Adolescent Idiopathic Scoliosis, Osteogenesis Imperfecta
Conditions
Keywords
scoliosis, spinal deformity
Brief summary
The proposed investigation is a pilot study that involves pediatric patients affected by spinal deformity (Adolescent Idiopathic Scoliosis and Osteogenesis Imperfecta). The main goal is to evaluate the acceptability, the safety and the overall satisfaction of the patients wearing the back braces produced with an innovative methodology using 3D printers, compared to the current braces manufactured with a production model based on thermoforming, that has well-established clinical efficacy.
Interventions
DEVICEScoliosis back brace
The patients will use the traditional brace, if not already in use, for 2 weeks and then they will wear a 3D printed back brace for the following 2 weeks. Both the braces will be worn for the amount of hours per day prescribed by the physician.
Sponsors
National Research Council of Italy - IPCB
Orthopedic Center Biomedica Su Misura (Brescia, Italy)
Orthopedic Center Labsan (Lecco, Italy)
Politecnico di Milano - DIG Department
IRCCS Eugenio Medea
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DEVICE_FEASIBILITY
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
for Adolescent Idiopathic Scoliosis: * ages 6 to 17 years; * lumbar or thoracolumbar scoliosis; * measured rib hump greater than 5 degrees with scoliometer; * Cobb angle, measured on frontal X-ray images, within 15 and 30 degrees. Inclusion Criteria for Osteogenesis Imperfecta: * ages 3 to 17 years; * vertebral pain and/or vertebral deformity with typical double-concave lenses shape and/or deformity in frontal or sagittal planes assessed with clinical traction, deflection or derotational tests.
Exclusion criteria
* skin allergies; * behavioural and psychiatric problems (e.g., emotional problems, anxiety, panic); * chest dimensions beyond printing limits (i.e., maximum diameter 35 cm and maximum height 60 cm).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comfort and safety evaluation by using surveys | Comparison between traditional and 3D printed brace after 2 weeks of usage of each. | The patients have to fill in ad hoc surveys with open and closed questions about their personal experience with the traditional brace only and after the use of the 3D printed brace. In the closed questions they will have to mark a score from 1 to 7, where higher values correspond to better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Production process time evaluation | The design and manufacturing will take place in the first 2 weeks between the first and the second visit. | The innovative process will be analysed by recording the time for each phase, from the geometry acquisition with 3D scanning to the delivery of the final 3D printed brace. |
| Material amount evaluation | The meaasurements will take place immediately after the brace is removed from the printer and right before delivering the brace to the patient in its final layout. | The production process will be also analyzed in term of amount of material used: both for the final product and for the part wasted in building supports. |
| Stability assessment with and without braces measured by sway area | After 2 weeks of treatment with the 3D printed brace. | Data are collected with an inertial sensor while performing the following task: maintaining a static standing position for 1 minute (3 repetitions), both with and without the braces. |
| Gait symmetry metric with and without braces | After 2 weeks of treatment with the 3D printed brace. | Data are collected with an inertial sensor while performing the following task: Timed Up and Go (TUG) test (3 repetitions). |
Other
| Measure | Time frame | Description |
|---|---|---|
| Thermal distribution on the braces | After 2 weeks of treatment with the thermoformed and the 3D printed brace. | The subjects will be acquired with both the braces (thermoformed and 3D printed) and without using a thermal camera in order to evaluate the temperature distribution and analyse the differences among the different conditions. |
Countries
Italy
Outcome results
None listed