How to improve aesthetics in patients with Adolescent Idiopathic Scoliosis (AIS): a SPoRT brace treatment according to SOSORT management criteria

Zaina, Fabio; Négrini, Stefano; Fusco, Claudia; Atanasio, Salvatore

doi:10.1186/1748-7161-4-18

Cited by 12 publications

(7 citation statements)

References 19 publications

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“…• is able to improve aesthetics in scoliosis patients, with a prospective not-controlled cohort study [ 52 ] on 34 consecutive AIS patients 13 years old with curves of 32° Cobb with Aesthetic Index (AI) [ 36 ] scores of at least 5/6. At baseline, median AI was 6 (95% IC 5-6), but the score decreased to 3 (95% IC 0-5; p < 0.05) after six months with the brace, and this value was maintained in the 29 who completed the treatment (95% IC 1-6; p < 0.05 with respect to baseline).…”

Section: Results and Case Reportsmentioning

confidence: 99%

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Brace technology thematic series - The Sforzesco and Sibilla braces, and the SPoRT (Symmetric, Patient oriented, Rigid, Three-dimensional, active) concept

Négrini

Marchini²,

Tessadri³

2011

Scoliosis

Self Cite

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BackgroundBracing is an effective strategy for scoliosis treatment, but there is no consensus on the best type of brace, nor on the way in which it should act on the spine to achieve good correction. The aim of this paper is to present the family of SPoRT (Symmetric, Patient-oriented, Rigid, Three-dimensional, active) braces: Sforzesco (the first introduced), Sibilla and Lapadula.MethodsThe Sforzesco brace was developed following specific principles of correction. Due to its overall symmetry, the brace provides space over pathological depressions and pushes over elevations. Correction is reached through construction of the envelope, pushes, escapes, stops, and drivers. The real novelty is the drivers, introduced for the first time with the Sforzesco brace; they allow to achieve the main action of the brace: a three-dimensional elongation pushing the spine in a down-up direction.Brace prescription is made plane by plane: frontal (on the "slopes", another novelty of this concept, i.e. the laterally flexed sections of the spine), horizontal, and sagittal. The brace is built modelling the trunk shape obtained either by a plaster cast mould or by CAD-CAM construction. Brace checking is essential, since SPoRT braces are adjustable and customisable according to each individual curve pattern.Treatment time and duration is individually tailored (18-23 hours per day until Risser 3, then gradual reduction). SEAS (Scientific Exercises Approach to Scoliosis) exercises are a key factor to achieve success.ResultsThe Sforzesco brace has shown to be more effective than the Lyon brace (matched case/control), equally effective as the Risser plaster cast (prospective cohort with retrospective controls), more effective than the Risser cast + Lyon brace in treating curves over 45 degrees Cobb (prospective cohort), and is able to improve aesthetic appearance (prospective cohort).ConclusionsThe SPoRT concept of bracing (three-dimensional elongation pushing in a down-up direction) is different from the other corrective systems: 3-point, traction, postural, and movement-based. The Sforzesco brace, being comparable to casting, may be the best brace for the worst cases.

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Section: Results and Case Reportsmentioning

confidence: 99%

“…Brace treatment must almost always achieve very good aesthetic body shaping [ 36 ]. It is intended to achieve radiographic results that are compatible with good functioning of the spine in adulthood, while the quality-of-life impact and psychological disturbances due to the brace must be minimised [ 5 , 17 , 37 ].…”

Section: Practical Issuesmentioning

confidence: 99%

Brace technology thematic series - The Sforzesco and Sibilla braces, and the SPoRT (Symmetric, Patient oriented, Rigid, Three-dimensional, active) concept

Négrini

Marchini²,

Tessadri³

2011

Scoliosis

Self Cite

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“…This may indicate that the respondents in this study have a much poorer affective association toward the brace, regardless of the color. This could also be explained by the poor user acceptance and affective association of patients toward medical garments 31,34 and it is possible that context would greatly shape affective associations toward the colors used. As such, the feedback or reaction toward color swatches might not be always applicable to real‐world situations or objects 35 .…”

