Abstract
Alterations in body representations (i.e., body image and body schema) are increasingly getting attention in clinical practice. Adolescents affected by idiopathic scoliosis experience body image dissatisfaction, and alterations in body schema have been suggested to be a consequence of the disease development. Although research has recognized the predisposing role of body representation disorders to psychopathologies, these aspects have been largely overlooked in this clinical population. This scoping review aims to establish the state of the art on the widely neglected aspects of body image and body schema disorders in adolescents affected by idiopathic scoliosis. PubMed, Scopus, PsycInfo, and MEDLINE were consulted to select articles published between 2000 and 2021. Three independent reviewers identified 27 articles by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review guidelines. Body image was assessed in 24 of the 27 studies. Body image disorders were reported, with more severe scoliosis cases showing higher body image dissatisfaction. Surgery seems to be the best approach to improve body image outcomes, but studies did not reveal clear associations between clinical measures of scoliosis severity (e.g., Cobb angle, hump height) and body image. Disorders of body schema have been reported, but the finding might have been biased by the paucity of studies on this aspect of body representations (4/27). This review highlighted the wide prevalence of psychological distress and body schema alterations among adolescents affected by idiopathic scoliosis; but it also revealed that both are disregarded and not properly evaluated.
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Introduction
Alterations of body representations are commonly encountered conditions among different clinical and non-clinical settings. Many psychiatric diseases such as eating disorders or body dysmorphic disorders are characterized by body image misperceptions and dysfunctional beliefs about the body. Neurological conditions affecting somatosensation also can eventually lead to disorders of body representations (e.g., somatoparaphrenia, personal neglect, phantom limbs) (Case et al., 2019). However, alterations of body representations can be observed even in unlooked-for clinical conditions. Among them, the adolescent girls affected by idiopathic scoliosis (Carrasco & Ruiz, 2014). Because of adolescent idiopathic scoliosis disease characteristics, this condition can be used as a model to study the concurrent impairment of dual aspects of body representation: body image and body schema. To date, these facets of idiopathic scoliosis have been largely neglected compared to their clinical and genetic determinants. This study addresses the need to systematically review literature on body representation disorders (i.e., body image and body schema) in adolescents affected by idiopathic scoliosis to better understand its multi-factorial nature and improve these patients’ care. Moreover, it seeks to advance a better theoretical comprehension of body image and body schema’ interaction.
Literature disagrees on how many brain representations of the human body exists, but at least two are always mentioned: body image and body schema. Body image is a complex psychological construct involving the subjective perception of body appearance and its associated feelings, beliefs and thoughts (de Vignemont, 2010). Body image disorders can manifest as alterations of each of these components, resulting in different pathological conditions. Thus, perceptual and cognitive disorders of body image are associated with eating disorders (Sattler et al., 2020), while dysfunctional feelings on physical appearance can lead to depression (Soares Filho et al., 2020). Body schema is a different aspect of body representation. It is defined as a continuously updated and largely unaware sensorimotor representation of the body in the space and of the configurations of all its parts in relation between each other and the world (de Vignemont, 2010; Head & Holmes, 1912). Hence, body schema has a fundamental role in setting body movements and in posture control mechanisms (Picelli et al., 2016).
Adolescents affected by idiopathic scoliosis display concurrent alterations of both of these aspects of body representation. Indeed, adolescent idiopathic scoliosis presents as a noticeable three-dimensional spinal deformity, characterized by frontal plane deviation, rotation of the affected vertebral bodies and reduction of the physiological curves on the sagittal plane (Negrini et al., 2018). The disfiguring appearance caused by the scoliotic curve and the related brace treatments has notable effects on adolescents’ mental health. Not surprisingly, body image dissatisfaction in this clinical population has been largely described as having detrimental effects on both quality of life and adherence to treatment (Auerbach et al., 2014; Tones et al., 2006).
Adolescent idiopathic scoliosis etiopathogenesis is largely unknown, but a central nervous system (CNS) involvement has been postulated. Many studies have reported visual, vestibular, and proprioceptive system deficits, postural control alterations and brain structural abnormalities (Burwell & Dangerfield, 2002; Burwell et al., 2008; Chu et al., 2011). Starting from these findings, some authors have suggested the so-called “double neuro-osseous theory” of scoliosis, positing an imbalance between peripheral skeletal/body maturation and posterior parietal cortex (PPC) sensory-motor integration processes (Assaiante et al., 2014; Burwell et al., 2006). These abnormalities in sensory-motor adaptation of the brain to the growing bodies of adolescents corroborate the hypothesis of an altered body schema in this clinical population.
Current Study
Scoliosis-associated disorders of body representations among adolescents have been inadequately studied compared to the other determinants of this condition, regardless of their clinical relevance. The present scoping review aims to summarize literature findings on disorders of body representations in adolescents affected by idiopathic scoliosis, including studies on body schema alterations and body image distortions. Toward this aim, three research questions were formulated. Do adolescents affected by idiopathic scoliosis have altered body image and/or body schema (Question 1)? Are there any correlations between altered body representations and clinical parameters of scoliosis severity (Question 2)? Do different treatment approaches have a different impact on body representations (Question 3)?
Method
Considering the high heterogeneity of the assessment instruments adopted to evaluate body representations and different study designs, a scoping review was deemed the best-suited tool to answer the research questions.
The Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) guidelines were followed (Tricco et al., 2018).
Eligibility Criteria
The included articles were full-length, peer-reviewed, original research articles written in English and published between 2000 and 15th June 2020. Participants included in the studies should be diagnosed with Adolescent Idiopathic Scoliosis by an expert clinician, according to Scoliosis Research Society criteria (Negrini et al., 2018), and additionally assessed for at least one of our measures of interest: body image alterations or body schema alterations. Clinical and psychological (body image) evaluations had to be carried out using standardized assessment tools. As body schema is often indirectly assessed manipulating sensory and proprioceptive information, articles adopting innovative experimental paradigms were included as well if provided with adequate control groups. Studies not matching the inclusion criteria, single case studies, validation studies and literature reviews were excluded (See Supplementary Material).
Information Sources
A comprehensive systematic search on body representations in adolescent idiopathic scoliosis was performed independently by two authors (MB, FC). The following keywords were chosen to search on SCOPUS, PubMed, PsycINFO and MEDLINE databases: (Adolescent idiopathic scoliosis OR scoliosis), AND (body representation OR body schema OR body schema alterations OR body image OR body image alterations). See Appendix for detailed search queries in PubMed. Authors additionally screened reference lists of retrieved articles and relevant reviews.
