The Association of Severity of Scoliosis Curvature And Quality of Life in Adolescent Idiopathic Scoliosis Patients
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Published:
Dec 24, 2025
Keywords:
adolescent idiopathic scoliosis, Quality of life, The SJ-27 Questionnaire
Main Article Content
Abstract
Background: In 2018 in Surakarta, Central Java, a team from the Orthopedic Hospital Prof. Dr. Soeharso Surakarta examined one thousand one hundred junior high school students throughout Surakarta city and found that 1% of students had scoliosis. Common symptoms include pain, leg length discrepancy, posture disturbance, and psychological problems, resulting in poor health-related quality of life. Physical and Rehabilitation Medicine section of the European Union of Medical Specialists (UEMS), which recommends regular monitoring of patients with scoliosis including quality of life measurements.
Objective: To determine the association between scoliosis curve severity and quality of life in adolescent idiopathic scoliosis patients.
Methods: This study employed an observational analytic approach with a cross-sectional design and utilized purposive sampling over a one-month period. Secondary data were collected by assessing the severity of scoliosis curves based on patients' X-ray results, while primary data on the quality of life of adolescent scoliosis patients were gathered through questionnaires developed by the researcher.
Results: Spearman test was used to analyze the association of scoliosis curve severity and quality of life. Significant results were obtained with a p value of p = 0.008.
Conclusion: The results of this study support the theory and previous research which states that the greater the degree of scoliosis curve, there will be a decrease in the quality of life in patients.
Keywords: adolescent idiopathic scoliosis, Quality of life, The SJ-27 Questionnaire
Objective: To determine the association between scoliosis curve severity and quality of life in adolescent idiopathic scoliosis patients.
Methods: This study employed an observational analytic approach with a cross-sectional design and utilized purposive sampling over a one-month period. Secondary data were collected by assessing the severity of scoliosis curves based on patients' X-ray results, while primary data on the quality of life of adolescent scoliosis patients were gathered through questionnaires developed by the researcher.
Results: Spearman test was used to analyze the association of scoliosis curve severity and quality of life. Significant results were obtained with a p value of p = 0.008.
Conclusion: The results of this study support the theory and previous research which states that the greater the degree of scoliosis curve, there will be a decrease in the quality of life in patients.
Keywords: adolescent idiopathic scoliosis, Quality of life, The SJ-27 Questionnaire
Article Details
How to Cite
setiawan, feliciana, & Setianing, R. (2025). The Association of Severity of Scoliosis Curvature And Quality of Life in Adolescent Idiopathic Scoliosis Patients. Indonesian Journal of Physical Medicine and Rehabilitation, 14(2), 189 - 195. https://doi.org/10.36803/indojpmr.v14i2.467
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Original Article
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References
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10. Torén S, Diarbakerli E. Health-related quality of life in adolescents with idiopathic scoliosis: a cross-sectional study including healthy controls. European Spine Journal. 2022;31(12):3512-8.
11. Lee GB, Priefer DT, Priefer R. Scoliosis: causes and treatments. Adolescents. 2022;2(2):220-34.
12. Peng Y, Wang S-R, Qiu G-X, Zhang J-G, Zhuang Q-Y. Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis. Chinese medical journal. 2020;133(4):483-93.
13. Grivas TB, Dadakaridou D, Fokidi SA, Kastrinis A, Kosti M, Mihas C, et al. A Questionnaire of Physiotherapeutic Specific Exercises of Scoliosis—QPSSE. Journal of Clinical Medicine. 2024;13(2):318.
14. Jin C, Wang S, Yang G, Li E, Liang Z. A review of the methods on cobb angle measurements for spinal curvature. Sensors. 2022;22(9):3258.
15. Savvides P, Gerdhem P, Grauers A, Danielsson A, Diarbakerli E. Self-experienced trunk appearance in individuals with and without idiopathic scoliosis. Spine. 2020;45(8):522-7.
16. An JK, Berman D, Schulz J. Back pain in adolescent idiopathic scoliosis: A comprehensive review. Journal of Children's Orthopaedics. 2023;17(2):126-40.
17. Yetiş M, Yildiz NT, Canli M, Kocaman H, Yildirim H, Alkan H, et al. Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis. Journal of Orthopaedic Surgery and Research. 2024;19(1):406.
18. Sarkovich S, Leonardi C, Darlow M, Martin D, Issa P, Soria T, et al. Back pain in adolescent idiopathic scoliosis: frequency and risk factors. Spine Deformity. 2024;12(5):1319-27.
19. Zaina F, Ferrario I, Caronni A, Scarano S, Donzelli S, Negrini S. Measuring quality of life in adults with scoliosis: A cross-sectional study comparing SRS-22 and ISYQOL questionnaires. Journal of Clinical Medicine. 2023;12(15):5071.
