Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis

D'Amato, Charles R.; Griggs, Sean M.; McCoy, Barry M.

doi:10.1097/00007632-200109150-00014

Cited by 126 publications

(42 citation statements)

References 19 publications

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“…Historically, brace design has been based on a single classification differentiating between single and double curve patterns. In 2001, d'Amato and collaborators published a paper presenting the results of nighttime bracing with the Providence brace in adolescent girls with IS [15], where brace design was based on a simple classification. The Providence brace system proposes three basic models: lumbar, thoracolumbar and double curve brace designs, with an extension available for high thoracic curves.…”

Section: Introductionmentioning

confidence: 99%

A specific scoliosis classification correlating with brace treatment: description and reliability

Rigo

Villagrasa

Gallo³

2010

Scoliosis

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BackgroundSpinal classification systems for scoliosis which were developed to correlate with surgical treatment historically have been used in brace treatment as well. Previously, there had not been a scoliosis classification system developed specifically to correlate with brace design and treatment. The purpose of this study is to show the intra- and inter- observer reliability of a new scoliosis classification system correlating with brace treatment.MethodsAn original classification system ("Rigo Classification") was developed in order to define specific principles of correction required for efficacious brace design and fabrication. The classification includes radiological as well as clinical criteria. The radiological criteria are utilized to differentiate five basic types of curvatures including: (I) imbalanced thoracic (or three curves pattern), (II) true double (or four curve pattern), (III) balanced thoracic and false double (non 3 non 4), (IV) single lumbar and (V) single thoracolumbar. In addition to the radiological criteria, the Rigo Classification incorporates the curve pattern according to SRS terminology, the balance/imbalance at the transitional point, and L4-5 counter-tilting. To test the intra-and inter-observer reliability of the Rigo Classification, three observers (1 MD, 1 PT and 1 CPO) measured (and one of them, the MD, re-measured) 51 AP radiographs including all curvature types.ResultsThe intra-observer Kappa value was 0.87 (acceptance >0.70). The inter-observer Kappa values fluctuated from 0.61 to 0.81 with an average of 0.71 (acceptance > 0.70).ConclusionsA specific scoliosis classification which correlates with brace treatment has been proposed with an acceptable intra-and inter-observer reliability.

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Section: Introductionmentioning

confidence: 99%

A specific scoliosis classification correlating with brace treatment: description and reliability

Rigo

Villagrasa

Gallo³

2010

Scoliosis

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“…It is well known that the effectiveness of brace treatment depends on the primary in-brace correction and patient compliance [5,11,19]. Compliance is defined as the degree to which patients correctly follow the instructions regarding the brace treatment, and non compliance with brace treatment is a well known problem [11,15].…”

Section: Discussionmentioning

confidence: 99%

Comparison of in-and outpatients protocols for providence night time only bracing in AIS patients – compliance and satisfaction

et al. 2013

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BackgroundSkeletally immature patients diagnosed with adolescent idiopathic scoliosis (AIS) and a Cobb angle above 25degrees is usually treated with a brace. Standard protocols in many centers include hospitalisation for a few days for the purpose of brace adaptation and fitting. The aim of this study is to compare compliance and satisfaction in hospitalization and out patient clinic protocols, at the initiation phase of brace treatment.Materials and methodsTwenty-four consecutive patients with AIS were initiated with the Providence night time only brace at our department between October 2008 and September 2009. The first twelve patients were admitted for a maximum of 3 days during the initiation phase of brace treatment. The following twelve patients were initiated in an outpatient clinic set-up. In this later group, patients and parents were informed about the possibility to be admitted to the hospital, at the initiation phase but all patients chose to be treated as out patient’s protocol. All patients were evaluated by means of conventional x-ray and patients reported outcome measurements. The mean follow up was 6 months for the outpatient group (3-8) and 12 months for the hospitalisation group (9-14). Scoliosis Quality of Life Index (SQLI) was used together with the Odense Scoliosis questionnaire, which was developed for this study. Compliance was measured using the patients’ own statements and the Landauer compliance scoring system.Findings/resultsThe two groups’ matches regarding the age, Risser grad, Cobb angle and primary correction. There were no statistically significant differences between the two groups regarding the SQLI and the Odense Scoliosis questionnaire. The compliance was higher in the ambulatory group.ConclusionOutpatient initiation of bracing in scoliosis seems to give the same correction but better compliance compared to initiation during hospitalization.

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“…The Providence brace was developed by D’Amato, Griggs and McCoy in the mid-1990s 53. The brace works by the application of controlled, direct, lateral and rotational forces on the trunk to move the spine toward the midline or beyond the midline.…”

Section: Brace Typesmentioning

confidence: 99%

“…Compared with natural history and on the basis of the prospective data from the study by Nachemson et al .,2 the Providence brace is found to be effective in preventing curve progression of deformities less than 35° and low apex curves of over 35°. It is more successful in curves with apex at or below T9 compared to curves with apex cephalad to T8 4853…”

Section: Brace Typesmentioning

confidence: 99%

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Adolescent idiopathic scoliosis: Indications and efficacy of nonoperative treatment

Canavese

Kaelin

2011

IJOO

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The strategy for the treatment of idiopathic scoliosis depends essentially upon the magnitude and pattern of the deformity, and its potential for progression. Treatment options include observation, bracing and/or surgery. During the past decade, several studies have demonstrated that the natural history of adolescent idiopathic scoliosis can be positively affected by nonoperative treatment, especially bracing. Other forms of conservative treatment, such as chiropractic or osteopathic manipulation, acupuncture, exercise or other manual treatments, or diet and nutrition, have not yet been proven to be effective in controlling spinal deformity progression, and those with a natural history that is favorable at the completion of growth. Observation is appropriate treatment for small curves, curves that are at low risk of progression, and those with a natural history that is favorable at the completion of growth. Indications for brace treatment are a growing child presenting with a curve of 25°–40° or a curve less than 25° with documented progression. Curves of 20°–25° in patients with pronounced skeletal immaturity should also be treated. The purpose of this review is to provide information about conservative treatment of adolescent idiopathic scoliosis. Indications for conservative treatment, hours daily wear and complications of brace treatment as well as brace types are discussed.

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Nighttime Bracing With the Providence Brace in Adolescent Girls With Idiopathic Scoliosis

Cited by 126 publications

References 19 publications

A specific scoliosis classification correlating with brace treatment: description and reliability

A specific scoliosis classification correlating with brace treatment: description and reliability

Comparison of in-and outpatients protocols for providence night time only bracing in AIS patients – compliance and satisfaction

Adolescent idiopathic scoliosis: Indications and efficacy of nonoperative treatment

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