Nonoperative management of adolescent idiopathic scoliosis (AIS) using braces.

Autor: Grivas TB; Department of Orthopaedics and Traumatology, 'Tzaneio' General Hospital of Piraeus, Piraeus, Greece., Negrini S; Director Physical and Rehabilitation Medicine, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy., Aubin CE; Department Mechanical Engineering, Polytechnique Montreal & Sainte-Justine University Hospital Center, Montreal, Canada., Aulisa AG; Orthopaedic Department, Children's Hospital, Bambino Gest, Institute of Scientific Research, Rome, Italy., De Mauroy JC; Department of Orthopedic Medicine-Clinique du Parc, Lyon, France., Donzelli S; Physical and Rehabilitation Medicine, ISICO-Italian Scientific Spine Institute, Milan, Italy., Hresko MT; Associate Professor of Orthopaedic Surgery, Harvard, Medical School, Boston Children's Hospital, Boston, MA, USA., Kotwicki T; Prof. and Head of Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, Poznan, Poland., Lou E; Department of Electrical and Computer Engineering; Departments of Surgery, Biomedical Engineering, Pediatrics, Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada., Maruyama T; Saitama Prefectural Rehabilitation Center, Ageo, Saitama, Japan., Parent EC; Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada., Rigo M; Institut Elena Salva. Spinal Deformities Rehabilitation Center, Barcelona, Spain., Thometz JG; Pediatric Orthopaedic Surgery; Children's Hospital of Wisconsin, Milwaukee WI, USA.; Department of Orthopaedic Surgery; Medical College of Wisconsin, Milwaukee WI, USA., Wong MS; Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong., Zaina F; ISICO (Italian Scientific Spine Institute), Milan, Italy.
Jazyk: angličtina
Zdroj: Prosthetics and orthotics international [Prosthet Orthot Int] 2022 Aug 01; Vol. 46 (4), pp. 383-391. Date of Electronic Publication: 2022 Mar 23.
DOI: 10.1097/PXR.0000000000000117
Abstrakt: This review presents the state of the art according to the current evidence on nonoperative treatment for adolescent idiopathic scoliosis, focusing on bracing. The definition of braces for the treatment of adolescent idiopathic scoliosis and a short history are provided. The analysis includes biomechanics, types, existing classifications, indications for treatment, time of brace wear and weaning, adherence, three-dimensional modeling, use of ultrasound imaging for bracing, management of treatment, issue of immediate in-brace correction, and documentation of the outcomes usually assessed for brace treatment, including the quality-of-life issues. According to the current evidence, there are two randomized control trials in favor of bracing. There are insufficient data on the superiority of one brace over another, although it is possible to classify and grade braces for efficacy from nonrigid to rigid and very rigid. Nevertheless, there is consensus on patients' management on the need for teamwork focusing on adherence to treatment, acceptability, and family and patient involvement.
(Copyright © 2022 International Society for Prosthetics Orthotics.)
Databáze: MEDLINE