The final search results were exported in MENDELEY where duplicates were removed by the dedicated tool.
Selection of Sources of Evidence
To increase consistency in article inclusion and data extraction, two reviewers (MB, FC) screened the same 42 publications. Eventual disagreements during the whole selection procedure were mediated by a third reviewer (SM). See Fig. 1 for the full selection procedure.
Quality Assessment
As no agreed form exist to evaluate the methodological quality of articles for scoping reviews, the three reviewers jointly established six quality criteria by adapting already published ones of a systematic (Taborri et al., 2018) and a scoping review (Rubega et al., 2021):
1. Aim/s of the study was/were clearly stated.
2. Selection Bias: inclusion and exclusion criteria were clearly described.
3. Performance Bias: the process of data collection was precisely detailed and reliable; a control group was present.
4. Detection Bias: the outcomes reported were relevant to answer the research question.
5. Results presentation: the tests and questionnaires scores were correctly and completely reported (i.e., mean/ median, and standard deviation).
6. Statistical approach: statistics performed was appropriated and clearly described; enough subjects were included (power analysis).
For each criterium was assigned a score ranging from 0 to 2 (0 = not meeting, 1 = partially meeting, 2 = fully meeting the criteria). Scores were finally added for each article resulting in a final quality score ranging from 0 to 12. An arbitrary cut-off of at least 60% (> 7) of the maximum possible score (12) was established for articles inclusion (See Appendix, Table 5, Articles quality assessment).
Data Charting Process and Data Items
A data charting form was jointly designed by the three reviewers adapting the one proposed by the Cochrane handbook for systematic reviews (Higgins & Green, 2011), (see Supplementary Material). Two reviewers (MB, FC) independently charted the data, discussed the results, and cross-checked their forms. The third reviewer (SM) revised articles in cases of disagreement on data extraction or inclusion. The charting form comprises an initial part including general articles’ information (title, first author name, Journal, year of publication, type of publication, short article description) and organizational information (date of revision and reviewer identity). The second part includes the eligibility form based on articles’ general characteristics (e.g., date of publication, language) participants’ characteristics (age, diagnosis), assessment instruments and outcomes. In the last part reports study-specific information (study design, sample characteristics, assessment tools) and the findings of interest. Data on body image and body schema alterations in adolescent idiopathic scoliosis were summarized and placed in relation to clinical indices of scoliosis and treatment approaches.
Results
An initial literature screening based on titles and abstracts led to the identification of 42 articles, which underwent full-text screening. Of these, a total of 15 were excluded for the following reasons: 9 didn’t report outcomes of interest to answer the research question; in two of them, subjects age was out of the inclusion range; two did not reach the estimated cut-off of quality; one used non-standardized assessment tools; one was not a full-length original article.
The twenty-seven articles eventually included were grouped according to the type of body representation assessed: body image and body schema. For each domain, the assessment tools, the main findings related to body representational alterations, their correlation with clinically relevant variables, and the effects of different scoliosis treatment approaches on body representation changes were reported.
Study Characteristics
Studies were heterogeneous in terms of study design with a higher prevalence of cross-sectional (10/27) and longitudinal prospective trials (8/27). A minor number of articles were retrospective (4/27), case-controlled (3/27) and randomized controlled (2/27) trials (see Table 1).
Most of the included studies assessed body image alterations (24/27) while body schema was assessed in just four articles (See Table 2).
The Scoliosis research society questionnaire (SRS), (Asher et al., 2003) emerged as the preferred assessment tool to evaluate body image alterations (19/24), specifically the SRS-22 (15/19), SRS-23 (Asher et al., 2003), (2/19), and SRS-24, (2/19), (Haher et al., 1999).
The SRS-22 questionnaire is composed of 22 items, each one scored from 1(worst) to 5 (best), and sorted in different domains (Pain, Self-Image, Function, Mental Health, Satisfaction with Management, and total score).
The other body image assessment scales were: the Spinal Appearance Questionnaire (SAQ) (Sanders et al., 2007), (4/24); the Trunk Appearance Perception Scale (TAPS), (Bago et al., 2010), (3/24); the Walter Reed Visual Assessment Scale (WRVAS)(Pineda et al., 2006) (2/24); the Body Image Disturbance Questionnaire-Scoliosis (BIDQ-S)(Auerbach et al., 2014) (2/24); the Body Shape Questionnaire (BSQ-14), (Dowson & Henderson, 2001), and the Body Cathexis Scale (BCS), (Secord & Jourard, 1953);
Body schema alterations were assessed indirectly employing the following experimental paradigms: a laser line projection task (J. Cheung et al., 2002) specifically designed to test perception of body posture; a motorized version of the wheel paradigm described by Pérennou to assess subjective postural verticality (Pérennou et al., 2008) and optokinetic visual stimulation to assess subjective visual verticality (Le Berre et al., 2019); a graphic table displaying pictures of progressively increasing scoliotic curves designed to test awareness of trunk misalignment (Picelli et al., 2016) and a measure of subjective body awareness, namely the Awareness-Body-Chart test (ABC), (Danner et al., 2017).
Adolescent Idiopathic Scoliosis and Body Image
Body image alterations were consistently reported in AIS. Tables 3 and 4 report respectively the self-image subitems median and/or mean scores assessed by the SRS questionnaires and by the other assessment instruments.
Nineteen articles report SRS self-image subitems scores (Table 3). Eight of these reported scores differences within AIS sub-groups of different scoliosis severity (3/8), (Lee et al., 2016; Soliman, 2018; Watanabe et al., 2005), under different types of treatment (3/8) (Çolak et al., 2017; Lonner et al., 2019; Mariconda et al., 2016), or compared with healthy control groups (4/8), (Cantele et al., 2020; Pérez-Prieto et al., 2014; Soliman, 2018; Watanabe et al., 2005):
Lower body image subitems scores were found in more severe scoliosis cases, compared with the mild severity cases, (Lee et al., 2016) p = 0.031, (Soliman, 2018) p < 0.001 and (Watanabe et al., 2005) p < 0.05. Two works did not find significant differences (Asher et al., 2004; Wang et al., 2014a, 2014b). The effects of different treatment approaches in influencing SRS self-image subitem scores are conflicting, with two studies finding improvement after surgery, namely (Lonner et al., 2019) p < 0.001 and (Mariconda et al., 2016) p < 0.01, one finding better scores in those patients treated with surgery compared with traditional physiotherapy and brace treatments, p = 0.000 (Çolak et al., 2017) and five studies not reporting significant differences between different treatment approaches (Babaee et al., 2014; Lendzion et al., 2018; Misterska et al., 2013; Paolucci et al., 2017; Yagci et al., 2018).