Section: Discussionmentioning

confidence: 99%

“…Consumers prefer to buy analgesics in a red colored package, 29 and sky blue is preferred as the painted color of a psychological counseling office 30 . Studies have also been conducted on the importance of color preference in developing medical garments for adolescents, 11,31 but to the best of the knowledge of the authors, there are no studies done for older adults. Hence, this study aims to investigate: (a) the color‐affective associations and color preferences of the ASD patients toward flexible brace or similar medical garments, and (b) the ASD patients' requirement color attributes toward flexible brace or similar medical garments.…”

Section: Introductionmentioning

confidence: 99%

Affective association with and preference for flexible brace colors in older adults with spinal deformities

Chung

Yip

Yick

et al. 2021

Color Research & Application

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Patients with adult spinal deformities, often suffer from the physical shortcomings of rigid braces and psychological hurdles of traditional rigid bracing treatment. The color of flexible braces is a physical element that influences user perception and treatment acceptance. This study aims to investigate the affective valence and preferences of patients with adult spinal deformities toward contextless colors and flexible brace colors, respectively, then understand their color requirements of flexible braces in terms of the color attributes (lightness and chroma). A total of 32 Chinese participants with adult spinal deformities (25 females and 7 males aged 61.9 ± 4.16) participated in the study. Participants are required to score 36 contextless and brace colors using the affective appraisal scale and the colors are measured using spectrophotometer. The experimental results showed that context is an important factor in influencing the affective perception but not the color preferences of participants. Adult spinal deformities patients have a more positive affective connotations toward the brace color with lighter achromatic shades. This study provides new insights for the choosing of colors during the design process of medical orthoses.

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“…The concept of bracing to treat scoliosis reattracted people’s attention in the middle of the 20th century, due to an increase in complications in surgical treatment. Several rigid braces, such as Milwaukee [ 14 , 18 , 19 , 20 , 21 ], Boston [ 22 , 23 , 24 , 25 ], Lyon [ 26 , 27 , 28 ], and Chêneau braces [ 29 , 30 , 31 , 32 ], were developed for treating different scoliosis curves and have different correction principles.…”

Section: Corrective Orthoses (Braces)mentioning

confidence: 99%

Spinal Deformities and Advancement in Corrective Orthoses

et al. 2020

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Spinal deformity is an abnormality in the spinal curves and can seriously affect the activities of daily life. The conventional way to treat spinal deformities, such as scoliosis, kyphosis, and spondylolisthesis, is to use spinal orthoses (braces). Braces have been used for centuries to apply corrective forces to the spine to treat spinal deformities or to stabilize the spine during postoperative rehabilitation. Braces have not modernized with advancements in technology, and very few braces are equipped with smart sensory design and active actuation. There is a need to enable the orthotists, ergonomics practitioners, and developers to incorporate new technologies into the passive field of bracing. This article presents a review of the conventional passive braces and highlights the advancements in spinal orthoses in terms of improved sensory designs, active actuation mechanisms, and new construction methods (CAD/CAM, three-dimensional (3D) printing). This review includes 26 spinal orthoses, comprised of passive rigid/soft braces, active dynamics braces, and torso training devices for the rehabilitation of the spine.

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How to improve aesthetics in patients with Adolescent Idiopathic Scoliosis (AIS): a SPoRT brace treatment according to SOSORT management criteria

Abstract: Background: Aesthetics is a main goal of both conservative and surgical treatments in adolescent idiopathic scoliosis (AIS). Previously, we developed and validated a clinical scale -the Aesthetic Index (AI)--in order to measure aesthetic impairment and changes during treatment.

Cited by 12 publications

References 19 publications

Brace technology thematic series - The Sforzesco and Sibilla braces, and the SPoRT (Symmetric, Patient oriented, Rigid, Three-dimensional, active) concept

Brace technology thematic series - The Sforzesco and Sibilla braces, and the SPoRT (Symmetric, Patient oriented, Rigid, Three-dimensional, active) concept

Affective association with and preference for flexible brace colors in older adults with spinal deformities

Spinal Deformities and Advancement in Corrective Orthoses

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