Evaluation of perioperative rehabilitation program based on International Classification of Functioning, Disability and Healthy concept in adolescents with idiopathic scoliosis_West China Medical Journal

Authors：

YIN Ziwen , ZHAO Kehong , HU Bowen , YANG Qianfeng , LUO Ruiling , GUO Qifan ,  YANG Lin , WANG Lei

Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANG Lin, Email: 5648197@qq.com

Keywords：

International Classification of Functioning, Disability and Healthy concept; Enhanced recovery after survey; Adolescent idiopathic scoliosis; Perioperative rehabilitation

DOI：

10.7507/1002-0179.201908025

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Objective To explore the effect of a new rehabilitation intervention model based on International Classification of Functioning, Disability and Healthy (ICF) concept in perioperative treatment on patients with adolescent idiopathic scoliosis (AIS).Methods From June 2017 to January 2019, AIS patients with Cobb angle below 80° were randomly divided into experimental group and control group by the method of randomized block design. The patients in the control group received routine perioperative rehabilitation intervention, while the patients in the experimental group received rehabilitation mode intervention based on ICF concept. The therapeutic effect of the two groups including functional and activity dimensions was observed.Results A total of 40 patients were included, with 20 in each group. Two patients withdrew the control group. On the fourth day after surgery, the total score of Modified Barthel Index (50.55±8.87 vs. 18.99±5.63; t=13.264, P<0.001) and Scoliosis Research Society-22 (SRS-22) (3.68±0.13 vs. 3.27±0.11; t=10.355, P<0.001) in the experimental group were all better than those in the control group. In the SRS-22 scores, statistically significant differences in comparison of function (2.79±0.29 vs. 1.90±0.48; t=6.884, P<0.001), and self image (3.91±0.27 vs. 3.38±0.32; t=5.539, P<0.001) between the two groups were found. There was no statistically significant difference in pain indicators and muscle strength between the two groups in the two postoperative evaluations (P>0.05). Conclusions The treatment based on the concept of ICF can improve the daily living ability in the short term with the safe and acceptable premise. The concept of stimulating patient autonomy, improving patient independence, and promoting social treatment, may improve the overall state of the patients.

Citation： YIN Ziwen, ZHAO Kehong, HU Bowen, YANG Qianfeng, LUO Ruiling, GUO Qifan, YANG Lin, WANG Lei. Evaluation of perioperative rehabilitation program based on International Classification of Functioning, Disability and Healthy concept in adolescents with idiopathic scoliosis. West China Medical Journal, 2019, 34(9): 994-998. doi: 10.7507/1002-0179.201908025 Copy

1.	Negrini S, Minozzi S, Bettany-Saltikov J, et al. Braces for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev, 2010(1): CD006850.
2.	Horne JP, Flannery R, Usman S. Adolescent idiopathic scoliosis: diagnosis and management. Am Fam Physician, 2014, 89(3): 193-198.
3.	Misterska E, Glowacki M, Adamczyk K, et al. Patients’ and parents’ perceptions of appearance in scoliosis treated with a brace: a cross-sectional analysis. J Child Fam Stud, 2014, 23(7): 1163-1171.
4.	孙天胜, 沈建雄, 刘忠军, 等. 中国脊柱手术加速康复—围术期管理策略专家共识. 中华骨与关节外科杂志, 2017, 10(4): 271-279.
5.	Romano M, Minozzi S, Bettany-Saltikov J, et al. Exercises for adolescent idiopathic scoliosis. Cochrane Database Syst Rev, 2012, 8: CD007837.
6.	Stucki G, Kostanjsek N, Üstün B, et al. ICF-based classification and measurement of functioning. Eur J Phys Rehabil Med, 2008, 44(3): 315-328.
7.	Kohler F, Cieza A, Stucki G, et al. Developing core sets for persons following amputation based on the international classification of functioning, disability and health as a way to specify functioning. Prosthet Orthot Int, 2009, 33(2): 117-129.
8.	Aiachini B, Pisoni C, Cieza A, et al. Developing ICF core set for subjects with traumatic brain injury: an Italian clinical perspective. Eur J Phys Rehabil Med, 2010, 46(1): 27-36.
9.	Nund RL, Brown B, Ward EC, et al. What are we really measuring? A content comparison of swallowing outcome measures for head and neck cancer based on the International Classification of Functioning, Disability and Health (ICF). Dysphagia, 2019, 34(4): 575-591.
10.	Papelard A, Daste C, Alami S, et al. Construction of an ICF core set and ICF-based questionnaire assessing activities and participation in patients with systemic sclerosis. Rheumatology (Oxford), 2019: pii: kez209.
11.	汤一帆. 基于 ICF 构建慢性心力衰竭患者评估类目的研究. 南京: 南京医科大学, 2019.
12.	Pieber K, Herceg M, Paternostro-Sluga T, et al. Reliability, validity, sensitivity and internal consistency of the ICF based basic mobility scale for measuring the mobility of patients with musculoskeletal problems in the acute hospital setting: a prospective study. BMC Musculoskelet Disord, 2015, 16: 187.
13.	Madera M, Brady J, Deily S, et al. The role of physical therapy and rehabilitation after lumbar fusion surgery for degenerative disease: a systematic review. J Neurosurg Spine, 2017, 26(6): 694-704.
14.	Altaf F, Gibson A, Dannawi Z, et al. Adolescent idiopathic scoliosis. BMJ, 2013, 346: f2508.
15.	Galli T, Mirata P, Foglia E, et al. A comparison between WHODAS 2.0 and Modified Barthel Index: which tool is more suitable for assessing the disability and the recovery rate in orthopedic rehabilitation?. Clinicoecon Outcomes Res, 2018, 10: 301-307.
16.	Fletcher ND, Glotzbecker MP, Marks M, et al. Development of consensus-based best practice guidelines for postoperative care following posterior spinal fusion for adolescent idiopathic scoliosis. Spine (Phila Pa 1976), 2017, 42(9): E547-E554.
17.	Borden TC, Bellaire LL, Fletcher ND. Improving perioperative care for adolescent idiopathic scoliosis patients: the impact of a multidisciplinary care approach. J Multidiscip Healthc, 2016, 9: 435-445.

