The History of Bracing for Scoliosis

Khan, Mahmood; Srinivasan, Visish M.; Jea, Andrew

doi:10.1177/0009922815615829

Cited by 8 publications

(13 citation statements)

References 16 publications

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“…Over the centuries, brace therapy has evolved considerably. In the 19th and early 20th centuries, there was a resurgence of research and applications in Europe and the USA [19]. There are many different types of bracing, with the common ones including the Boston Brace, Xenu Brace, Lyon Brace, Milwaukee Brace, Wilmington Brace, Charleston Brace, Providence Brace, and Spine Cor Brace.…”

Section: Discussionmentioning

confidence: 99%

Clinical Efficacy Study of Schroth Exercise Combined with Orthotic Treatment of Different Wearing Times in Adolescent Idiopathic Scoliosis—A Randomized Controlled Trial

Meng

Luo

et al. 2023

Preprint

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Background The International Scientific Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) proposes that the effect of brace treatment combined with physiotherapeutic scoliosis-specific exercises is significantly better than that of either alone. Wearing full-time rigid braces 23 h a day can effectively control the progression of scoliosis. However, long-term wearing of braces can cause psychological disorders, dyskinesia, lung function disorders, and other issues. Nevertheless, exercise can increase muscle function, correct the physical line, and compensate for the side effects of orthotic treatment. Objective To explore the clinical effects of wearing a full-time rigid brace for 20–24 h/day compared to a part-time rigid brace for 14–18 h/day combined with Schroth three-dimensional exercises on scoliosis correction and quality of life in patients with adolescent idiopathic scoliosis (AIS). Methods Sixty AIS patients were randomly assigned to the full-time brace group and the part-time brace combined with Schroth exercise group, with 30 patients in each group. Patients in the full-time brace group were treated with a rigid thoracolumbar orthosis and were required to wear it for 20–23 h/d. Patients in the part-time brace combined with Schroth exercise group were treated with Schroth three-dimensional exercise, with home and outpatient training together at least 5 times per week. The weekly training time was at least 4–5 hours, and the orthotic device was worn for 14–18 h/d. The two groups of patients were evaluated for Cobb angles and the angle of trunk rotation (ATR), thoracic expansion, and scoliosis research society 22-item (SRS-22) patient questionnaire before enrollment and after 6 months of treatment. Results In the intragroup comparison, Cobb angles, ATR, and thoracic expansion were significantly improved in the combined treatment group after 6 months of treatment compared to before treatment (p < 0.01), and the four indices of SRS-22 were improved before and after treatment, but there was no significant difference (p > 0.05). In the full-time brace group, there was a significant reduction in the Cobb angles (P < 0.01), but there was no statistically significant difference in the ATR, thoracic expansion, or SRS-22 before and after treatment. Comparing between groups, the combined treatment group showed greater improvement in Cobb angles, ATR, thoracic expansion, and the items of pain and psychology in the SRS-22 compared to the full-time brace group (p < 0.05). There were no differences between the two groups in self-image and function on the SRS-22 (P > 0.05). The satisfaction survey in the SRS-22 of the combined treatment group was better than that of the brace group, but there was no significant difference (P > 0.05). Conclusion The full-time brace and the Schroth 3D motion combined with a part-time brace both decreased the Cobb angle in AIS patients after 6 months of treatment. In addition, the brace combined with Schroth exercise showed significant improvement in the ATR, thoracic expansion, and psychological status and relieved pain. Adequate Schroth exercise can appropriately reduce the time of brace wear without affecting clinical outcomes and support brace treatment. Therefore, conservative treatment of idiopathic scoliosis with bracing combined with Schroth 3D exercise is recommended.

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Section: Discussionmentioning

confidence: 99%

Clinical Efficacy Study of Schroth Exercise Combined with Orthotic Treatment of Different Wearing Times in Adolescent Idiopathic Scoliosis—A Randomized Controlled Trial

Meng

Luo

et al. 2023

Preprint

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“…Paré also recognized other causes and the ineffectiveness of corrective bracing treatment following skeletal maturation. His studies informed the development of modern bracing techniques commonly used today (8).…”

Section: Scoliosis Management In the Premodern Eramentioning

confidence: 99%

“…The patient then underwent spinal fusion surgery, and was subsequently immobilized in a plaster cast for 2 to 3 months. Although the operation often had complications, such as infection, recurrence of the deformity, or pseudoarthrosis, Hibbs's work on spinal fusion was a significant step in the development of modern surgical techniques (8,27).…”

Section: Scoliosis Management In the Premodern Eramentioning

confidence: 99%

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A Historical Perspective of the Management of Scoliosis

Yağcı¹

2022

Erciyes Med J

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A Historical Perspective of the Management of ScoliosisEfforts to treat spinal deformity have a long and fascinating history. The ancient Greek physicians Hippocrates and Galen are credited with early descriptions of the condition, management, and the term scoliosis, though even earlier references are seen in Hindu epics. The first known treatment techniques used axial traction and pressure. Subsequent cast correction required fixation of the pelvis and flattening of lumbar lordosis. Bracing superseded traction as the primary means to treat spinal deformities in the 1900s. The first spinal fusion surgery was performed in the 20 th century. Scoliosis treatment was greatly improved with the recognition of the 3-dimensional nature of scoliosis and its symptoms. Advances in nonsurgical treatment alternatives included the Milwaukee brace and the subsequent development of underarm plastic braces, such as the Boston brace, the Wilmington brace, and the Chêneau brace. Today, treatment options include bracing, and scoliosis-specific exercises selected according to the curve type and severity, in addition to surgery.

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“…İ skelet traksiyonu, ortopedi pratiğinde halen geçerliliğini koruyan tarihsel ve etkili bir yöntemdir. [1][2][3] Özellikle pelvis ve alt ekstremite yaralanmalarında, kırıkta yer değiştirmeye neden olan güçlü kasların çekme kuvvetini karşılayabilmek adına etkili bir yöntemdir. Birkaç istisna dışında, nihai tedavi yöntemi olarak kullanılmaktan ziyade, özellikle ameliyat öncesi dönemde ödem ve ağrı kontrolü, yani hastanın ameliyat hazırlığının bir aşaması olarak daha sıklıkla uygulanmaktadır.…”

unclassified

İskelet traksiyonunda temel prensipler

Yavuz¹,

Koçak²,

Öken³

2018

TOTBID

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Traksiyon tiplerine bakıldığında prensip olarak ikiye ayrılabilir: 1-Sabit traksiyon: Traksiyon uygulaması sabit bir karşı traksiyona karşı yapılmaktadır. (halo-pelvik traksiyon, Thomas splint, Roger Anderson well-leg traksiyon) 2-Kayıcı traksiyon: Vücudun tümü veya bir kısmı yer çekimi etkisi altında hareket ettirilerek, vücut ağırlığı traksiyon sağlamak için kullanılır. (alt ekstremite cilt ve iskelet traksiyonları…) Uygulanma biçimine göre ise traksiyonlar üçe ayrılabilir: 1-Manuel traksiyon: Kırık redüksiyonu sırasında kullanılmaktadır.

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The History of Bracing for Scoliosis

Cited by 8 publications

References 16 publications

Clinical Efficacy Study of Schroth Exercise Combined with Orthotic Treatment of Different Wearing Times in Adolescent Idiopathic Scoliosis—A Randomized Controlled Trial

Clinical Efficacy Study of Schroth Exercise Combined with Orthotic Treatment of Different Wearing Times in Adolescent Idiopathic Scoliosis—A Randomized Controlled Trial

A Historical Perspective of the Management of Scoliosis

İskelet traksiyonunda temel prensipler

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