A Comparison of Thoracolumbosacral Orthoses and SpineCor Treatment of Adolescent Idiopathic Scoliosis Patients Using the Scoliosis Research Society Standardized Criteria

Gammon, Steven R.; Mehlman, Charles T.; Chan, Winston; Heifetz, Jonathan; Durrett, Gregory; Wall, Eric J.

doi:10.1097/bpo.0b013e3181e4f761

Cited by 40 publications

(38 citation statements)

References 30 publications

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“…Today it is possible to find 5 studies respecting all these criteria [9,16-19]: looking at them as a whole, bracing seems to alter positively the natural history of AIS, and apparently best results can be achieved when the SOSORT criteria are satisfied [2]. …”

Section: Introductionmentioning

confidence: 99%

The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study

Négrini

Donzelli

Lusini

et al. 2014

BMC Musculoskelet Disord

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BackgroundRecently an RCT confirmed brace efficacy in adolescent idiopathic scoliosis (AIS) patients. Previously, a Cochrane review suggested also producing studies according to the Scoliosis Research Society (SRS) criteria on the effectiveness of bracing for AIS. Even if the SRS criteria propose a prospective design, until now only one out of 6 published studies was prospective. Our purpose was to evaluate the effects of bracing plus exercises following the SRS and the international Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) criteria for AIS conservative treatment.MethodsStudy design/setting: prospective cohort study nested in a clinical database of all outpatients of a clinic specialized in scoliosis conservative treatment.Patient sample: seventy-three patients (60 females), age 12 years 10 months ±17 months, 34.4±4.4 Cobb degrees, who satisfied SRS criteria were included out of 3,883 patients at first evaluation.Outcome measures: Cobb angle at the end of treatment according to SRS criteria : (unchanged; worsened 6° or more, over 45° and surgically treated, and rate of improvement of 6° or more).Braces were prescribed for 18–23 hours/day according to curves magnitude and actual international guidelines. Weaning was gradual after Risser 3. All patients performed exercises and were managed according to SOSORT criteria. Results in all patients were analyzed according to intent-to-treat at the end of the treatment. Funding and Conflict of Interest: no.ResultsOverall 34 patients (52.3%) improved. Seven patients (9.6%) worsened, of which 1 patient progressed beyond 45° and was fused. Referred compliance was assessed during a mean period of 3 years 4 months ±20 months; the median adherence was 99.1% (range 22.2-109.2%). Employing intent-to-treat analysis, there were failures in 11 patients (15.1%). At start, these patients had statistically significant low BMI and kyphosis, high thoracic rotation and higher Cobb angles. Drop-outs showed reduced compliance and years of treatment; their average scoliosis at discontinuation was low: 22.7° (range 16-35°) at Risser 1.3 ± 1.ConclusionsBracing in patients with AIS who satisfy SRS criteria is effective. Combining bracing with exercise according to SOSORT criteria shows better results than the current literature.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study

Négrini

Donzelli

Lusini

et al. 2014

BMC Musculoskelet Disord

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“…With the variety of brace applications available today, there are different characteristics with varying outcomes. Independent studies have shown that soft braces have no advantage over rigid braces [5][6][7][8] . Rigid braces may be symmetric or asymmetric.…”

Section: Introductionmentioning

confidence: 99%

Bracing scoliosis: The evolution to CAD/CAM for improved in-brace corrections

Weiss¹,

Seibel²,

Moramarco³

et al. 2013

Hard Tissue

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“…With the use of Pilates, Araujo et al In studies that used some type of corrective brace for treatment of IS, 66.6% (two of three) reported improvement in progression of spine lateral inclination. Gammon et al (35) found a little increase in Cobb angle of 6.7° in patients with SpineCor brace and an increase of 4.8° in subjects with thoracolumbosacral orthoses. Negrini et al (37) found a statistically significant reduction (p < 0.05) of Cobb angle only in the groups wich associated the use of corrective braces (18,21 or 23 hours per day) to kinesiotherapy -except the group that used the Risser brace.…”

Section: Resultsmentioning

confidence: 99%

“…Among the studies with corrective brace, 66.7% showed or a reduction of the curve magnitude or a higher rate of subjects with improvement or stabilization of the curve; meanwhile only Gammon et et al (35) detected an increase in the Cobb angle after intervention. It is noteworthy that the study of Gammon et al (35) was the only one that did not use any kinesiotherapeutic technique in any of its treatment groups.…”

Section: Discussionmentioning

confidence: 99%

Non-invasive interventions in idiopathic scoliosis: a systematic review

2017

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Introduction: Idiopathic Scoliosis (IS) is an idiopathic curvature of the spine in all three plans, been treated conservatively (non-invasive) or surgicaly (invasive). The effectiveness of noninvasive therapy still remains lacking in a scientific basis to support their evidence-based applicability. Objective: Evaluate the effects of non-invasive interventions in spine lateral inclination in IS through a systematic literature review. Methods: The search of studies in MEDLINE, SCOPUS and COCHRANE databases was performed on 24th March, 2014. The terms used were: Scoliosis, therapeutic exercise, physical therapy. Clinical trials with scoliotic patients undergoing some type of non-invasive intervention were included. The outcome was spine lateral inclination. Results: The research found 941 studies, seven of these were included after a screening performed by two independent reviewers. Six studies (85.7%) have adopted some sort of kinesiotherapeutic technic, and three studies (42.8%) used corrective orthosis. The average intervention time in kinesiotherapeutic technique studies was of 37.6 weeks and 91.6 weeks in the studies of corrective brace. The progression improvement of the spine lateral inclination was reported by 83.3% (5 of 6) of the kinesiotherapeutic technique studies and in 66.6% (2 of 3) of studies with corrective brace. Conclusion: An improvement was found, in general, in the progression of spine lateral inclination in IS subjects of both sexes from 11 to 25 years of age undergoing non-invasive interventions.

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A Comparison of Thoracolumbosacral Orthoses and SpineCor Treatment of Adolescent Idiopathic Scoliosis Patients Using the Scoliosis Research Society Standardized Criteria

Abstract: We were unable to identify any significant differences in brace treatment outcomes when comparing TLSO and SpineCor treated patients.

Cited by 40 publications

References 30 publications

The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study

The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study

Bracing scoliosis: The evolution to CAD/CAM for improved in-brace corrections

Non-invasive interventions in idiopathic scoliosis: a systematic review

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