1. Negrini S, Minozzi S, Bettany-Saltikov J, et al. Braces for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev, 2010(1): CD006850.
2. Horne JP, Flannery R, Usman S. Adolescent idiopathic scoliosis: diagnosis and management. Am Fam Physician, 2014, 89(3): 193-198.
3. Misterska E, Glowacki M, Adamczyk K, et al. Patients’ and parents’ perceptions of appearance in scoliosis treated with a brace: a cross-sectional analysis. J Child Fam Stud, 2014, 23(7): 1163-1171.
4. 孙天胜, 沈建雄, 刘忠军, 等. 中国脊柱手术加速康复—围术期管理策略专家共识. 中华骨与关节外科杂志, 2017, 10(4): 271-279.
5. Romano M, Minozzi S, Bettany-Saltikov J, et al. Exercises for adolescent idiopathic scoliosis. Cochrane Database Syst Rev, 2012, 8: CD007837.
6. Stucki G, Kostanjsek N, Üstün B, et al. ICF-based classification and measurement of functioning. Eur J Phys Rehabil Med, 2008, 44(3): 315-328.
7. Kohler F, Cieza A, Stucki G, et al. Developing core sets for persons following amputation based on the international classification of functioning, disability and health as a way to specify functioning. Prosthet Orthot Int, 2009, 33(2): 117-129.
8. Aiachini B, Pisoni C, Cieza A, et al. Developing ICF core set for subjects with traumatic brain injury: an Italian clinical perspective. Eur J Phys Rehabil Med, 2010, 46(1): 27-36.
9. Nund RL, Brown B, Ward EC, et al. What are we really measuring? A content comparison of swallowing outcome measures for head and neck cancer based on the International Classification of Functioning, Disability and Health (ICF). Dysphagia, 2019, 34(4): 575-591.
10. Papelard A, Daste C, Alami S, et al. Construction of an ICF core set and ICF-based questionnaire assessing activities and participation in patients with systemic sclerosis. Rheumatology (Oxford), 2019: pii: kez209.
11. 汤一帆. 基于 ICF 构建慢性心力衰竭患者评估类目的研究. 南京: 南京医科大学, 2019.
12. Pieber K, Herceg M, Paternostro-Sluga T, et al. Reliability, validity, sensitivity and internal consistency of the ICF based basic mobility scale for measuring the mobility of patients with musculoskeletal problems in the acute hospital setting: a prospective study. BMC Musculoskelet Disord, 2015, 16: 187.
13. Madera M, Brady J, Deily S, et al. The role of physical therapy and rehabilitation after lumbar fusion surgery for degenerative disease: a systematic review. J Neurosurg Spine, 2017, 26(6): 694-704.
14. Altaf F, Gibson A, Dannawi Z, et al. Adolescent idiopathic scoliosis. BMJ, 2013, 346: f2508.
15. Galli T, Mirata P, Foglia E, et al. A comparison between WHODAS 2.0 and Modified Barthel Index: which tool is more suitable for assessing the disability and the recovery rate in orthopedic rehabilitation?. Clinicoecon Outcomes Res, 2018, 10: 301-307.
16. Fletcher ND, Glotzbecker MP, Marks M, et al. Development of consensus-based best practice guidelines for postoperative care following posterior spinal fusion for adolescent idiopathic scoliosis. Spine (Phila Pa 1976), 2017, 42(9): E547-E554.
17. Borden TC, Bellaire LL, Fletcher ND. Improving perioperative care for adolescent idiopathic scoliosis patients: the impact of a multidisciplinary care approach. J Multidiscip Healthc, 2016, 9: 435-445.

West China Medical Journal

Evaluation of perioperative rehabilitation program based on International Classification of Functioning, Disability and Healthy concept in adolescents with idiopathic scoliosis

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