Among the three articles comparing AIS and healthy control groups, lower body image subitem scores were always found in the AIS population, respectively (Cantele et al., 2020) p = 0.000, (Soliman, 2018) p < 0.00, and (Watanabe et al., 2005) p < 0.05.
In both of the two studies assessing self-image subitem scores contrasting AIS girls having normative Body Mass Index (BMI) and those with BMI values below normality-threshold score, lower values were found in the underweight girls (Cantele et al., 2020; Pérez-Prieto et al., 2014).
Body image outcomes assessed by instruments other than SRS questionnaires highlighted general body image alterations as well (See Table 4).
Two articles assessing body image perception by comparing milder and more severe scoliosis cases, found lower body image scores in the latter group, specifically: one study evaluating a group of patients with the Cobb angle of more than 40 degrees reported lower self-body, ideal-body and self-ideal subitems scores of SAQ compared with the less severe group at different evaluation intervals (see Table 4) (Schwieger et al., 2016); another study assessing body image disturbance through the BIDQ-S, found significantly higher scores (higher body image disturbance), in the group having the major curve angle (p < 0.001) (Soliman, 2018).
Different Treatment Approaches’ Impact on Body Representations
Among the eight studies evaluating the effects of different treatments on body image perception, two reported post-surgery improvements in BCS scores (Duramaz et al., 2018) p = 0.000 and BIDQ-S scores (Lonner et al., 2019) p < 0.0001 and one found a better impact of surgery over other traditional types of treatments assessed with the WRVAS p = 0.000 (Çolak et al., 2017). Brace effects on body image disturbances were assessed in three studies providing conflicting evidence: one reported physiotherapy-alone as a better practice than combined with brace in improving body image perception, as assessed by TAPS, (p = 0.04), (Lendzion et al., 2018); the other two did not find significant body image score differences between a group under orthotic treatment compared with a group not treated with brace (Paolucci et al., 2017), and comparing poor adherent and most adherent to brace treatment groups (Schwieger et al., 2017).
When compared with healthy control groups, AIS scored lower in the BCS p = 0.010 (Duramaz et al., 2018).
Correlations Between Altered Body Representations and Clinical Parameters of Scoliosis Severity
Fifteen of the 27 included articles considered correlations between body image scores and clinical or demographic variables (see Table S2).
Within the six studies analyzing correlations between participants’ age and self-image scores (Babaee et al., 2014; Cheung et al., 2002; Çolak et al., 2017; Lendzion et al., 2018; Misterska et al., 2013; Wang et al., 2014a, 2014b), just one found a significant negative correlation, with outcomes worsening at increasing age (Lendzion et al., 2018) (TAPS, p = 0.03; SRS-22, p = 0.01).
The relation between sex and scoliosis was inquired just in two studies (Cheung et al., 2002; Lendzion et al., 2018), with one finding lower body image scores in female groups assessed with Trunk Appearance Perception Scale and SRS-22 (respectively p = 0.027; p = 0.015) (Lendzion et al., 2018).
Curve localization didn’t correlate with self-image scores in any of the 8 studies investigating this relation (Asher et al., 2002; Babaee et al., 2014; Cantele et al., 2020; Cheung et al., 2002; Çolak et al., 2017; Lendzion et al., 2018; Lonner et al., 2019; Wang et al., 2014a, 2014b).
Conversely, correlations between scoliosis severity (Cobb angle) and self-image scores were significant in 7 out of 10 studies, revealing a negative correlation between scoliosis severity and satisfaction with body image as assessed by SRS questionnaires and Trunk Appearance Perception Scale (Brewer et al., 2013; Cantele et al., 2020; Cheung et al., 2002; Lendzion et al., 2018; Misterska et al., 2013; Wang et al., 2014a, 2014b; Watanabe et al., 2007), (see Table S2 of the supplementary materials for details).
Three studies explored the correlations between self-image and other radiographic measures (Risser sign, Apical Vertebral Translation and Apical Vertical Rotation). No significant relations emerged related to the Risser sign (Babaee et al., 2014; Wang et al., 2014a, 2014b) while contrasting results are reported with regards to apical vertebral rotation and translation: one study found a significant negative correlation between the apical vertical translation and SRS self-image subitem (r = –0.290, p < 0.001) but no relation with the vertebral rotation component (Wang et al., 2014a, 2014b), while another one found a significant correlation between the latter and the SRS-24 self-image domain (r = -0.30, p < 0.01), (Watanabe et al., 2007).
Nine studies explored the impact of other clinical measures (Angle of Trunk Rotation, hump height, BMI) on self-image. Most of them did not find clear relations. However, in four studies significant correlations between body image scores and the angle of trunk rotation (Lendzion et al., 2018; Misterska et al., 2011)(respectively: r = − 0.228, p = 0.03 and r = − 0.91, p = 0.002) and hump height (Mariconda et al., 2016; Wang et al., 2014a, 2014b) (respectively: r = -− 0.04, p < 0.00 and r = –0.277, p < 0.001) is reported.
Three studies adopting surface topography measures and asymmetry parameters revealed a weak correlation with self-image scores (Asher et al., 2002; Brewer et al., 2013; Cheshire et al., 2017).
Adolescent Idiopathic Scoliosis and Body Schema
Body schema alterations were assessed in four out of the twenty-seven included studies (See Table 2).
In two of these, perception of verticality and body posture were assessed: one study (Cheung et al., 2002) aiming to assess the perception of body employing vertical and horizontal laser line projections in darkness, failed to find significant task performance differences with a control group. However, a significant correlation between the amplitude of the angle formed by the horizontal and vertical line projections and the severity of scoliosis (Cobb angle) was observed (r = 0.16; p = 0.045). In the second study(Le Berre et al., 2019), altered perception of subjective postural and visual verticality were assessed in both static and dynamic optokinetic stimulation conditions. The scoliosis group had significantly altered perception of postural verticality compared with a matched-age control group (p = 0.00023) which was significantly correlated with the clinical frontal tilt (p = 0.007), while no differences were found for the subjective visual vertical.
