7th SOSORT consensus paper: conservative treatment of idiopathic &amp; Scheuermann's kyphosis

Mauroy, JC De; Weiss, Hans‐Rudolf; Aulisa, Angelo Gabriele; Aulisa, Lorenzo; Brox, Jan; Durmała, Jacek; Fusco, Claudia; Grivas, Theodoros B; Hermus, Joris P.S.; Kotwicki, Tomasz; Blay, Gabriela; Lebel, Andrea; Marcotte, Louise; Négrini, Stefano; Neuhaus, L; Neuhaus, Thomas J.; Pizzetti, P; Revzina, L; Torres, Blanca; Loon, Pjm Van; Vasiliadis, Elias; Villagrasa, Mónica; Werkman, Maarten S.; Wernicka, M; Wong, Man Sang; Zaina, Fabio

doi:10.1186/1748-7161-5-9

Cited by 51 publications

(39 citation statements)

References 25 publications

(29 reference statements)

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“…Patients were allowed to and encouraged to perform sports and exercises during the time of brace treatment without any restrictions [17]. In addition, they had physiotherapy once a week on a regular basis [9,43,44]. Patients were allowed to discard the brace while exercising, swimming, and during personal hygiene activities.…”

Section: Methodsmentioning

confidence: 99%

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

et al. 2011

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Bracing is an established method of conservative treatment for adolescent idiopathic scoliosis and kyphosis. Compliance among adolescents is frequently inadequate due to the discomfort of wearing a brace, cosmetic issues, and fear on the part of patients and parents that bracing may reduce everyday physical activities. The aim of this prospective, controlled study was to objectify the impact of spinal bracing on daily step activity in patients receiving conservative treatment for adolescent idiopathic scoliosis (AIS) or adolescent kyphosis (AK). Forty-eight consecutive patients (mean age 13.4 ± 2.3 years), consisting of 38 AIS patients (33 girls, 5 boys) and 10 AK patients (6 girls, 4 boys) were included. Once the decision to carry out bracing had been taken and while the patients were waiting for the individual brace to be built, step activity was assessed without braces by means of step activity monitoring (SAM) for seven consecutive days. After 8 weeks of brace wearing, step activity was assessed during regular brace treatment, again for seven consecutive days. In addition, brace-wearing times were simultaneously recorded using temperature probes implanted in the braces to measure compliance. Before and during brace treatment, patients completed the Scoliosis Research Society (SRS-22) questionnaire. The SAM was worn for an average of 12.7 ± 1.5 h/day during the first measurement and 12.3 ± 1.9 h on average during the second measurement. The mean gait cycles (GCs) per day and per hour before treatment were 5,036 ± 1,465 and 395 ± 105, respectively. No significant reduction in step activity was found at the follow-up measurement during bracing, at 4,880 ± 1,529 GCs/day and 403 ± 144 GCs/h. Taking the 23-h recommended time for brace wearing as a basis (100%), patients wore the brace for 72.7 ± 27.6% of the prescribed time, indicating an acceptable level of compliance. Girls showed a higher compliance level (75.6 ± 25.6%) in comparison with boys (56.7 ± 31.9%), although the difference was not significant (P = 0.093). The SRS-22 total score showed no differences between the two measurements (2.57 ± 0.23 vs. 2.56 ± 0.28). Implementing a simultaneous and objective method of assessing step activity and brace-wearing times in everyday life proved to be feasible, and it expands the information available regarding the impact of bracing on patients' quality of life. The results clearly show that brace treatment does not negatively interfere with daily step activity in AIS and AK patients. This is an important finding that should help reduce patients' and parents' worries concerning bracing.

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Section: Methodsmentioning

confidence: 99%

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

et al. 2011

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“…Until now, 12 consensus papers have been published by the SOSORT [6][7][8][9][10][11][12][13][14][15][16][17], including a consensus on terminology that was used initially to form the basis of this work [14]. During the SOSORT annual meeting in Wiesbaden, Germany in May 2014, a consensus group was formed, chaired by Dr. Theodoros B. Grivas, to develop a new brace classification.…”

