{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:07:00Z","timestamp":1772168820215,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/f1000research.124255.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000}},{"DOI":"10.12688\/f1000research.124255.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000}}],"reference-count":41,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns7:p>Background: Corrective spine surgery is widely accepted for treating severe adolescent idiopathic scoliosis (AIS). Postoperative spinal range of motion (ROM) could be affected after such surgery. In certain populations, such as Muslims, this ROM change can impact daily life, as it may affect the five-times-a-day prayer (Salah). This study aims to assess the influence of spinal fusion (SF) in Adolescent Idiopathic Scoliosis (AIS) during the daily Islamic prayer (Salah). Methods: SF-AIS patients were videoed while performing Salah prayer. The kinematic documentation was assessed and compared to Salah movements of a control group of age-matched Muslim AIS patients, who had not had surgery. The prayer quality changes were subjectively classified into improved, no change\/remained, and worsened, according to the Global Perceived Effect (GPE). Functional outcome and pain were assessed by the Scoliosis Research Society Questionnaire Version 30 (SRS-30). Results: Thirty-nine women and five men (mean age\u00b1SD: 14.8\u00b12.3 years) met the inclusion criteria, and unoperated AIS patients were used as control (twenty-two women, mean age\u00b1SD: 15.32\u00b11.43 years). The prostrations ROM of the SF-AIS group differed significantly from the control group (p&lt;0.05). The GPE of the prayer movement showed improvement in 36.4%, no change in 59.1%, and worsening in 4.5% of the SF-AIS patients. The worsened group had a significantly lower bowing ROM and higher prostrations ROM compared to all groups of prayer quality changes (p&lt;0.05). SRS-30 scores showed good outcomes (function 4.0\u00b10.2, pain 4.2\u00b10.5), along with the overall bowing ROM and prostrations ROM (84.2\u00b112.0\u00b0 and 53.4\u00b19.6\u00b0, respectively). Moreover, a significant moderate positive correlation between the bowing ROM and pain (r=0.417, p=0.007) was also found. Conclusion: Spinal fusion positively affects AIS Islamic patients in maintaining their daily Salah movement, ROM and prayer quality. Prayer quality assessment should be given extra attention as an adjuvant of the SRS-30 questionnaire to evaluate Muslim patients.<\/ns7:p>","DOI":"10.12688\/f1000research.124255.3","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T07:28:15Z","timestamp":1719214095000},"page":"1054","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a retrospective case-control study"],"prefix":"10.12688","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6625-970X","authenticated-orcid":false,"given":"Komang Agung","family":"Irianto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naufal Ranadi","family":"Firas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Gracia Supriantono","family":"Binti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6604-8152","authenticated-orcid":false,"given":"Damayanti","family":"Tinduh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8773-4167","authenticated-orcid":false,"given":"Yudha Mathan","family":"Sakti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4350-8480","authenticated-orcid":false,"given":"Brigita","family":"De Vega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1460-1466","DOI":"10.2106\/JBJS.18.01370","article-title":"Back Pain and Quality of Life after Surgical Treatment for Adolescent Idiopathic Scoliosis at 5-Year Follow-up: Comparison with Healthy Controls and Patients with Untreated Idiopathic Scoliosis.","volume":"101","author":"L Helenius","year":"2019","journal-title":"J. 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Extended Dataset: figshare.","author":"K Irianto","year":"2022"}],"container-title":["F1000Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3\/iparadigms","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T07:28:22Z","timestamp":1719214102000},"score":1,"resource":{"primary":{"URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,24]]},"references-count":41,"URL":"https:\/\/doi.org\/10.12688\/f1000research.124255.3","relation":{"has-version":[{"id-type":"doi","id":"10.12688\/f1000research.124255.2","asserted-by":"subject"},{"id-type":"doi","id":"10.12688\/f1000research.124255.1","asserted-by":"subject"}],"has-review":[{"id-type":"doi","id":"10.5256\/f1000research.167801.r294866","asserted-by":"object"}]},"ISSN":["2046-1402"],"issn-type":[{"value":"2046-1402","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,24]]},"assertion":[{"value":"Indexed","URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3#article-reports","order":0,"name":"referee-status","label":"Referee status","group":{"name":"current-referee-status","label":"Current Referee Status"}},{"value":"10.5256\/f1000research.136441.r156368, Yasser Allam, Department of Orthopaedic Surgery and Traumatology Faculty of Medicine, Alexandria University, Alexandria, 20 Feb 2023, version 1, 1 approved","URL":"https:\/\/f1000research.com\/articles\/11-1054\/v1#referee-response-156368","order":0,"name":"referee-response-156368","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>komang irianto<\/b>; \n<i>Posted: 03 Mar 2023<\/i>; Dear Dr. Yasser Allam,  Thank you for your kind review of this manuscript, which has been very helpful in improving the manuscript. We also thank the reviewer for the careful reading of our text. Here we present our reply to each suggestion separately as the following:  \n<i>1. &quot;It would be interesting to include the whole 5 items of SRS-30 in this study and not only pain and function.&quot;<\/i>  \n<b>Answer: <\/b>We only utilized two of five assessment categories in the SRS-30 questionnaire (pain, function or activity, self-image, mental health, and satisfaction with management). The self-image, mental health, and satisfaction items are not directly relevant to our study. This study focuses on the daily Islamic prayer function (Salah activity), which needs a series of complex movements involving the spine, hip, and knee. The prayer activity itself is believed ought to be performed with the correct movements as mandated by their religion within the correct timeframe (5 times a day at certain hours), which makes patients worry if they cannot perform it after corrective surgery. Hence, we deem the two chosen items (pain and function) to be the two most critical and relevant tools to evaluate patients\u2019 quality of life relating to their ability to fulfill their religious obligation.  