Volume 9 Supplement 1

11th International Conference on Conservative Management of Spinal Deformities - SOSORT 2014 Annual Meeting

Open Access

Body image in brace treated and untreated patients: preliminary results from BrAIST

  • Traci Schwieger1,
  • Shelly Campo1,
  • Stuart Weinstein1,
  • William Clarke1,
  • Briana Woods-Jaeger1 and
  • Kelli Steuber1
Scoliosis20149(Suppl 1):O76


Published: 4 December 2014


There is no consensus regarding the effect of brace treatment on body image in adolescents with adolescent idiopathic scoliosis (AIS).


The aim of this study is to compare self-body image, ideal-body image, and self-ideal body image discrepancy, between brace treated and untreated subjects over time.


Data from 178 BrAIST subjects that chose treatment were used. Subjects that switched treatment during the study were not included in the analyses. Body image constructs, based on cognitive-behavioral perspectives (1), were used to measure the following: how adolescents’ 1) think they look (self-body image), 2) want to look (ideal-body image), and 3) the difference between these constructs (self-ideal body image discrepancy). The Spinal Appearance Questionnaire (SAQ) (2) measures these constructs and scores were compared with largest curve size, BMI, and quality-of-life measures. Wilcoxon ranked sum tests were conducted to test differences in self-body image means, ideal-body image means, and self-ideal body image discrepancy means between the treated and untreated groups at baseline and at 6, 12, 18, and 24 month follow-up visits.


At baseline, there were no differences between subjects in the brace group (n=118) and in the observation group (n=60) regarding age, BMI, largest Cobb angle, and quality-of-life. There were no differences at baseline or at any follow-up visit between brace treated and untreated subjects regarding self-body image, ideal-body image, and self-ideal body image. Results from within group analyses found no significant differences within treated or within untreated subjects between baseline body image scores and 24 month body image scores. In addition, there were no significant differences between body image baseline scores and 24 month scores within subjects having < 6◦ degree increase or within subjects having a ≥ 6 ◦ increase in largest Cobb angle.


This study does not support findings from previous research indicating that wearing a brace has a negative impact on body image. At baseline and follow-up visits, this study found no difference in body image between brace treated and untreated adolescents. In addition, this study found that body image was not impacted after 24 months of brace treatment.

Authors’ Affiliations

The University of Iowa


© Schwieger et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.