Two other studies, investigating trunk misalignment awareness and general body perception awareness, found respectively significant differences between the subjective perception of trunk curvature and the objective trunk curvature (underestimation at thoracolumbar district and overestimation at thoracic and lumbar districts, p < 0.016) (Picelli et al., 2016) and overall lower body awareness in AIS group compared with a matched-age control group (p < 0.001) (Yagci et al., 2020).
Discussion
Body representation disorders are a severe and widespread phenomenon among adolescents affected by idiopathic scoliosis. Nevertheless, literature on this topic is still in its infancy, mainly focused on detecting predisposing-genetic determinants and finding treatments for scoliosis biomechanical alterations. The lack of a general framework on the scoliosis-associated disorders of body representations led to the need of this review. This study highlighted evidence of high prevalence of body representation alterations in this clinical population, which require proper assessment and treatment. The small number of articles on this topic characterized by methodological heterogeneity, mostly adopting self-reported assessment scales, stressed the need for further studies and appropriate assessment procedures.
Body Image
The first finding of this review answers the first research question, pointing to the high prevalence of body image dissatisfaction among adolescents having idiopathic scoliosis, which always emerged regardless of assessment instruments. Adolescents with scoliosis scored consistently lower in self-image compared with healthy adolescents (Cantele et al., 2020; Yagci et al., 2020) and in those presenting a more severe degree of deformity compared with milder severity cases (Asher et al., 2004; Brewer et al., 2013; Lee et al., 2016; Lendzion et al., 2018; Schwieger et al., 2016; Soliman, 2018; Watanabe et al., 2005, 2007). However, all these studies employed questionnaires to assess body image, particularly the SRS designed to assess general aspects of quality of life more than body image. This should be considered as a general bias of all these works, giving the intrinsic limitations characterizing self-reported scales. Proper assessment procedures should be considered, such as those used in other conditions characterized by body image disorders, like in eating disorders (Caspi et al., 2017), (e.g., computerized tasks, structured clinical interviews, etc.).
The second research question aimed to explore the impact of different treatment options on body image, which was assessed in a fair number of studies (8/27). The strongest evidence of improvement in self-image is given by surgery. When interpreting these data, should be considered that patients undergoing surgery present more severe scoliosis deformations (mean degree Cobb angles > 50° Duramaz et al., 2018; Lonner et al., 2019; Mariconda et al., 2016)) if compared with those treated with less invasive interventions. Post-surgery body aesthetic changes are more easily detectable and thus more capable to influence the self-reported measure of body image perceptions. However, it was found that severity of deformity does not necessarily correlate with patients’ decision to undergo surgery, which suggests again possible discrepancies between psychological beliefs/attitudes on body image and objective measures of physical appearance (Borges et al., 2017). This is even more evident when considering the effects of brace and physiotherapy on body image, with brace-wearing found not to affect body image per se, regardless of its esthetic impact (Cantele et al., 2020; Schwieger et al., 2016).
Finally, the third research question on the eventual associations between the perceived body image and the clinical parameters of scoliosis severity (i.e., Cobb angle, ATR, hump height) reveled not clear association between the two. Radiographic measures were found to be more often related to body image perception indices, though correlations are weak (see Table S2). Surprisingly, the relation between spinal deformity surface measures (e.g., ATR, hump height) and body image is seldom considered, even if these immediately visible aesthetic deformities may have a substantial impact on body image perception. These last two points on the lack of association between objective measures and subjective perception of body image, need to be carefully considered as they entail the necessity to regularly examine body image in the adolescents affected by idiopathic scoliosis, although apparently not needing it.
Body Schema
This review’s main finding regrading body schema disorders in adolescents with idiopathic scoliosis is the big gap in literature on this topic. Indeed, only 4 studies assessing body schema alterations were identified for inclusion in this review. These works provide indirect indices of abnormal central integration mechanisms in scoliosis, specifically, altered postural perception, abnormal subjective verticality perception and a lower awareness of the body, which seem to correlate with some clinical variables of scoliosis severity (Cobb angle (Cheung et al., 2006), frontal tilt (Le Berre et al., 2019)).
The paucity of literature on this topic is surprising, given the rising number of theories trying to address the contribution of CNS abnormalities to scoliosis curvature progression (Burwell & Dangerfield, 2002; Chu et al., 2011). The etiology of idiopathic scoliosis includes sensorimotor integration deficits which lead to body schema representation abnormalities (Burwell et al., 2009). Thus, assessing precociously body schema integrity in at risk subjects, may prevent scoliosis curvature worsening and give new insights for a better understanding of its etiopathogenesis. However, the development of new assessment instruments for body schema is mandatory to accomplish this aim.
Future Directions
In light of this review, future research on adolescents with idiopathic scoliosis should focus on the multifactorial nature of this condition, which is a spine disorder but with highly comorbid psychological consequences, and a complex etiopathogenesis. Specifically addressing body representation disorders which are both a precipitating and maintaining factor of this condition will in turn improve traditional treatments and provide new perspectives on its pathogenetic mechanisms. A theoretical comprehensive model of this is proposed in Fig. 2.
Conclusion
Body representation disorders are serious clinical conditions affecting adolescents with idiopathic scoliosis. However, up to date research on this topic is inadequate. This literature review clearly highlighted the prevalence of body image disorders and the lack of studies on body schema alterations. It also highlighted the lack of clear associations of these disorders with clinical measures of scoliosis severity as well as the absence of standardized assessments and treatment procedures. Body image dissatisfaction, negative attitudes toward perceived body appearance and body schema alterations should be considered as highly comorbid conditions of adolescents affected by scoliosis. Thus, when dealing with adolescents with scoliosis, clinicians should consider the multifactorial nature of this condition and set convenient assessments and treatments in association with the traditional ones (i.e., brace, surgery, and physiotherapy). Adolescent idiopathic scoliosis is a complex, multifactorial condition that would benefit from a multidisciplinary treatment approach, especially one that includes a focus on body representations.
Change history
21 July 2022
The original online version of this article was revised: Missing Open Access funding information has been added in the Funding Note.
