Epidemiology and Society Health Review (ESHR)
Vol. 8 No. 2 (2026)

Health-Related Quality of Life Among Adolescent Girls with Idiopathic Scoliosis Using Spinal Orthoses: A Systematic Review

Ellysa Okky Gusma (Department of Physiotherapy, STIKES Bethesda Yakkum, Yogyakarta, Indonesia)
Gatot Sunarto (Orthotics and Prosthetics Unit, RSUD Sumberglagah, Mojokerto, East Java, Indonesia)
Gian Lisuari Adityasiwi (Department of Physiotherapy, STIKES Bethesda Yakkum, Yogyakarta, Indonesia)
Hana Kristina (Department of Physiotherapy, STIKES Bethesda Yakkum, Yogyakarta, Indonesia)
Nathan Agwin Khenda (Department of Physiotherapy, STIKES Bethesda Yakkum, Yogyakarta, Indonesia)



Article Info

Publish Date
17 Jul 2026

Abstract

Background: Adolescent idiopathic scoliosis (AIS) affects 2–4% of adolescents and is predominantly diagnosed in girls during pubertal growth. Bracing is the primary conservative intervention to prevent curve progression; however, adolescence is a critical period of psychosocial development, making brace wear particularly burdensome. As evidence-based guidance for holistic management remains limited, this study aimed to review the QoL of adolescent girls with AIS undergoing brace treatment. Method: A literature review was conducted using PubMed and Google Scholar for articles published between 2019 and 2026. Inclusion criteria were adolescents aged 10–18 years with AIS, treated with bracing, and assessed using validated QoL instruments (SRS-22, BrQ, BSSQ). From 1,245 identified records, 15 studies were included following PRISMA-based screening and JBI quality assessment. Results: Brace treatment negatively affects QoL across physical, psychological, and social domains. Patients reported discomfort, limited mobility, body image concerns, emotional distress, and reduced social participation. QoL outcomes were influenced by brace duration, curve severity, and family support. Improved brace design and multidisciplinary care were shown to mitigate these impacts. Conclusion: Bracing significantly affects QoL in adolescent girls with AIS. A patient-centered approach that integrates psychosocial support and improved brace design is essential for enhancing treatment adherence and overall well-being.

Copyrights © 2026






Journal Info

Abbrev

eshr

Publisher

Subject

Public Health

Description

Epidemiology and Society Health Review (ESHR) is aims to communicate research in the field of epidemiology and community health by publishing papers in high-quality science. This journal publishes an article in the field of epidemiology of the communicable disease, epidemiology of non-communicable ...