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A pilot study on the "ScoliBrace" in the treatment of adolescent idiopathic scoliosis.
Lim, Kevin Boon Leong; Mak, Heidi Ka Wing; Abdul Rahaman, Siti Hauzah; Ong, Ling Ling; Ooi, Shi Yang Jess; Lee, Nicole Kim Luan.
Afiliación
  • Lim KBL; Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore, Singapore.
  • Mak HKW; Division of Surgery, KK Women's and Children's Hospital, Singapore, Singapore.
  • Abdul Rahaman SH; Orthopaedia Singapore, Singapore, Singapore.
  • Ong LL; Speciality & Ambulatory Services Division, KK Women's and Children's Hospital, Singapore, Singapore.
  • Ooi SYJ; Speciality & Ambulatory Services Division, KK Women's and Children's Hospital, Singapore, Singapore.
  • Lee NKL; Speciality & Ambulatory Services Division, KK Women's and Children's Hospital, Singapore, Singapore.
Eur J Orthop Surg Traumatol ; 34(4): 1803-1809, 2024 May.
Article en En | MEDLINE | ID: mdl-38416233
ABSTRACT

PURPOSE:

Bracing for adolescents with idiopathic scoliosis (AIS) is a treatment option to prevent curve progression to surgical level. This study aimed to assess the efficacy of a 3D fully customized over corrective brace, "ScoliBrace," an orthosis treatment for AIS.

METHODS:

This was a prospective pilot study of AIS female patients with inclusion criteria followed recommended Scoliosis Research Society (SRS) Guidelines. Cobb angles measured at baseline (T0), 21 months (T5-2), skeletal maturity (T6), 6 months post-brace (T7), along with hours of brace wear using a thermal sensor and health-related quality of life (HRQoL) using the SRS-22r questionnaire.

RESULTS:

A total of 30 female AIS patients with mean age 11.85 ± 0.68 years, predominantly Risser 0 (70%), and median Cobb angle 29° were recruited; 21 patients were included for the final analysis. Results showed significant difference in Cobb angle between T0 and T5-2 (median = 22.5° vs. 28.5°, p = 0.0082). 57.14% had reduction in Cobb angle by ≥ 5° at skeletal maturity. Cobb angle reduced 0.794° for each additional hour of dosage (p = 0.036, 95% CI = - 1.532°, - 0.056°). Although pain level was increased at T6 (4.37 ± 0.51vs.4.70 ± 0.41, p = 0.014), patients reported significantly greater satisfaction with management of their condition (3.90 ± 0.90vs.3.29 ± 0.88, p = 0.020).

CONCLUSION:

Results show similar findings to the BRAIST study, whereby curves remained under surgical threshold and showed improvement. More than half had curve reduction of ≥ 5° at skeletal maturity. Increased dose was also associated with improved outcomes. Using "ScoliBrace" as a non-surgical treatment, maintained curves below surgical threshold and showed curve reduction, improving patient satisfaction with management.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Escoliosis / Tirantes Límite: Adolescent / Child / Female / Humans Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Singapur Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Escoliosis / Tirantes Límite: Adolescent / Child / Female / Humans Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Singapur Pais de publicación: Francia