References
Asher, M., Lai, S. M., Burton, D., & Manna, B. (2002). Spine deformity correlates better than trunk deformity with idiopathic scoliosis patients’ quality of life questionnaire responses. Studies in Health Technology and Informatics, 91, 462–464. https://doi.org/10.3233/978-1-60750-935-6-462
Asher, M., Lai, S. M., Burton, D., & Manna, B. (2003). The reliability and concurrent validity of the Scoliosis Research Society-22 patient questionnaire for idiopathic scoliosis. Spine, 28(1), 63–69. https://doi.org/10.1097/00007632-200301010-00015
Asher, M., Lai, S. M., Burton, D., & Manna, B. (2004). The influence of spine and trunk deformity on preoperative idiopathic scoliosis patients’ health-related quality of life questionnaire responses. Spine, 29(8), 861–868. https://doi.org/10.1097/00007632-200404150-00008
Assaiante, C., Barlaam, F., Cignetti, F., & Vaugoyeau, M. (2014). Body schema building during childhood and adolescence: A neurosensory approach. Neurophysiologie Clinique, 44(1), 3–12. https://doi.org/10.1016/j.neucli.2013.10.125
Auerbach, J. D., Lonner, B. S., Crerand, C. E., Shah, S. A., Flynn, J. M., Bastrom, T., Penn, P., Ahn, J., Toombs, C., Bharucha, N., Bowe, W. P., & Newton, P. O. (2014). Body image in patients with adolescent idiopathic scoliosis: Validation of the Body Image Disturbance Questionnaire-Scoliosis Version. The Journal of Bone and Joint Surgery, 96(8), e61. https://doi.org/10.2106/JBJS.L.00867
Babaee, T., Kamyab, M., Ganjavian, M. S., & Kamali, M. (2014). Milwaukee brace or thoracolumbosacral orthosis? Which one affects the quality of life of adolescents with idiopathic scoliosis more? A cross-sectional study using the SRS-22 questionnaire. Current Orthopaedic Practice, 25(5), 478–483. https://doi.org/10.1097/BCO.0000000000000138
Bago, J., Sanchez-Raya, J., Perez-Grueso, F. J. S., & Climent, J. M. (2010). The Trunk Appearance Perception Scale (TAPS): A new tool to evaluate subjective impression of trunk deformity in patients with idiopathic scoliosis. Scoliosis, 5(1), 6. https://doi.org/10.1186/1748-7161-5-6
Borges, P. A., Carvalho, J. T. N., Letaif, O. B., Marcon, R. M., & Cristante, A. F. (2017). The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients. Clinics (sao Paulo, Brazil), 72(3), 130–133. https://doi.org/10.6061/clinics/2017(03)01
Brewer, P., Berryman, F., Baker, D., Pynsent, P., & Gardner, A. (2013). Influence of cobb angle and ISIS2 surface topography volumetric asymmetry on scoliosis research society-22 outcome scores in scoliosis. Spine Deformity, 1(6), 452–457. https://doi.org/10.1016/j.jspd.2013.07.012
Burwell, R. Geoffrey, Aujla, R. K., Grevitt, M. P., Dangerfield, P. H., Moulton, A., Randell, T. L., & Anderson, S. I. (2009). Pathogenesis of adolescent idiopathic scoliosis in girls—a double neuro-osseous theory involving disharmony between two nervous systems, somatic and autonomic expressed in the spine and trunk: Possible dependency on sympathetic nervous system and hormon. In Scoliosis (Vol. 4, p. 24). BioMed Central. https://doi.org/10.1186/1748-7161-4-24
Burwell, R. G., & Dangerfield, P. H. (2002). Etiologic theories of idiopathic scoliosis: Neurodevelopmental concepts to be evaluated. Studies in Health Technology and Informatics, 91, 15–19. https://doi.org/10.3233/978-1-60750-935-6-15
Burwell, R. G., Dangerfield, P. H., & Freeman, B. J. C. (2008). Concepts on the pathogenesis of adolescent idiopathic scoliosis. Bone growth and mass, vertebral column, spinal cord, brain, skull, extra-spinal left-right skeletal length asymmetries, disproportions and molecular pathogenesis. Studies in Health Technology and Informatics, 135, 3–52.
Burwell, R. G., Freeman, B. J. C., Dangerfield, P. H., Aujla, R. K., Cole, A. A., Kirby, A. S., Polak, F., Pratt, R. K., Webb, J. K., & Moulton, A. (2006). Etiologic Theories of idiopathic scoliosis: Neurodevelopmental concept of maturational delay of the CNS body schema (“Body-in-the-Brain”). Studies in Health Technology and Informatics, 123, 72–79. https://doi.org/10.1302/0301-620X.90BSUPP_III.0900476a
Cantele, F., Maghini, I., Tonellato, M., Meneguzzo, P., Favaro, A., & Masiero, S. (2020). An analysis of eating disorders in adolescent idiopathic scoliosis. Spine, 46(7), 440–446. https://doi.org/10.1097/brs.0000000000003885
Carrasco, M. I. B., & Ruiz, M. C. S. (2014). Perceived self-image in adolescent idiopathic scoliosis: An integrative review of the literature. Revista Da Escola De Enfermagem, 48(4), 748–757. https://doi.org/10.1590/S0080-623420140000400024
Case, L. K., Solcá, M., Blanke, O., & Faivre, N. (2019). Disorders of body representation. In Multisensory perception: From laboratory to clinic (pp. 401–422). Academic Press. https://doi.org/10.1016/B978-0-12-812492-5.00018-8
Caspi, A., Amiaz, R., Davidson, N., Czerniak, E., Gur, E., Kiryati, N., Harari, D., Furst, M., & Stein, D. (2017). Computerized assessment of body image in anorexia nervosa and bulimia nervosa: Comparison with standardized body image assessment tool. Archives of Women’s Mental Health, 20(1), 139–147. https://doi.org/10.1007/s00737-016-0687-4
Cheshire, J., Gardner, A., Berryman, F., & Pynsent, P. (2017). Do the SRS-22 self-image and mental health domain scores reflect the degree of asymmetry of the back in adolescent idiopathic scoliosis? Scoliosis and Spinal Disorders. https://doi.org/10.1186/s13013-017-0144-9
Cheung, A. M., Tansey, C. M., Tomlinson, G., Diaz-Granados, N., Matté, A., Barr, A., Mehta, S., Mazer, C. D., Guest, C. B., Stewart, T. E., Al-Saidi, F., Cooper, A. B., Cook, D., Slutsky, A. S., & Herridge, M. S. (2006). Two-year outcomes, health care use, and costs of survivors of acute respiratory distress syndrome. American Journal of Respiratory and Critical Care Medicine, 174(5), 538–544. https://doi.org/10.1164/rccm.200505-693OC
