2018
DOI: 10.1371/journal.pone.0193447
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Long-term effects of conservative treatment of Milwaukee brace on body image and mental health of patients with idiopathic scoliosis

Abstract: We aimed to provide a complex assessment of adult females with adolescent idiopathic scoliosis (AIS) after a minimum of 23 years after completed Milwaukee brace treatment. In the present study, a comparison between healthy female and AIS patients’ perception of trunk disfigurement, self-image, mental health, pain level and everyday activity was made. Thirty AIS patients with a mean of 27.77 yrs (SD 3.30) after the treatment were included in the study. The control group consisted of 42 females, matching the age… Show more

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Cited by 26 publications
(36 citation statements)
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“…This is supported by evidence from previous reviews [1,4,7,[30][31][32][33][34][35] of observational and controlled studies showing improvements in Cobb angle measurements with bracing. However, the results of the meta-analysis revealed a mean difference between groups of 2.7°, which is below the normally accepted MDC of 6° [25]. Combined with the lack of difference for follow-up ATR angles between groups, the clinical significance of the difference in spinal deformity measures between bracing and SSE based on the present results is uncertain at best.…”
Section: <B>sse Vs Bracingcontrasting
confidence: 78%
See 1 more Smart Citation
“…This is supported by evidence from previous reviews [1,4,7,[30][31][32][33][34][35] of observational and controlled studies showing improvements in Cobb angle measurements with bracing. However, the results of the meta-analysis revealed a mean difference between groups of 2.7°, which is below the normally accepted MDC of 6° [25]. Combined with the lack of difference for follow-up ATR angles between groups, the clinical significance of the difference in spinal deformity measures between bracing and SSE based on the present results is uncertain at best.…”
Section: <B>sse Vs Bracingcontrasting
confidence: 78%
“…quality. The mean differences reported for Cobb angles were generally greater than the commonly reported minimum detectable change of 6° [25]. Alongside reports of risk ratios from one study indicating greater chances of improvement associated with SSE, this suggests better outcomes with SSE compared with standard care.…”
Section: <B>sse Vs Standard Carementioning
confidence: 65%
“…First, due to the nature of the treatment it is not possible to conduct trials in which patients are blinded. Second, it is difficult to perform RCTs in this kind of treatment because the risk of selection bias [ 54 , 55 , 56 ]. In 2008, Bunge et al tried to perform an RCT study, however with no success since “it is harder to perform a RCT that abolishes or postpones a treatment than a RCT that adds a new treatment” [ 57 ].…”
Section: Discussionmentioning
confidence: 99%
“…1,4 The Milwaukee brace has the additional disadvantage of the apparent cervical ring of the orthosis, which contributes to the problem of the self-image of the adolescent with all its repercussions for that age group. 5 Braces with a proposal of multiplanar correction emerged in the 1990s with the work of Chêneau. This type of brace aimed to correct scoliosis by applying force at multiple points on the trunk.…”
Section: Introductionmentioning
confidence: 99%