Qualidade de vida e adesão ao tratamento conservador dos adolescentes com escoliose idiopática: revisão sistemática de literatura

• Autor(a) principal: Lisboa, Carolina Baldijão
• Data de Publicação: 2022
• Outros Autores: Inoue, Letícia Kaori
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://repositorio.pucsp.br/jspui/handle/handle/32940
• topic: CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL; Escoliose; Adolescente; Cooperação e adesão ao tratamento; Qualidade de vida; Tratamento conservador; Scoliosis; Adolescent; Treatment adherence and compliance; Quality of life; Conservative treatment

Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine that affects young people aged 10 years to skeletal maturity. EIA can lead to pulmonary and musculoskeletal impairments, functional disabilities, impairment in the adolescent's quality of life (QoL) and self-esteem. The effectiveness of the conservative treatments depends directly on the patient's adherence to treatment (ACT). The present study aimed to perform a systematic review on QoL and ACT of adolescents with AIS. This review followed the PRISMA-P recommendations and searched PubMed, Scielo, Capes, and Lilacs databases for observational, cross-sectional, cohort, prospective, retrospective, and clinical trials, from 2000 to 2022, in English and Portuguese and with adolescents between 10 and 19 years old. 9,866 articles were screened and 59 studies were selected by eligibility criteria. QoL was better in patients in whom the conservative treatment was performed through exercises and exercises combined with orthosis. The most used questionnaire to measure QoL was the SRS-22 (59.1%). ACT was predominantly assessed through patient reports (54.3%). In 55.5% of the studies, adolescents failed to achieve the recommended ACT in terms of length of orthosis use. Although the methodologies of the studies are very heterogeneous, it was observed that the use of the orthosis did not interfere in the QoL, while the conservative treatment with exercises and exercises combined with the orthosis promoted an improvement in the QoL. The ACT was low as it did not reach the recommended hours of daily use of the orthosis