However, we acknowledge the reviewer\u2019s suggestion as our limitation. We have added the reviewer\u2019s suggestion in our limitation section:  \u201cAnother drawback is that we only assessed two items of the SRS-30 questionnaire (pain and function), as we deem the most critical evaluation tools for performing the Islamic Salah prayer activity. Future studies should attempt to assess all five items of SRS-30 for a more comprehensive evaluation.\u201d  \n<i>2. &quot;The control group's degree of scoliosis is less than the study material. It would be better if the control group has nearly the same degree of scoliosis as the patient group.&quot;<\/i>  \n<b>Answer: <\/b>We thank the reviewer for their comment. We also realized this as the limitation of this study, and we have previously justified this in the Results section, paragraph 2, as follows:  \u201cAlthough the preoperative Cobb angles between the two groups differed significantly (67.1&plusmn;16.2&deg; and 52.3&plusmn;14.0&deg;, respectively), it does not necessarily reflect a non-homogeneity between them. The nature of this study is to compare the operated and unoperated patients. Those who underwent surgery would generally have a higher degree of Cobb angle, though the clinical significance of 14.9&deg; mean difference is debatable.\u201d  However, based on the reviewer\u2019s suggestion, we have added this in our limitation section as follows:  \u201cMoreover, due to the nature of this study, the control group had a lesser Cobb angle value. This difference is unavoidable because the larger curves group would most unequivocally be offered surgery rather than conservative treatment; hence, this condition has become a natural limitation of this study.\u201d   \n<i>3. &quot;In Fig. 3, it was mentioned that the patient had got 50&deg; scoliosis, and in Fig. 4, 45&deg; scoliosis which from my point of view can be treated conservatively. what were the measures for patient selection i.e. degree of scoliosis&quot;<\/i>  \n<b>Answer: <\/b>We thank the reviewer for their meticulous review. There are several considerations for the treatment choice (explained below), which is specific for each patient. We have added our surgery indication in the Method section:  \u201cAs for the surgical indication, we follow the indication outlined by the Scoliosis Research Society (SRS), namely when the curves exceed 45&deg;-50&deg;. Patients with less than 45&deg; curvature are generally treated with conservative treatment, unless in skeletally immature patients who are at high risk of developing progressive deformity. In the \u201cgray zone\u201d cases (i.e., 45&deg;-50&deg;), the clinical complaints (pain, diminished capacity for activities) along with psychological state play a major role in determining the treatment choice. However, other contributing factors, such as the patient\u2019s socioeconomic condition, willingness to undergo a surgical procedure, and family support, may also affect the final decision of treatment choice.\u201d  \n<i>4.&quot;I would prefer to write muscle fibrosis instead of muscle degeneration (4th paragraph in discussion)&quot;<\/i>  \n<b>Answer<\/b>: We agree with your opinion. We have replaced the degeneration with &quot;fibrosis&quot;.","URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3#referee-comment-9419","order":1,"name":"referee-comment-9419","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.145117.r227784, Vibhu Krishnan Viswanathan, Rela Institute and Medical Center, Chennai, 16 May 2024, version 2, indexed","URL":"https:\/\/f1000research.com\/articles\/11-1054\/v2#referee-response-227784","order":2,"name":"referee-response-227784","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>komang irianto<\/b>; \n<i>Posted: 10 Jun 2024<\/i>; We thank the reviewer for their input. We have amended our manuscript accordingly. Please find the details below:  Title and abstract: We have amended our title and abstract as per your suggestion; the word \u201cretrospective\u201d has been added. Introduction: Thank you for your kind review. The introduction has been shortened whilst still focusing on ROM; a new reference has been added to support this. Results: All relevant p-values have been added to the text and tables. Discussion: Thank you for your input. We have addressed the problem with grammatical and typographical errors. We also added a new paragraph with relevant literature on spinal ROM after AIS surgeries.","URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3#referee-comment-11745","order":3,"name":"referee-comment-11745","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.145117.r249118, Hiva Razavi, Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE, 16 May 2024, version 2, indexed","URL":"https:\/\/f1000research.com\/articles\/11-1054\/v2#referee-response-249118","order":4,"name":"referee-response-249118","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"<b>komang irianto<\/b>; \n<i>Posted: 10 Jun 2024<\/i>; We thank the reviewer for their input. We have amended our manuscript accordingly. Please find the details below:  Hypothesis: A hypothesis has been added at the end of the introduction section. Bias: Thank you for your input. As the nature of this study design, i.e., retrospective case-control study, our study is inevitable from the potential of such biases. Hence, we acknowledge our limitations in the last part of our Discussion section. Study limitations: We thank the reviewer for their input. We have added a new paragraph to provide an in-depth discussion of our study limitations and their impacts on our results. Study size: Thank you for your valuable feedback. We acknowledge that an a priori sample size calculation was not performed for this retrospective case-control study, as we utilized all available patient data from our records. However, we recognize that this approach may limit the statistical power of our findings. Hence, we have added a new explanation of this issue in the study limitations section.","URL":"https:\/\/f1000research.com\/articles\/11-1054\/v3#referee-comment-11746","order":5,"name":"referee-comment-11746","label":"Referee Comment","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":6,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}