20. Limbers CA, Baskin A, Cohen LA. Disordered Eating and Body Image Concerns in Young Adult Women with Scoliosis. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2023;16:11795441231166010.
2. Park S-H, Sung W-S, Lee S-H, Lee Y-J, Ha I-H, Seo B-K, et al. The effectiveness and safety of Chuna manual therapy on scoliosis: a protocol for systematic review and meta-analysis. Medicine. 2021;100(9):e24778.
3. Karpiel I, Ziębiński A, Kluszczyński M, Feige D. A survey of methods and technologies used for diagnosis of scoliosis. Sensors. 2021;21(24):8410.
4. Scaturro D, Costantino C, Terrana P, Vitagliani F, Falco V, Cuntrera D, et al. Risk factors, lifestyle and prevention among adolescents with idiopathic juvenile scoliosis: a cross sectional study in eleven first-grade secondary schools of Palermo province, Italy. International journal of environmental research and public health. 2021;18(23):12335.
5. Negrini S, Zaina F, Buyukaslan A, Fortin C, Karavidas N, Kotwicki T, et al. Cross-cultural validation of the Italian Spine Youth Quality of Life questionnaire: The ISYQOL international. EuropEan Journal of physical and rEhabilitation MEdicinE. 2023;59(3):364.
6. Kuznia AL, Hernandez AK, Lee LU. Adolescent idiopathic scoliosis: common questions and answers. American family physician. 2020;101(1):19-23.
7. Sung W-S, Choi S-K, Jo H-R, Park S-H, Lee S-H, Lee Y-J, et al. A survey of the clinical practice followed by Korean medicine doctors for scoliosis: Preliminary data for clinical practice guidelines. Medicine. 2022;101(34):e30047.
8. Cheung PWH, Chan OKO, Wu H, Lai MKL, Wong LPK, Tang S, et al. Immediate vs Gradual Brace Weaning Protocols in Adolescent Idiopathic Scoliosis: A Randomized Clinical Trial. JAMA pediatrics. 2024.
9. Doi T, Watanabe K, Doi T, Inoue H, Sugawara R, Arai Y, et al. Associations between curve severity and revised Scoliosis Research Society-22 and scoliosis Japanese Questionnaire-27 scores in female patients with adolescent idiopathic scoliosis: a multicenter, cross-sectional study. BMC Musculoskeletal Disorders. 2021;22:1-7.
10. Torén S, Diarbakerli E. Health-related quality of life in adolescents with idiopathic scoliosis: a cross-sectional study including healthy controls. European Spine Journal. 2022;31(12):3512-8.
11. Lee GB, Priefer DT, Priefer R. Scoliosis: causes and treatments. Adolescents. 2022;2(2):220-34.
12. Peng Y, Wang S-R, Qiu G-X, Zhang J-G, Zhuang Q-Y. Research progress on the etiology and pathogenesis of adolescent idiopathic scoliosis. Chinese medical journal. 2020;133(4):483-93.
13. Grivas TB, Dadakaridou D, Fokidi SA, Kastrinis A, Kosti M, Mihas C, et al. A Questionnaire of Physiotherapeutic Specific Exercises of Scoliosis—QPSSE. Journal of Clinical Medicine. 2024;13(2):318.
14. Jin C, Wang S, Yang G, Li E, Liang Z. A review of the methods on cobb angle measurements for spinal curvature. Sensors. 2022;22(9):3258.
15. Savvides P, Gerdhem P, Grauers A, Danielsson A, Diarbakerli E. Self-experienced trunk appearance in individuals with and without idiopathic scoliosis. Spine. 2020;45(8):522-7.
16. An JK, Berman D, Schulz J. Back pain in adolescent idiopathic scoliosis: A comprehensive review. Journal of Children's Orthopaedics. 2023;17(2):126-40.
17. Yetiş M, Yildiz NT, Canli M, Kocaman H, Yildirim H, Alkan H, et al. Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis. Journal of Orthopaedic Surgery and Research. 2024;19(1):406.
18. Sarkovich S, Leonardi C, Darlow M, Martin D, Issa P, Soria T, et al. Back pain in adolescent idiopathic scoliosis: frequency and risk factors. Spine Deformity. 2024;12(5):1319-27.
19. Zaina F, Ferrario I, Caronni A, Scarano S, Donzelli S, Negrini S. Measuring quality of life in adults with scoliosis: A cross-sectional study comparing SRS-22 and ISYQOL questionnaires. Journal of Clinical Medicine. 2023;12(15):5071.
20. Limbers CA, Baskin A, Cohen LA. Disordered Eating and Body Image Concerns in Young Adult Women with Scoliosis. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2023;16:11795441231166010.