Research Information System
Thesis Type: Expertise In Medicine
Institution Of The Thesis: Gazi University, Tıp Fakültesi, Turkey
Approval Date: 2021
Thesis Language: Turkish
Student: Dr. Mohammad Assadi FANİD
Supervisor: ALPASLAN ŞENKÖYLÜ
Abstract:Introduction: The main goals of treatment in congenital scoliosis patients are prevention of deformity progression and correction of deformity if advanced, protection of growth potential of the spine and providing its growth, providing development of the thorax and protecting lung functions while improving the quality of life of patients. The "Spinal Appearance Questionnaire (SAQ)" scoliosis-specific quality of life scale has been developed. There are validity and reliability studies of the SAQ questionnaire for AIS patients in other languages. In the literature, there are no disease-specific scales developed to evaluate the body perception and expectations of congenital scoliosis patients. Based on these, we aimed to evaluate the validity and reliability of the Turkish version of the SAQ questionnaire in Turkish patients over 10 years of age with congenital scoliosis, and to compare the results with studies in other languages. Material and methods: The Turkish version of the SAQ questionnaire has been published in the literature and has been developed in accordance with accepted guidelines. Afterwards, with about two weeks apart, Tr-SAQ and SRS-22 questionnaires were applied to 52 congenital scoliosis patients who had undergone surgical treatment or were being followed-up with or without orthoses at Gazi University Medical Faculty Hospital. The relationship between the scores of the patients on both scales was tested by 'Spearman Correlation' analysis. The validity of the questionnaire was examined by factor analysis and similar scale validity. Internal consistency analyzes were performed with the Cronbach alpha value to 68 determine the reliability of the questionnaire. For test-retest reliability, the intraclass correlation coefficient was examined. Results: Of the 52 patients in the study, 73.1% were female, the mean age of participants were 17.3 ± 6.1 (10-28), and the mean Cobb angle was 42.9° ± 12.06° (Range, 20°-76°). The SAQ showed a two factor structure being, 'Appearance (Items 1-10)' and 'Expectation (Items 12-15)' in the factor analysis. The intraclass correlation coefficient (ICC) was 0.991, which translates to a high correlation. The Cronbach alpha value for internal consistency of the SAQ was significantly high (0.883). There was a significantly negative correlation between the appearance score of the Turkish version of the SAQ and the SRS-22 self image score (Spearman's rho, -0,516). Conclusion: The Turkish version of the SAQ was found to be reliable and valid for patients with congenital scoliosis. It can be used in Turkish congenital scoliosis patients safely.