Objective Monitoring of Brace Wearing Time in Adolescents with Scheuermann’s Kyphosis

Sharifi, Pouya; Kamyab, Mojtaba; Babaee, Taher; Ganjavian, Mohammad Saleh

doi:10.31616/asj.2019.0008

Cited by 7 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent study by Sharifi et al reported poor compliance with the Milwaukee brace, and they found that the brace was worn less often than reported by the patients and/or their parents. 29 …”

Section: Discussionmentioning

confidence: 99%

Long-term outcome after brace treatment of Scheuermann's kyphosis: an observational controlled cohort study

AULISA,

MARSIOLO,

CALOGERO

et al. 2023

Eur J Phys Rehabil Med

View full text Add to dashboard Cite

BACKGROUND In the literature, there are several papers on Scheuermann’s kyphosis. It is a structural deformity of the spine that is characterized by anterior wedging of 5° or more of 3 adjacent thoracic vertebral bodies with kyphosis measuring greater than 45° between T5 and T12. Bracing treatment is able to obtain, during skeletal growth, remodeling of the deformed vertebrae. AIM The aim of this study was to evaluate the effectiveness of conservative treatment in Scheuermann’s kyphosis at a minimum follow-up of 10 years. DESIGN This is an observational controlled cohort study nested in a prospective clinical on-going database in patients with Scheuermann kyphosis. SETTING Inpatients and outpatients in Rome. METHODS From a consecutive series of patients included in a prospective database, we selected 158 patients with thoracic Scheuermann’s kyphosis who were treated using an anti-gravity brace: 93 males and 65 females. The mean age at the beginning of the treatment was 14 years. The time bracing prescribed was a max of 20 hours daily and a min of 16 hours daily. Weaning was started when a full recovery of vertebral geometry was seen on a lateral radiograph view or when growing was ended. Radiographical measurements were performed on radiographs from a lateral projection at baseline (t1), at the end of the treatment (t2) and at 10 years of minimum follow-up (t3). To avoid the great variance in the range of curve angles in thoracic kyphosis (TK) that rely on the radiological position, X-rays were performed observing the following position: standing with head straight, arms bent at 45° and hands lightly placed on a support. The anterior wedging angle (Alpha) of the apex vertebra and the degrees of the curve (Cobb methods) were analyzed using statistical analysis. RESULTS The results from our study showed that in 158 patients with TK curves, the mean Cobb angle was 57.6±6.3 SD at baseline, 43.3±7.8 SD at the end of treatment and 44.49±7.4 SD at ten years of follow-up. The alpha angle was 14.43±2.535 SD at baseline and 8.571±3.589 SD at the end of treatment, and after ten years of follow-up, it was 8.654±3.57 SD. The mean duration of treatment was 28.42±12.07 months, and the mean follow-up was 128.3±11.07 months. The difference between baseline and end of treatment, tested with the one-way ANOVA comparisons test, was significant (P<0.0001) for both Cobb angle and alpha; instead, the difference between the end of treatment and follow-up was not significant (P=0.3277). CONCLUSIONS The results confirm that conservative treatment in Scheuermann’s kyphosis during skeletal growth is effective. Bracing treatment can remodel the deformed vertebrae. CLINICAL REHABILITATION IMPACT At the 10-year follow-up after bracing, kyphosis curve correction was stable over time.

show abstract

Section: Discussionmentioning

confidence: 99%

Long-term outcome after brace treatment of Scheuermann's kyphosis: an observational controlled cohort study

AULISA,

MARSIOLO,

CALOGERO

et al. 2023

Eur J Phys Rehabil Med

View full text Add to dashboard Cite

show abstract

“…[ 30 ] A problem with the Milwaukee brace is its visible neck ring and superstructure, which can decrease the patient’s self-image[ 17 ] and brace compliance. [ 31 ] There is a direct relationship between psychosocial issues such as peer pressure at school, social relations, and brace compliance. [ 32 ] However, based on the findings of Korovessis et al,[ 33 ] when AIS patients use their braces under special school uniforms, brace compliance increases and concerns about others seeing the brace decrease.…”