Section: Introductionmentioning

confidence: 99%

RETRACTED ARTICLE: Brace Classification Study Group (BCSG): part one – definitions and atlas

et al. 2016

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Background: The current increase in types of scoliosis braces defined by a surname or a town makes scientific classification essential. Currently, it is a challenge to compare braces and specify the indications of each brace. A precise definition of the characteristics of current braces is needed. As such, the International Society for Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) mandated the Brace Classification Study Group (BCSG) to address the pertinent terminology and brace classification. As such, the following study represents the first part of the SOSORT consensus in addressing the definitions and providing a visual atlas of bracing. Methods: After a short introduction on the braces, the aim of the BCSG is described and its policies/general consideration are outlined. The BSCG endeavor embraces the very important SOSORT -Scoliosis Research Society cooperation, the history of which is also briefly narrated. This report contains contributions from a multidisciplinary panel of 17 professionals who are part of the BCSG. The BCSG introduced several pertinent domains to characterize bracing systems. The domains are defined to allow for analysis of each brace system.Results: A first approach to brace classification based on some of these proposed domains is presented. The BCSG has reached a consensus on 139 terms related to bracing and has provided over 120 figures to serve as an atlas for educational purposes.Conclusions: This is the first clinical terminology tool for bracing related to scoliosis based on the current scientific evidence and formal multidisciplinary consensus. A visual atlas of various brace types is also provided.

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“…Scoliosis and decreased intervertebral joint space can also be found as radiological changes. (6,7) The main clinical symptoms are back pain and deformity, rarely leading to other complications. In extreme cases can impair cardiorespiratory fitness.…”

Section: Introductionmentioning

confidence: 99%

“…(9) The use of brace is indicated when the kyphosis is median (angles between 55 and 65 degrees) and with a good degree of mobility of the thoracic spine. (3,6,7,10) Few studies describing the evolution of the treatment of adolescents with Scheuermann Hyperkyphosis, the objective of this case study was to demonstrate the effects of therapy on quality of life and function of a patient with this chest deformity with marked kyphosis. Three evaluations were performed: pre-treatment, after six weeks and after twelve weeks of treatment.…”

Section: Introductionmentioning

confidence: 99%

Physical therapy on the conservative treatment on adolescent with Scheuermann’s Disease – a case report.

Duarte¹,

Serenza²,

Almeida³

et al. 2014

mtprehabjournal

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Introduction: The Scheuermann's kyphosis may cause difficulties in social acceptance and in the practice of physical activity in adolescents, mainly caused by deformity of the thoracic spine. This change is diagnosed by radiological imaging when at least three adjacent vertebrae submit a previous larger than 5° wedging. Patients who have a Cobb angle greater than 75° are indicated for surgery. However, to date there is no agreement on how best to approach the patient in the conservative treatment. Objective: To present the conservative treatment of the back pain on an adolescent with Scheuermann's disease. Method: Case report of a young patient complaining of back pain and with the Cobb angle greater than 75°, treated with exercises and postural reeducation for 12 weeks. The changes on flexibility of the spine was measured by the popliteal angle and with a fio de prumo. Moreover, it was evaluated the isometric strength of the trunk, the functional capacity by the Oswestry questionnare and the pain with a Visual Analogue Scale. Results: The patient improved with his pain and functional abilities, maintaining the practice of exercises by himself at home. Conclusion: After learning the exercises and practice it at home, with the orientation of a manual and the physical therapist, the patient do not presented any more complaining of pain. Keywords: Scheuermann's Disease, Back Pain, Physical therapy Resumo Introdução: A Hipercifose de Scheuermann pode trazer dificuldades de aceitação social e práticas de atividades físi-cas em adolescentes, causada principalmente pela deformidade da coluna torácica. Essa alteração é diagnosticada através de imagem radiológica quando ao menos três vértebras adjacentes apresentarem um acunhamento anterior maior do que 5°. Pacientes que possuem um ângulo de Cobb maior que 75° são indicados à cirurgia. Entretanto, até hoje não existe um consenso de qual a melhor forma de abordar o paciente no tratamento conservador. Objetivo: Apresentar o tratamento conservador para dorsalgia de um adolescente portador da Hipercifose de Scheuermann. Mé-todo: Relato de caso de jovem com queixa de dor na coluna e com ângulo de Cobb maior que 75°, tratado através de exercícios e reeducação postural por 12 semanas. As alterações na flexibilidade da coluna foi medida através do ângu-lo poplíteo e com um fio de prumo. Além disso, foi avaliada a força isométrica do tronco, da capacidade funcional pelo questionário Oswestry e finalmente da dor através da Escala Visual Analógica (EVA). Resultados: O paciente obteve melhora no quadro de dor e ganho de função após a sexta semana de tratamento, que se manteve até a última avaliação após 12 semanas. Conclusão: Após aprender os exercícios e continuá-los em casa, sob orientação de um manual e do fisioterapeuta o paciente não apresentou mais queixas de dor. Palavras-chave: Doença de Scheuermann, Dor Lombar, Fisioterapia

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7th SOSORT consensus paper: conservative treatment of idiopathic & Scheuermann's kyphosis

Cited by 51 publications

References 25 publications

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment

RETRACTED ARTICLE: Brace Classification Study Group (BCSG): part one – definitions and atlas

Physical therapy on the conservative treatment on adolescent with Scheuermann’s Disease – a case report.

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