Effects of Thoracolumbosacral Orthosis on Spinal Deformities, Trunk Asymmetry, and Frontal Lower Rib Cage in Adolescent Idiopathic Scoliosis

Korovessis, Panagiotis; Kyrkos, Christos; Piperos, G.; Soucacos, Panayotis N.

doi:10.1097/00007632-200008150-00010

Cited by 46 publications

(18 citation statements)

References 28 publications

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“…Especially for the thoracic curves, the Cobb angles and the translation angles were reduced in the coronal and sagittal plane. Therefore, the brace Our results are confirmed by other studies that have showed that brace treatment had a lordotic effect on the thoracic kyphosis [6,7]. At this time, MR animation is a new procedure with a potential for use in monitoring the brace effect in scoliosis.…”

Section: Discussionsupporting

confidence: 84%

Visualisation of the brace effect on the spinal profile in idiopathic scoliosis

et al. 2004

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Section: Discussionsupporting

confidence: 84%

Visualisation of the brace effect on the spinal profile in idiopathic scoliosis

et al. 2004

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“…The effect of bracing in altering the natural history of progressive adolescent idiopathic scoliosis seems nowadays to be almost generally accepted [12,25]. However, bracing has a quantifiable impact on several aspects on adolescent and family functioning [13,30].…”

Section: Introductionmentioning

confidence: 99%

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

et al. 2006

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Bracing is the most effective non-operative treatment for mild progressive spinal deformities in adolescence but it has shown a considerable impact on several aspects of adolescents' functioning. This crosssectional study investigated the self-perceived health status of adolescents with the two most common deformities, treated with body orthosis. Seventy-nine adolescents with spinal deformities (idiopathic adolescent scoliosis, thoracic Scheuermann kyphosis) and 62 adolescents without spinal deformities were asked to complete the Quality of Life profile for Spine Deformities Instrument. This study showed that adolescents with deformities are significantly less likely to have back pain in training than controls, but more likely to have difficulty in forward bending, and in the most common daily activities while in brace. These individuals claim they wake up because of back pain and feel quite nervous with the external appearance of their body. These patients face often problems with their relations with friends, while they reported difficulties in getting up from bed and sleep at night more often than their counterparts without deformities. As they grow older, patients feel increasing ashamed of their body, as they are more concerned about the future effect of the deformity on their body. As the bracing time increases, patients have much more probability than controls to get low back pain. Girls with deformity have a higher probability than boys to get low back pain while working in the house and while training. Individuals with larger spinal curvatures have more difficulties in bending and increased incidence of back pain than their counterparts with smaller curvatures. Psychological reasons associated mainly with relations at school and back pain are the main causes for low compliance in adolescents with spinal deformities treated with body orthosis. Careful instructions for all individuals who will undergo brace therapy, psychological support for all patients who develop psychological reactions and physical training particularly for older girls should be recommended to increase bracing compliance.

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“…[2][3][4] Since first introduced, braces have usually been recommended to be worn on a 20 -23 hours a day basis, 3,[5][6][7][8][9] and the effectiveness of bracing has depended on this full-time regimen. 3,4,8 However, compliance with the full-time regimen is limited and difficult to measure.…”

mentioning

confidence: 99%

The Objective Determination of Compliance in Treatment of Adolescent Idiopathic Scoliosis With Spinal Orthoses

Helfenstein

Lankes²,

Öhlert³

et al. 2006

Spine

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Long-term logging of temperature within a spinal orthosis is a reliable and simple way to measure objectively the compliance. Thus, comparison of full-time and part-time bracing is made possible on an objective basis. Furthermore, knowing the bracing pattern provides a better focus on other variables of spinal bracing, such as the force distribution within the brace. This knowledge may help to improve further the shape and effectiveness of bracing.

show abstract

Effects of Thoracolumbosacral Orthosis on Spinal Deformities, Trunk Asymmetry, and Frontal Lower Rib Cage in Adolescent Idiopathic Scoliosis

Cited by 46 publications

References 28 publications

Visualisation of the brace effect on the spinal profile in idiopathic scoliosis

Visualisation of the brace effect on the spinal profile in idiopathic scoliosis

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

The Objective Determination of Compliance in Treatment of Adolescent Idiopathic Scoliosis With Spinal Orthoses

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