Section: Discussionmentioning

confidence: 99%

Stress level and quality of life of adolescents with idiopathic scoliosis during brace treatment

Pezham¹,

Babaee²,

Bagheripour³

et al. 2022

Turk J Phys Med Rehab

Self Cite

View full text Add to dashboard Cite

Objectives: This study aimed to evaluate the effect of brace treatment on the stress level and quality of life (QoL) of adolescents with idiopathic scoliosis. Patients and methods: A total of 194 adolescent individuals were evaluated in two groups: the adolescent idiopathic scoliosis (AIS) group with 97 patients (20 males, 77 females; mean age: 13.9±1.8 years; range 10 to 18 years) and the control group with 97 age-and sex-matched participants (20 males, 77 females; mean age: 14.3±1.7 years; range 10 to 18 years) with no spinal deformity. The AIS group wore the Milwaukee brace or a thoracolumbosacral orthosis based on the location of the apical vertebra. All participants of the AIS group filled the Persian versions of the revised Scoliosis Research Society 22-item questionnaire (SRS-22r), the eight-item Bad Sobernheim Stress Questionnaire (BSSQ)-Deformity, and BSSQ-Brace. The control group only answered the first 20 items (subtotal items) of the SRS-22r. The brace-related QoL and stress level were assessed based on sex, brace, and deformity types. Results: The subtotal score of the SRS-22r in the AIS group was significantly lower than the control group (p<0.001). There was a significant difference between deformity-related stress and brace-related stress (p<0.001). Regarding the type of treatment, there were no significant differences in QoL and stress level between the Milwaukee brace and thoracolumbosacral orthosis groups (p>0.05). Moreover, there was a weak correlation between the BSSQ-Brace and the self-image, mental-health scores, and the total scores of the SRS-22r (r=0.39 to 0.42, p<0.001); the low level of perceived stress was associated with a high level of perceived QoL. Conclusion: The stress due to brace treatment can decrease function/activity and self-image of adolescents with idiopathic scoliosis.

show abstract

“…In this method, the compliance rate depends on the patients or their parent's estimation. A shortcoming of this method is that it may lead to overestimation of brace compliance 45) . Therefore, the reported results of this variable should be interpreted with caution.…”

Section: Limitationsmentioning

confidence: 99%

Brace-Related Stress and Quality-of-Life Parameters in Adolescents with Idiopathic Scoliosis

Moradi

Memari

Saeedi

et al. 2022

Spine Surg Relat Res

View full text Add to dashboard Cite

Introduction:This study investigated brace-related stress, trunk appearance perception, and quality of life in adolescent girls with idiopathic scoliosis who wear the Milwaukee brace for treatment.Methods: Fifty-two adolescent girls with idiopathic scoliosis participated in this study. They had been under treatment with Milwaukee brace for at least three months. They filled out four questionnaires, including the revised 22-item Scoliosis Research Society questionnaire (SRS-22r), the Brace Questionnaire (BrQ), the Bad Sobernheim Stress Questionnaire-Brace (BSSQ-Brace), and the Trunk Appearance Perception Scale (TAPS).Results: Twenty participants had high stress levels, and thirty-two had moderate stress levels. The total score and emotional and social function scores of the BrQ were significantly higher in participants with high stress compared to those with moderate stress. There was no significant difference between the two groups in the SRS-22r and TAPS questionnaires scores. However, a high Cobb angle had significantly worsened their perception of trunk appearance.Conclusions: It seems that among quality-of-life parameters, social and emotional functions are more affected by stress level in treating adolescent girls with idiopathic scoliosis with a brace. In addition, patients with high stress levels have a worse perception of their trunk appearance.

show abstract

Objective Monitoring of Brace Wearing Time in Adolescents with Scheuermann’s Kyphosis

Cited by 7 publications

References 26 publications

Long-term outcome after brace treatment of Scheuermann's kyphosis: an observational controlled cohort study

Long-term outcome after brace treatment of Scheuermann's kyphosis: an observational controlled cohort study

Stress level and quality of life of adolescents with idiopathic scoliosis during brace treatment

Brace-Related Stress and Quality-of-Life Parameters in Adolescents with Idiopathic Scoliosis

Contact Info

Product

Resources

About