Nonoperative management of adolescent idiopathic scoliosis (AIS) using braces

被引：5

作者：

Grivas, Theodoros B. ^{[1
]}

Negrini, Stefano ^{[2
]}

Aubin, Carl-Eric ^{[3
,4
]}

Aulisa, Angelo Gabriele ^{[5
]}

De Mauroy, Jean Claude ^{[6
]}

Donzelli, Sabrina ^{[7
]}

Hresko, M. Timothy ^{[8
]}

Kotwicki, Tomasz ^{[9
]}

Lou, Edmond ^{[10
,11
,12
,13
,14
]}

Maruyama, Toru ^{[15
]}

Parent, Eric C. ^{[16
]}

Rigo, Manuel ^{[17
]}

Thometz, John G. ^{[18
,19
]}

Wong, Man Sang ^{[20
]}

Zaina, Fabio ^{[21
]}

机构：

[1] Tzaneio Gen Hosp Piraeus, Dept Orthopaed & Traumatol, 1 Afendouli & Tzanni, Piraeus 18536, Greece

[2] Univ Brescia, Dept Clin & Expt Sci, Phys & Rehabil Med, Brescia, Italy

[3] Polytech Montreal, Dept Mech Engn, Montreal, PQ, Canada

[4] St Justine Univ Hosp Ctr, Montreal, PQ, Canada

[5] Childrens Hosp Bambino Gest, Inst Sci Res, Orthopaed Dept, Rome, Italy

[6] Clin Parc, Dept Orthoped Med, Lyon, France

[7] ISICO Italian Sci Spine Inst, Phys & Rehabil Med, Milan, Italy

[8] Harvard Med Sch, Boston Childrens Hosp, Orthopaed Surg, Boston, MA 02115 USA

[9] Univ Med Sci, Dept Spine Disorders & Pediat Orthoped, Poznan, Poland

[10] Univ Alberta, Dept Elect & Comp Engn, Edmonton, AB, Canada

[11] Univ Alberta, Dept Surg, Edmonton, AB, Canada

[12] Univ Alberta, Dept Biomed Engn, Edmonton, AB, Canada

[13] Univ Alberta, Dept Pediat Radiol, Edmonton, AB, Canada

[14] Univ Alberta, Dept Diagnost Imaging, Edmonton, AB, Canada

[15] Saitama Prefectural Rehabil Ctr, Ageo, Saitama, Japan

[16] Univ Alberta, Dept Phys Therapy, Edmonton, AB, Canada

[17] Inst Elena Salva, Spinal Deform Rehabil Ctr, Barcelona, Spain

[18] Childrens Hosp Wisconsin, Pediat Orthopaed Surg, Milwaukee, WI 53201 USA

[19] Med Coll Wisconsin, Dept Orthopaed Surg, 8700 W Wisconsin Ave, Milwaukee, WI 53226 USA

[20] Hong Kong Polytech Univ, Dept Biomed Engn, Hong Kong, Peoples R China

[21] ISICO Italian Sci Spine Inst, Milan, Italy

来源：

PROSTHETICS AND ORTHOTICS INTERNATIONAL | 2022年 / 46卷 / 04期

基金：

加拿大自然科学与工程研究理事会;

关键词：

nonoperative management; adolescent idiopathic scoliosis; braces; QUALITY-OF-LIFE; TECHNOLOGY THEMATIC SERIES; SPINAL ORTHOSIS; CONSERVATIVE TREATMENT; SPINECOR BRACE; SRS COMMITTEE; BOSTON BRACE; SOSORT; QUESTIONNAIRE; DESIGN;

D O I：

10.1097/PXR.0000000000000117

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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 bracewear andweaning, adherence, three-dimensionalmodeling, 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.

引用

页码：383 / 391

页数：9

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