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Table 1 Brace Questionnaire (BrQ) administered to the patient

From: Quality of life and patient satisfaction in bracing treatment of adolescent idiopathic scoliosis

This questionnaire asks how you feel about your health, while you are wearing a brace. This is not a test and there are no right or wrong answers.

 Please read carefully every question

 Choose the best answer and mark with an x

 Example

  • During the last week, you were in a good mood for studying

  • Never

  • Almost never

  • Sometimes

  • Most of the times

  • Always

 Please tell us a few things about yourself:

  You are a boy/a girl (cross out what is NOT correct)

  How old are you? ......... years.

  You are wearing the brace since ………. months/years.

  You are wearing the brace for ….. hours/day

  Date ……………………………

During the first 3 months

 1. The brace made you feel ill

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 2. You were afraid that your back will get worse

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

During the past 3 months while you were wearing the brace...

 3. You felt tired when walking

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 4. You were able to run

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 5. You managed to wear the brace without any help

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 6. You managed to take off the brace without any help

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 7. You could not eat well

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 8. You could not sleep well

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 9. You could not breathe well

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

During the past 3 months…

 10. The brace made you feel nervous

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 11. You felt worried because of the brace

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 12. You felt happy

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 13. You believed that your life would be better if you were not on brace

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 14. You believed that brace treatment was beneficial

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

During the past 1 month...

 15. You felt proud of yourself

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 16. You were satisfied with your body

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

During the past 1 month

 17. You felt strong and full of energy

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 18. You felt tired and exhausted because of the brace

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

During the past 1 month, because of the brace...

 19. You had difficulties with your lessons

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 20. You were absent from school

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 21. You found it hard to pay attention in the classroom

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

During the past 1 month, while you were wearing the brace...

 22. You had to take medication for pain

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 23. You had pain during the night

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 24. You had pain when walking

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 25. You had pain when sitting

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 26. You had pain when climbing stairs

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 27. You felt pins and needles in your arms or legs

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

During the past 1 month, because of the brace...

 28. You could not go out with your friends

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 29. Your friends felt compassion for you

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 30. You felt different from your peers

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 31. You had problems with your family

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 32. You believed that your relationship with your family or your friends would be better if you were not on brace

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 33. You stayed at home because you were ashamed

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

 34. You wore special clothes

  • Never

  • Almost never

  • Sometimes

  • Most of the time

  • Always

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