Cheung, J., Sluiter, W. J., Veldhuizen, A. G., Cool, J. C., & Van Horn, J. R. (2002). Perception of vertical and horizontal orientation in children with scoliosis. Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society, 20(3), 416–420. https://doi.org/10.1016/S0736-0266(01)00129-2
Chu, W. C. W., Rasalkar, D. D., & Cheng, J. C. Y. (2011). Asynchronous neuro-osseous growth in adolescent idiopathic scoliosis–MRI-based research. Pediatric Radiology, 41(9), 1100–1111. https://doi.org/10.1007/s00247-010-1778-4
Çolak, T. K., Akgül, T., Çolak, I., Dereli, E. E., Chodza, M., & Dikici, F. (2017). Health related quality of life and perception of deformity in patients with adolescent idiopathic scoliosis. Journal of Back and Musculoskeletal Rehabilitation, 30(3), 597–602. https://doi.org/10.3233/BMR-160564
Danielsson, A. J., Hasserius, R., Ohlin, A., & Nachemson, A. L. (2012). Body appearance and quality of life in adult patients with adolescent idiopathic scoliosis treated with a brace or under observation alone during adolescence. Spine, 37(9), 755–762. https://doi.org/10.1097/BRS.0b013e318231493c
Danner, U., Avian, A., Macheiner, T., Salchinger, B., Dalkner, N., Fellendorf, F. T., Birner, A., Bengesser, S. A., Platzer, M., Kapfhammer, H. P., Probst, M., & Reininghaus, E. Z. (2017). “ABC”—The awareness-body-chart: A new tool assessing body awareness. PLoS ONE, 12(10), e0186597. https://doi.org/10.1371/journal.pone.0186597
de Vignemont, F. (2010). Body schema and body image-Pros and cons. Neuropsychologia, 48(3), 669–680. https://doi.org/10.1016/j.neuropsychologia.2009.09.022
Dowson, J., & Henderson, L. (2001). The validity of a short version of the Body Shape Questionnaire. Psychiatry Research, 102(3), 263–271. https://doi.org/10.1016/S0165-1781(01)00254-2
Duramaz, A., Yılmaz, S., Ziroğlu, N., Bursal Duramaz, B., & Kara, T. (2018). The effect of deformity correction on psychiatric condition of the adolescent with adolescent idiopathic scoliosis. European Spine Journal, 27(9), 2233–2240. https://doi.org/10.1007/s00586-018-5639-4
Duri, R., Brown, K., Johnson, M., & McIntosh, A. (2019). Patients’ perceptions of breast asymmetry improve after spinal fusion for adolescent idiopathic scoliosis. Spine Deformity, 7(1), 80–83. https://doi.org/10.1016/j.jspd.2018.06.011
Haher, T. R., Gorup, J. M., Shin, T. M., Homel, P., Merola, A. A., Grogan, D. P., Pugh, L., Lowe, T. G., & Murray, M. (1999). Results of the scoliosis research society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis: A multicenter study of 244 patients. Spine, 24(14), 1435–1440. https://doi.org/10.1097/00007632-199907150-00008
Head, H., & Holmes, G. (1912). Researches into sensory disturbances from cerebral lesions. The Lancet, 179(4611), 79–83. https://doi.org/10.1016/S0140-6736(01)64640-3
Higgins, J., & Green, S. (2011). Cochrane Handbook for Systematic Reviews of Interventions | The Cochrane Collaboration. In The Cochrane Collaboration. http://www.cochrane.org/training/cochrane-handbook
Le Berre, M., Pradeau, C., Brouillard, A., Coget, M., Massot, C., & Catanzariti, J.-F. (2019). Do adolescents with idiopathic scoliosis have an erroneous perception of the gravitational vertical? Spine Deformity, 7(1), 71–79. https://doi.org/10.1016/j.jspd.2018.05.004
Lee, H., Choi, J., Hwang, J.-H., & Park, J. H. (2016). Health-related quality of life of adolescents conservatively treated for idiopathic scoliosis in Korea: A cross-sectional study. Scoliosis and Spinal Disorders. https://doi.org/10.1186/s13013-016-0071-1
Lendzion, M., Łukaszewicz, E., Waś, J., & Czaprowski, D. (2018). Self-evaluation of trunk aesthetics in conservatively treated children and adolescents with idiopathic scoliosis. Ortopedia, Traumatologia, Rehabilitacja, 20(5), 371–382. https://doi.org/10.5604/01.3001.0012.8273
Lonner, B. S., Brochin, R., Lewis, R., Vig, K. S., Kassin, G., Castillo, A., & Ren, Y. (2019). Body image disturbance improvement after operative correction of adolescent idiopathic scoliosis. Spine Deformity, 7(5), 741–745. https://doi.org/10.1016/j.jspd.2018.12.005
Mariconda, M., Andolfi, C., Cerbasi, S., & Servodidio, V. (2016). Effect of surgical correction of adolescent idiopathic scoliosis on the quality of life: A prospective study with a minimum 5-year follow-up. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 25(10), 3331–3340. https://doi.org/10.1007/s00586-016-4510-8
Misterska, E., Głowacki, M., & Harasymczuk, J. (2011). Assessment of spinal appearance in female patients with adolescent idiopathic scoliosis treated operatively. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 17(7), CR404-10. https://doi.org/10.12659/msm.881852
Misterska, E., Glowacki, M., Latuszewska, J., & Adamczyk, K. (2013). Perception of stress level, trunk appearance, body function and mental health in females with adolescent idiopathic scoliosis treated conservatively: A longitudinal analysis. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 22(7), 1633–1645. https://doi.org/10.1007/s11136-012-0316-2
Misterska, E., Glowacki, M., Adamczyk, K., & Jankowski, R. (2014). Patients’ and parents’ perceptions of appearance in scoliosis treated with a brace: A cross-sectional analysis. Journal of Child and Family Studies, 23(7), 1163–1171. https://doi.org/10.1007/s10826-013-9776-4
