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Table 1 Contents of the Scoliosis Japanese Questionnaire-27

From: Reliability and validity of a novel quality of life questionnaire for female patients with adolescent idiopathic scoliosis: Scoliosis Japanese Questionnaire-27: a multicenter, cross-sectional study

Please fill out the following questions about your upper and lower back from the past month. Tick the most appropriate answer for each question. If you wear a brace, answer the questions for the times when you were not wearing the brace.

1. To what extent do you feel pain in your upper or lower back while lying down?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

2. To what extent do you feel pain in your upper or lower back after sitting for an hour?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

3. To what extent do you feel pain in your upper or lower back after standing for long periods?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

4. To what extent do you feel stiffness or soreness in your shoulders or neck?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

5. To what extent do you feel uncomfortable when wearing a jacket or coat?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

6. To what extent are you concerned about the waistline of a skirt?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

7. To what extent do you have difficulty putting on socks or stockings?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

8. To what extent are you concerned about the fit of T-shirts?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

9. To what extent are you bothered by the slipping of bra or camisole straps from your shoulders?

â–¡Not at all â–¡Mild â–¡Moderate â–¡Considerable â–¡Severe

10. To what extent are you self-conscious about the curve of your back when wearing lighter clothing in warmer weather?

â–¡Not at all â–¡Slightly â–¡Moderately â–¡Strongly â–¡Extremely

11. Do you find yourself wanting to avoid exercise?

â–¡Not at all â–¡Slightly â–¡Moderately â–¡Strongly â–¡Extremely

12. Have parents, friends, or teachers told you that you have a back problem?

â–¡Never â–¡Rarely â–¡Sometimes â–¡Often â–¡Very often

13. Do you feel embarrassed to bathe with your mother or sisters because of the curve of your back?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

14. How self-conscious are you about classmates or colleagues noticing your appearance?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

15. Do you become anxious when standing in front of a group of people?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

16. To what extent are you reluctant to participate in sporting events or performances?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

17. To what extent does your appearance in the mirror make you self-conscious?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

18. To what extent are you self-conscious about the x-ray images on your back?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

19. Do you feel sports or exercise will have a negative effect on your spine?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

20. Do you worry about your future regarding marriage, childbirth, and your children inheriting your condition?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

21. To what extent do you wish you could change the current condition of your spine?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

22. To what extent do you feel shy or reclusive because of the shape of your spine?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

23. To what extent do you feel depressed due to the condition of your spine?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

24. To what extent do you feel an inferiority complex due to the shape of your spine?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

25. To what extent do you feel overly self-conscious about your appearance due to the shape of your spine?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

26. To what extent do you think of yourself as less capable than others because of your spine?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much

27. To what extent do you feel self-conscious about how you hold bags?

â–¡Not at all â–¡Slightly â–¡Somewhat â–¡Quite â–¡Very much