejo osebe s skoliozo, pa le 5 % raziskav o skoliozi vključuje analizo estetskega vidika oseb s skoliozo. Še manjši delež (1,5 %) jih ocenjuje z zdravjem povezano kakovost življenja (angl. health related quality of life, HRQL) in zmanjšane zmožnosti (1 %). V literaturi so na voljo zelo različni podatki o tem, kako skolioza vpliva na HRQL. Prav tako ostaja odprto vprašanje, ali velikost krivine, tip krivine in način zdravljenja vplivajo na HRQL. Glede na to smo želeli pregledati literaturo in povzeti rezultate opravljenih raziskav o kakovosti življenja odraslih oseb z idiopatsko skoliozo, ki so bili zdravljeni konzervativno. Metode: Pregledali smo zbirki člankov PubMed in Ovid, pri čemer smo uporabili ključne besede "idiopatska skolioza", "odrasli" v povezavi z besedami "kakovost življenja" ali "dolgoročni izid". Rezultati: Iskalnim merilom je ustrezalo 22 člankov. Rezultati objavljenih raziskav kažejo, da skolioza negativno vpliva na kakovost življenja v odrasli dobi. Poleg tega na kakovost življenja vplivajo tudi spol, starost, velikost in tip krivine, sagitalno neravnovesje, neravnovesje v frontalni ravnini in način zdravljenja. Zaključek: Skolioza poslabša kakovost življenja odraslih v primerjavi z zdravimi osebami v kontrolni skupini. Menimo, da je to še dodaten argument v prid zgodnjemu postavljanju diagnoze in pravilnemu odmerjanju zdravljenja, da bi preprečili poslabšanje krivine skolioze, tako da kirurški poseg ne bi bil potreben ali pa da bi celo zmanjšali krivino, saj s tem dolgoročno vplivamo na kakovost življenja oseb s skoliozo v odrasli dobi.Objective: Scoliosis is a three-dimensional torsional deformity of the spine, which affects 2-3% of the population, more often women. The most common form is adolescent idiopathic scoliosis (AIS). While medical doctors and other health care professionals are increasingly aware of the psychological issues faced by patients with scoliosis, only 5 % of studies on scoliosis included an aesthetic aspect, only 1.5 % a measure of health related quality of life (HRQL) and only 1 % assessed disability. In the literature there is considerable variation of the reported effects of scoliosis on quality of life. It also remains an open issue whether curve size, type of curve and type of treatment affect HRQL. The aim of our paper was to review the recent literature regarding quality of life of adults with idiopathic scoliosis who have been treated conservatively. Methods: The PubMed and Ovid databases were searched, using key words "idiopathic scoliosis" and "adults" in conjunction with "quality of life" or "long-term outcome". Results: We found 22 studies that fulfilled the inclusion criteria. The studies reveal that scoliosis negatively affects quality of life in adulthood. In addition, quality of life is influenced by gender, age, size of curve and type of curve, sagittal and frontal imbalance, and mode of treatment. Conclusion: Adults with scoliosis experience worse quality of life in comparison with healthy controls. It is therefore necessary to make diagnose early and prescribe treatment in order to prevent progression of scoliosis, so that surgical correction would not be needed or even to reduce the e curve size in order to preserve the quality of life in adulthood.
Deskriptorji		Scoliosis Adult rehabilitation
Proste vsebinske oznake		scoliosis quality of life adults SRS questionnaire skolioza kakovost življenja odrasli SRS vprašalnik