Bracing of pectus carinatum: A quantitative analysis

Bugajski, Tomasz; Murari, Kartikeya; Lopushinsky, Steven R.; Schneider, Marc P.; Ronsky, Janet L.

doi:10.1016/j.jpedsurg.2018.02.034

Cited by 7 publications

(12 citation statements)

References 48 publications

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“…Moreover, CT can be reliably replaced by optical 3D scanning [1], [17]. 3D scanning is increasingly used in medicine: in plastic and reconstructive surgery, orthopaedics, diagnostics and treatment of cranial deformities, as well as deformities of the anterior chest wall [27], [28].…”

Section: Discussionmentioning

confidence: 99%

“…Pectus carinatum (PC) is a congenital deformity of the anterior chest wall with an incidence described in a relatively wide range, from 1 : 1,500 to 1 : 10,000 [1], [2], [3]. Despite being a congenital malformation, it most often manifests itself clinically at a later age (typically -preschool or at the onset of puberty), and tends to worsen with age [4], [5].…”

Section: Introductionmentioning

confidence: 99%

“…However, surgical interventions are associated with potential risks, such as the risk of surgery, general anaesthesia, or undesirable skin healing (keloids, atrophic scars) [12]. Following previous Ravitch-type corrections, postoperative decreased anterior chest wall compliance was observed as a result of an extensive cartilaginous resection in a significant percentage of patients [1], [10]. This adverse effect can lead to a deterioration in respiratory functions, and thus tolerance to exercise in the future.…”

Section: Introductionmentioning

confidence: 99%

“…In terms of diagnostics, there are several methods used in PC patients, performed as a single procedure or in combination. Computer tomography (CT) or X-ray of the chest, optical 3-dimensional (3D) scan or clinical anthropometry are the most commonly used modalities [1]. CT and X-ray are gradually replaced by magnetic resonance imaging or 3D scanning, due to the reduction of examinations associated with ionizing radiation.…”

Section: Introductionmentioning

confidence: 99%

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The Role of Anthropologic Measurements in Pectus Carinatum Brace Treatment Evaluation

Omaník

Kozlíková

Daumová

et al. 2022

Measurement Science Review

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Objectives: Brace treatment in children with pectus carinatum has become the method of choice during the last decade. The authors evaluate the role of anthropometric measurements in diagnostic and treatment processes. Methods: A prospective study, analysing a compressive brace treatment for pectus carinatum, performed between January 2018 and September 2020. Demographic data, anthropometric dimensions and indexes of the chest, data connected to an orthosis usage, as well as ongoing treatment outcomes were analysed. Results: Forty-seven consecutive patients aged between 10 to 18 years with pectus carinatum were prescribed a compressive brace. Thirtynine of them (83 %) reached clinically positive results while wearing the orthosis for 6 ± 3 months. An improvement in the sagittal chest diameter was 0.5 cm – 2.8 cm (mean 1.0 cm ± 0.5 cm) and an improvement of the Thoracic Index was 0.8 % – 25.1 % (6.4 % ± 4.5 %) by using the brace on average for (6 ± 2) hours a day. Conclusion: Clinical anthropometric measurements can evaluate the dimensions of chest wall and treatment progress in patients with pectus carinatum precisely and thus replace the need for more complex examinations requiring X-rays.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Role of Anthropologic Measurements in Pectus Carinatum Brace Treatment Evaluation

Omaník

Kozlíková

Daumová

et al. 2022

Measurement Science Review

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“…1 This builds on previous research including The Calgary Protocol for bracing Pectus Carinatum: A Preliminary Report 2 and Bracing of Pectus Carinatum: A Quantitative Analysis. 3 Braceworks' specific contributions to the research include clinical knowledge, insight and experience, recruitment of study participants, data collection and analysis, and direct and indirect funding.…”

Section: Introductionmentioning

confidence: 99%

Evolving Business Models in Orthotics

Schneider¹

2021

Can. Prosthet. Orthot. J.

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This submission provides an important historical context for understanding the current challenge facing the Orthotic and Prosthetic community in Alberta including Alberta Aids to Daily Living (AADL), Suppliers, and Providers: maintaining sustainable access to Orthotic care for people with mobility disorders in the face of declining real rates of reimbursement combined with increasing costs and a shortage of skilled Clinicians. Under the Canada Health Act, the federal government delegates responsibility for providing health care to the provinces. This delegation of responsibility to the provinces results in a degree of variability of funding of Orthotics and Prosthetics between provinces across the country. Funding of Orthotics and Prosthetics in Alberta is characterized by structural inequities that favour Prosthetics at the expense of Orthotics. To the extent that the structural inequities that exist in Alberta are related to governance by volunteer-run, non-profit organizations, they may be generalized to the Canadian experience. Finally, in a Call to Action a number of recommendations are made to address the challenge of sustainable access to Orthotic care in Alberta serving as a model for other provinces across Canada. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/35876/28314 How To Cite: Schneider N. Evolving business models in orthotics. Canadian Prosthetics & Orthotics Journal. 2021; Volume 4, Issue 2, No.3. https://doi.org/10.33137/cpoj.v4i2.35876 Corresponding Author: Nancy SchneiderBraceworks Custom Orthotics, 1-3500 24 Ave NW, Calgary, Alberta, Canada.E-Mail: nancy@braceworks.caORCID ID: https://orcid.org/0000-0002-8441-4467

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