Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the Brace Study of the Scoliosis Research Society.

Nachemson, Alf; Peterson, Lars

doi:10.2106/00004623-199506000-00001

Cited by 589 publications

(373 citation statements)

References 39 publications

Supporting

Mentioning

343

Contrasting

Unclassified

Order By: Relevance

“…Weinstein and Ponseti [55] followed curves for an average of 40 years and nearly 70% of curves measuring a minimum of 30°progressed after skeletal maturity. Similarly, Nachemson and Peterson [32] demonstrated 66% of observed patients with idiopathic scoliosis curves measuring 20°to 35°progressed 6°. Karol et al [23] found 32% of boys presenting with a curve of at least 25°and all Risser stages progressed 10°or more.…”

Section: Natural Historymentioning

confidence: 79%

“…Although a complete discussion of these modalities is beyond the scope of this article, convincing evidence of their effectiveness does not exist. Although Goldberg reported similar surgery rates for unbraced patients compared with braced patients [14,15], other studies demonstrate bracing is an effective nonoperative treatment modality preventing curve progression compared with no bracing or treatment with electrical stimulation [32,44].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Brace Management in Adolescent Idiopathic Scoliosis

Schiller

Thakur

Eberson

2010

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Skeletally immature patients with adolescent idiopathic scoliosis are at risk for curve progression. Although numerous nonoperative methods have been attempted, including physical therapy, exercise, massage, manipulation, and electrical stimulation, only bracing is effective in preventing curve progression and the subsequent need for surgery. Brace treatment is initiated as either full-time (TLSO, Boston) or nighttime (Charleston, Providence) wear, although patient compliance with either mode of bracing has been a documented problem. We review the natural history of adolescent idiopathic scoliosis, identify the risks for curve progression, describe the types of braces available for treatment, and review the indications for and efficacy of brace treatment.

show abstract

Section: Natural Historymentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Brace Management in Adolescent Idiopathic Scoliosis

Schiller

Thakur

Eberson

2010

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…However, the different curve topology and severity, different brace concepts and designs should not be analyzed together as this could lead to controversial conclusions. Compared with the natural history [9] and the prospective study data of Nachemson et al [5], most braces are effective in preventing progression of adolescent idiopathic scoliosis for curves under 35 degrees. But there is a lack of knowledge of the effect of brace treatment on the sagittal alignment and more particularly on the 3D transverse plane parameters.…”

Section: Introductionmentioning

confidence: 94%

“…The effect of bracing in idiopathic scoliosis has been evaluated in our series and essentially in the AP plane by means of global statistics [2][3][4][5][6][7][8]. However, the different curve topology and severity, different brace concepts and designs should not be analyzed together as this could lead to controversial conclusions.…”

Section: Introductionmentioning

confidence: 99%

3D analysis of brace treatment in idiopathic scoliosis

et al. 2013

View full text Add to dashboard Cite

Purpose We have evaluated the effect of bracing in scoliosis on coronal alignment in a cohort of patients. Current literature has not described the specific effect of bracing on the 3D shape of the scoliotic curves. The purpose of this study was to analyze the variability of the 3D effect of bracing on idiopathic scoliosis. Materials and methods The spines of 30 patients with adolescent idiopathic scoliosis were reconstructed using biplanar stereoradiography with and without the brace. The Cobb angle, sagittal and pelvic parameters and transverse plane parameters were calculated. The variability and the mean values of each parameter, with and without a brace, were analyzed and compared using a student t test. Results The Cobb angle improved in 50 % of patients but remained unchanged in 50 % cases. In 90 % of the cases lordosis was decreased. The thoracic kyphosis was decreased in 26 % cases, unchanged in 57 % of cases and increased in 17 % cases. The AVR was improved ([5°) in 26 % cases, worsened in 23 % and unchanged in 50 %. Only the differences of Cobb angle and the lordosis were statistically significant.Conclusions Global statistics of this study concur with the literature. The Cobb angle was significantly improved. It also showed a significant hypolordotic effect. However, the results showed a high variability of the brace treatment effect in almost every parameter. Analysis of this variability by means of 3D reconstructions instead of global statistics should help characterize the mechanisms of correction of brace treatment.

show abstract

“…The logical concept is, therefore, diminution of these forces and breaking of the vicious circle. The current literature shows that only continuous wear of a well-fitted brace will be biomechanically effective [5,9,34,35]. At least 50% in-brace Cobb angle correction and adherence to a 20-23 h per day wear regimen are mandatory for success [36][37][38][39].…”

Section: Discussionmentioning

confidence: 99%

No effect of osteopathic treatment on trunk morphology and spine flexibility in young women with adolescent idiopathic scoliosis

Hasler¹,

Schmid²,

Enggist³

et al. 2010

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Introduction Brace treatment is the gold standard for patients with mild adolescent idiopathic scoliosis (Cobb angle 20°-40°). However, negative psychosocial impacts, physical constraints and incompliance cause many patients and parents to seek for so-called holistic and apparently less harmful approaches within the field of complementary and alternative medicine (CAM). Osteopathy-manual interventions on the viscera and locomotor system-is widely used for scoliosis. There is, however, a complete lack of evidence regarding its efficacy. We, therefore, tested the hypothesis that osteopathy alters trunk morphology, a prerequisite to unload the concave side of the scoliosis, and that it halts curve progression.Methods This was a prospective, controlled trial of 20 post-pubertal young women (20°-40°idiopathic scoliosis) randomly allocated to an observation (group 0) or osteopathic treatment (group 1). The latter comprised three sessions (5 weeks). Trunk morphology (clinical examination, video rasterstereography) and spine flexibility (MediMouse Ò ) were assessed at a pre-and post-intervention with a 3-month interval (blinded examiner). We chose scoliometer measurement (rib hump, lumbar prominence) as the main outcome parameter. Results Two patients in the treatment group refused further treatment and the final examination, as they felt no benefit after two osteopathic treatments. Regression analysis for repeat measurements (independent statistician) revealed no therapeutic effect on rib hump, lumbar prominence, plumb line, sagittal profile and global spinal flexibility. Conclusions We found no evidence to support osteopathy in the treatment of mild adolescent idiopathic scoliosis. Therefore, we caution against abandoning the conventional standard of care for mild idiopathic scoliosis. As for other CAM therapies, the use of osteopathy as a treatment option for scoliosis still needs to be clearly defined.

show abstract

Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the Brace Study of the Scoliosis Research Society.

Cited by 589 publications

References 39 publications

Brace Management in Adolescent Idiopathic Scoliosis

Brace Management in Adolescent Idiopathic Scoliosis

3D analysis of brace treatment in idiopathic scoliosis

No effect of osteopathic treatment on trunk morphology and spine flexibility in young women with adolescent idiopathic scoliosis

Contact Info

Product

Resources

About