Negrini, S., Donzelli, S., Aulisa, A. G., Czaprowski, D., Schreiber, S., de Mauroy, J. C., Diers, H., Grivas, T. B., Knott, P., Kotwicki, T., Lebel, A., Marti, C., Maruyama, T., O’Brien, J., Price, N., Parent, E., Rigo, M., Romano, M., Stikeleather, L., Wynne J., Zaina F.(2018). 2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. In Scoliosis and Spinal Disorders (Vol. 13, Issue 1, p. 3). BioMed Central Ltd. https://doi.org/10.1186/s13013-017-0145-8
Paolucci, T., Piccinini, G., Iosa, M., Piermattei, C., De Angelis, S., Zangrando, F., & Saraceni, V. M. (2017). The importance of trunk perception during brace treatment in moderate juvenile idiopathic scoliosis: What is the impact on self-image? Journal of Back and Musculoskeletal Rehabilitation, 30(2), 203–210. https://doi.org/10.3233/BMR-160733
Pérennou, D. A., Mazibrada, G., Chauvineau, V., Greenwood, R., Rothwell, J., Gresty, M. A., & Bronstein, A. M. (2008). Lateropulsion, pushing and verticality perception in hemisphere stroke: A causal relationship? Brain, 131(9), 2401–2413. https://doi.org/10.1093/brain/awn170
Pérez-Prieto, D., Sánchez-Soler, J. F., Martínez-Llorens, J., Mojal, S., Bagó, J., Cáceres, E., & Ramírez, M. (2014). Poor outcomes and satisfaction in adolescent idiopathic scoliosis surgery: The relevance of the body mass index and self-image. Paleontological Journal. https://doi.org/10.1007/s00586-014-3486-5
Picelli, A., Negrini, S., Zenorini, A., Iosa, M., Paolucci, S., & Smania, N. (2016). Do adolescents with idiopathic scoliosis have body schema disorders? A cross-sectional study. Journal of Back and Musculoskeletal Rehabilitation, 29(1), 89–96. https://doi.org/10.3233/BMR-150602
Pineda, S., Bago, J., Gilperez, C., & Climent, J. M. (2006). Validity of the Walter Reed Visual Assessment Scale to measure subjective perception of spine deformity in patients with idiopathic scoliosis. Scoliosis. https://doi.org/10.1186/1748-7161-1-18
Rubega, M., Di Marco, R., Zampini, M., Formaggio, E., Menegatti, E., Bonato, P., Masiero, S., & Del Felice, A. (2021). Muscular and cortical activation during dynamic and static balance in the elderly: A scoping review. Aging Brain, 1, 100013. https://doi.org/10.1016/j.nbas.2021.100013
Sanders, J. O., Harrast, J. J., Kuklo, T. R., Polly, D. W., Bridwell, K. H., Diab, M., Dormans, J. P., Drummond, D. S., Emans, J. B., Johnston, C. E., Lenke, L. G., McCarthy, R. E., Newton, P. O., Richards, B. S., & Sucato, D. J. (2007). The Spinal Appearance Questionnaire: Results of reliability, validity, and responsiveness testing in patients with idiopathic scoliosis. Spine, 32(24), 2719–2722. https://doi.org/10.1097/BRS.0b013e31815a5959
Sattler, F. A., Eickmeyer, S., & Eisenkolb, J. (2020). Body image disturbance in children and adolescents with anorexia nervosa and bulimia nervosa: A systematic review. Eating and Weight Disorders, 25(4), 857–865. https://doi.org/10.1007/s40519-019-00725-5
Schwieger, T., Campo, S., Weinstein, S. L., Dolan, L. A., Ashida, S., & Steuber, K. R. (2016). Body image and quality-of-life in untreated versus brace-treated females with adolescent idiopathic scoliosis. Spine, 41(4), 311–319. https://doi.org/10.1097/BRS.0000000000001210
Schwieger, T., Campo, S., Weinstein, S. L., Dolan, L. A., Ashida, S., & Steuber, K. R. (2017). Body image and quality of life and brace wear adherence in females with adolescent idiopathic scoliosis. Journal of Pediatric Orthopedics, 37(8), e519–e523. https://doi.org/10.1097/BPO.0000000000000734
Secord, P. F., & Jourard, S. M. (1953). The appraisal of body-cathexis: Body-cathexis and the self. Journal of Consulting Psychology, 17(5), 343–347. https://doi.org/10.1037/h0060689
Soares Filho, L. C., Batista, R. F. L., Cardoso, V. C., Simões, V. M. F., Santos, A. M., Coelho, S. J. D. D. A. C., & Silva, A. A. M. (2020). Body image dissatisfaction and symptoms of depression disorder in adolescents. Brazilian Journal of Medical and Biological Research, 54(1), 1–7. https://doi.org/10.1590/1414-431x202010397
Soliman, H. A. G. (2018). Health-related quality of life and body image disturbance of adolescents with severe untreated idiopathic early-onset scoliosis in a developing country. Spine, 43(22), 1566–1571. https://doi.org/10.1097/BRS.0000000000002686
Taborri, J., Agostini, V., Artemiadis, P. K., Ghislieri, M., Jacobs, D. A., Roh, J., & Rossi, S. (2018). Feasibility of muscle synergy outcomes in clinics, robotics, and sports: A systematic review. Applied Bionics and Biomechanics. https://doi.org/10.1155/2018/3934698
Tones, M., Moss, N., & Polly, D. W. J. (2006). A review of quality of life and psychosocial issues in scoliosis. Spine, 31(26), 3027–3038. https://doi.org/10.1097/01.brs.0000249555.87601.fc
Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., Godfrey, C. M., Macdonald, M. T., Langlois, E. V., Soares-Weiser, K., Moriarty, J., Clifford, T., Tunçalp, Ö., & Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Wang, L., Wang, Y. P., Yu, B., Zhang, J. G., Shen, J. X., Qiu, G. X., & Li, Y. (2014a). Relation between self-image score of SRS-22 with deformity measures in female adolescent idiopathic scoliosis patients. Orthopaedics & Traumatology, Surgery & Research : OTSR, 100(7), 797–801. https://doi.org/10.1016/j.otsr.2014.06.014
Wang, W.-J., Huang, A.-B., Zhu, Z.-Z., Zhu, F., Sun, X., & Qiu, Y. (2014b). Does curve convexity affect the surgical outcomes of thoracic adolescent idiopathic scoliosis? European Journal of Orthopaedic Surgery and Traumatology. https://doi.org/10.1007/s00590-014-1425-0
Watanabe, K., Hasegawa, K., Hirano, T., Uchiyama, S., & Endo, N. (2005). Use of the scoliosis research society outcomes instrument to evaluate patient outcome in untreated idiopathic scoliosis patients in Japan: Part II: Relation between spinal deformity and patient outcomes. Spine, 30(10), 1202–1205. https://doi.org/10.1097/01.brs.0000162285.12045.81
