Bracing for Acute and Subacute Osteoporotic Compression Fractures: A Systematic Review of the Literature

Hofler, Ryan C.; Jones, Gary E.

doi:10.1016/j.wneu.2020.05.199

Cited by 20 publications

(16 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For patients with painful vertebral fractures, there is low-quality evidence suggesting that spinal bracing using soft or rigid external orthoses for 2 h a day over 6 months may improve pain and trunk muscle strength [286]. There is currently no evidence that bracing with soft or rigid external orthoses improves fracture healing [288]. Hence, routine use of bracing for the treatment of acute or subacute vertebral fractures cannot be recommended (evidence level Ia).…”

Section: Management Of Symptomatic Osteoporotic Vertebral Fracturesmentioning

confidence: 99%

UK clinical guideline for the prevention and treatment of osteoporosis

Armstrong²,

et al. 2022

View full text Add to dashboard Cite

Summary The National Osteoporosis Guideline Group (NOGG) has revised the UK guideline for the assessment and management of osteoporosis and the prevention of fragility fractures in postmenopausal women, and men age 50 years and older. Accredited by NICE, this guideline is relevant for all healthcare professionals involved in osteoporosis management. Introduction The UK National Osteoporosis Guideline Group (NOGG) first produced a guideline on the prevention and treatment of osteoporosis in 2008, with updates in 2013 and 2017. This paper presents a major update of the guideline, the scope of which is to review the assessment and management of osteoporosis and the prevention of fragility fractures in postmenopausal women, and men age 50 years and older. Methods Where available, systematic reviews, meta-analyses and randomised controlled trials were used to provide the evidence base. Conclusions and recommendations were systematically graded according to the strength of the available evidence. Results Review of the evidence and recommendations are provided for the diagnosis of osteoporosis, fracture-risk assessment and intervention thresholds, management of vertebral fractures, non-pharmacological and pharmacological treatments, including duration and monitoring of anti-resorptive therapy, glucocorticoid-induced osteoporosis, and models of care for fracture prevention. Recommendations are made for training; service leads and commissioners of healthcare; and for review criteria for audit and quality improvement. Conclusion The guideline, which has received accreditation from the National Institute of Health and Care Excellence (NICE), provides a comprehensive overview of the assessment and management of osteoporosis for all healthcare professionals involved in its management. This position paper has been endorsed by the International Osteoporosis Foundation and by the European Society for the Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases.

show abstract

Section: Management Of Symptomatic Osteoporotic Vertebral Fracturesmentioning

confidence: 99%

UK clinical guideline for the prevention and treatment of osteoporosis

Armstrong²,

et al. 2022

View full text Add to dashboard Cite

show abstract

“…However, this method has been under continuous scrutiny for years. The authors of a recent meta-analysis [ 11 ] showed that there is insufficient evidence to demonstrate the superiority of a rigid brace over a soft brace or no brace. Nevertheless, the most controversial yet widespread use of spinal bracing is in the treatment of non-specific low back pain, be it acute [ 12 ] or chronic [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Movement Restriction of Spinal Orthoses Using Inertial Measurement Units

Fercho

Krakowiak

Yuser

et al. 2022

IJERPH

View full text Add to dashboard Cite

Despite the frequent use of orthopedic braces or spine stabilizers in diseases such as kyphosis, lordosis, and scoliosis, as well as in the case of injuries and rehabilitation after surgeries, there is no clear evidence of their proper stabilization of the spine while carrying out daily activities. This study sought to assess the spine’s mobility while wearing three different orthopedic braces while performing basic tasks. Ten healthy subjects were enrolled. Three Inertial Measurement Units (IMUs) were attached superficially along the spine at approximate levels: cervical (C7), between thoracic (T8) and lumbar (L3), and sacrum. The angle between sensors was monitored to provide data on the sagittal profile. In addition, the displacement of the spine’s longitudinal axis was measured (rotation). There are three types of orthopedic braces: the semi-rigid Hohmann corset, the Jewett brace, and the Thoracolumbar Fixed Spinal Orthosis (TLSO). Four tasks were monitored: standing, sitting, walking, and picking up an item from the floor with one hand. All braces provided a similar level of stability in both the sagittal plane and rotational axis while lifting an object. On the other hand, while walking and sitting, the TLSO was the only orthosis providing a statistically significant rigidity in the sagittal plane. When performing a more voluntary task, the measured rigidity of softer braces was significantly increased when compared with more involuntary tasks. A certain degree of motion restriction with spinal orthoses may come from the feedback pressure, which stimulates paraspinal muscles to contract and thus increases the overall rigidity of the trunk.

show abstract

“…Key considerations in prescribing assistive devices are to prevent further complications by appropriately fitting the device to the patient and providing proper education and assessment of understanding for their use [58]. As instruments in the rehabilitation process, systematic reviews have investigated the use of spinal orthoses for vertebral osteoporosis including strategies assessed post-vertebral fracture [59]. Few studies have compared spinal orthoses with usual care despite their common use in clinical management.…”

Section: Manual Therapy Taping and Orthosesmentioning

confidence: 99%

“…Few studies have compared spinal orthoses with usual care despite their common use in clinical management. Spinal orthoses appear safe as a means to treat acute and sub-acute vertebral fracture, but there is no clear evidence of superiority for rigid versus soft braces [59]. A recent multi-center, RCT compared soft versus rigid bracing strategies with acute vertebral fracture and found no difference in anterior vertebral body compression at 48 weeks [60].…”

Section: Manual Therapy Taping and Orthosesmentioning

confidence: 99%

The global approach to rehabilitation following an osteoporotic fragility fracture: A review of the rehabilitation working group of the International Osteoporosis Foundation (IOF) committee of scientific advisors

et al. 2022

View full text Add to dashboard Cite

Purpose To conduct a review of the current state of the evidence for rehabilitation strategies post-fragility fracture. Methods Narrative review conducted by the Rehabilitation Working Group of the International Osteoporosis Foundation Committee of Scientific Advisors characterizing the range of rehabilitation modalities instrumental for the management of fragility fractures. Results Multi-modal exercise post-fragility fracture to the spine and hip is strongly recommended to reduce pain, improve physical function, and improve quality of life. Outpatient physiotherapy post-hip fracture has a stronger evidence base than outpatient physiotherapy post-vertebral fracture. Appropriate nutritional care after fragility fracture provides a large range of improvement in morbidity and mortality. Education increases understanding of osteoporosis which in turn increases utilization of other rehabilitation services. Education may improve other health outcomes such as pain and increase a patient's ability for self-advocacy. Conclusion Rehabilitation interventions are inter-reliant, and research investigating the interaction of exercise, nutrition, and other multi-modal therapies may increase the relevance of rehabilitation research to clinical care.

show abstract

Bracing for Acute and Subacute Osteoporotic Compression Fractures: A Systematic Review of the Literature

Cited by 20 publications

References 22 publications

UK clinical guideline for the prevention and treatment of osteoporosis

UK clinical guideline for the prevention and treatment of osteoporosis

Evaluation of Movement Restriction of Spinal Orthoses Using Inertial Measurement Units

The global approach to rehabilitation following an osteoporotic fragility fracture: A review of the rehabilitation working group of the International Osteoporosis Foundation (IOF) committee of scientific advisors

Contact Info

Product

Resources

About