Watanabe, K., Hasegawa, K., Hirano, T., Uchiyama, S., & Endo, N. (2007). Evaluation of postoperative residual spinal deformity and patient outcome in idiopathic scoliosis patients in Japan using the scoliosis research society outcomes instrument. Spine, 32(5), 550–554. https://doi.org/10.1097/01.brs.0000256474.68580.f2
Yagci, G., Ayhan, C., & Yakut, Y. (2018). Effectiveness of basic body awareness therapy in adolescents with idiopathic scoliosis: A randomized controlled study. Journal of Back and Musculoskeletal Rehabilitation, 31(4), 693–701. https://doi.org/10.3233/BMR-170868
Yagci, G., Karatel, M., & Yakut, Y. (2020). Body awareness and its relation to quality of life in individuals with idiopathic scoliosis. Perceptual and Motor Skills. https://doi.org/10.1177/0031512520924945
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MB developed the research questions, performed the articles selection procedure, extracted, and synthesized the relevant information, drafted and revised manuscript and tables and served as corresponding author; FC, developed the research questions, performed the articles selection procedure, extracted, and synthesized the relevant information, participated in drafting the manuscript; SM conceived of the study, refined the research questions, solved eventual disagreements in studies inclusion/ exclusion, and coordinated manuscript writing. All authors participated in edits to the manuscript and read and approved the final manuscript.
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Appendix
Appendix
PubMed search strategy.
Search number | Query | Sort by | Filters | Search details | Results |
---|---|---|---|---|---|
8 | #3 AND #7 | Humans, English, Child: birth-18 years | (("scoliosis"[MeSH Terms] AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) OR (("adolescences"[All Fields] OR "adolescency"[All Fields] OR "adolescent"[MeSH Terms] OR "adolescent"[All Fields] OR "adolescence"[All Fields] OR "adolescents"[All Fields] OR "adolescent s"[All Fields]) AND ("idiopathic"[All Fields] OR "idiopathically"[All Fields] OR "idiopathics"[All Fields]) AND ("scoliosis"[MeSH Terms] OR "scoliosis"[All Fields] OR "scolioses"[All Fields]) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms])))) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms])) AND ((("body image"[MeSH Terms] AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) OR (("body image"[MeSH Terms] OR ("body"[All Fields] AND "image"[All Fields]) OR "body image"[All Fields] OR ("body"[All Fields] AND "schema"[All Fields]) OR "body schema"[All Fields]) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) OR (("body image"[MeSH Terms] OR ("body"[All Fields] AND "image"[All Fields]) OR "body image"[All Fields]) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms])))) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) | 172 | |
7 | #4 OR #5 OR #6 | Humans, English, Child: birth-18 years | ("body image"[MeSH Terms] AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) OR (("body image"[MeSH Terms] OR ("body"[All Fields] AND "image"[All Fields]) OR "body image"[All Fields] OR ("body"[All Fields] AND "schema"[All Fields]) OR "body schema"[All Fields]) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) OR (("body image"[MeSH Terms] OR ("body"[All Fields] AND "image"[All Fields]) OR "body image"[All Fields]) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) | 10,508 | |
6 | Body image | Humans, English, Child: birth-18 years | "body image"[MeSH Terms] OR ("body"[All Fields] AND "image"[All Fields]) OR "body image"[All Fields] | 10,431 | |
5 | Body schema | Humans, English, Child: birth-18 years | "body image"[MeSH Terms] OR ("body"[All Fields] AND "image"[All Fields]) OR "body image"[All Fields] OR ("body"[All Fields] AND "schema"[All Fields]) OR "body schema"[All Fields] | 10,508 | |
4 | Body representation [MeSH Terms] | Humans, English, Child: birth-18 years | "body image"[MeSH Terms] | 7,123 | |
3 | #1 OR #2 | Humans, English, Child: birth-18 years | ("scoliosis"[MeSH Terms] AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) OR (("adolescences"[All Fields] OR "adolescency"[All Fields] OR "adolescent"[MeSH Terms] OR "adolescent"[All Fields] OR "adolescence"[All Fields] OR "adolescents"[All Fields] OR "adolescent s"[All Fields]) AND ("idiopathic"[All Fields] OR "idiopathically"[All Fields] OR "idiopathics"[All Fields]) AND ("scoliosis"[MeSH Terms] OR "scoliosis"[All Fields] OR "scolioses"[All Fields]) AND ("humans"[MeSH Terms] AND "english"[Language] AND ("infant"[MeSH Terms] OR "child"[MeSH Terms] OR "adolescent"[MeSH Terms]))) | 9,968 | |
2 | Adolescent idiopathic scoliosis | Humans, English, Child: birth-18 years | ("adolescences"[All Fields] OR "adolescency"[All Fields] OR "adolescent"[MeSH Terms] OR "adolescent"[All Fields] OR "adolescence"[All Fields] OR "adolescents"[All Fields] OR "adolescent s"[All Fields]) AND ("idiopathic"[All Fields] OR "idiopathically"[All Fields] OR "idiopathics"[All Fields]) AND ("scoliosis"[MeSH Terms] OR "scoliosis"[All Fields] OR "scolioses"[All Fields]) | 4,609 | |
1 | Scoliosis[MeSH Terms] | Humans, English, Child: birth-18 years | "scoliosis"[MeSH Terms] | 9,826 |
See Table 5.
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Bertuccelli, M., Cantele, F. & Masiero, S. Body Image and Body Schema in Adolescents with Idiopathic Scoliosis: A Scoping Review. Adolescent Res Rev 8, 97–115 (2023). https://doi.org/10.1007/s40894-022-00187-4
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DOI: https://doi.org/10.1007/s40894-022-00187-4