Scoliosis
Conditions
Keywords
scoliosis, nighttime bracing, full-time bracing, Chêneau brace, Charleston brace
Brief summary
Bracing is an accepted standard therapy for idiopathic scoliosis at Cobb angle ranges between 25° and 45°. However, it is unclear, if a specifically tailored regimen of daytime and nighttime braces (=double brace) yields superior results compared to the standard treatment (single brace for day and night). These two treatment regimens were investigated in the study.
Detailed description
One-hundred-fifteen patients with adolescent idiopathic scoliosis (AIS) were assessed before initiation of bracing treatment and at the final follow-up 2 years after deposition of the brace. They were divided into two groups: double-brace group and single-brace group. Each patient underwent clinical and radiological examinations and Cobb angles were measured.
Interventions
PROCEDUREBrace therapy
A Chêneau-type brace was made to be worn as a full-time brace or during daytime only (double-brace group), whereas the nighttime brace was produced according to the Charleston approach.
Sponsors
Technische Universität Dresden
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* AIS * age between 10 and 15 years (y) * Risser's sign of 0-2 * Cobb curvature angle of 25-40° * no previous treatment * compliance (at least 23 h wearing time)
Exclusion criteria
* non-idiopathic scoliosis * Cobb curvature angle \>40° * \<10 years and \>15 years for initial treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| primary correction | At study inclusion with initiation of brace therapy | Primary correction (%) of brace therapy (Cobb angle measurement) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cobb angle reduction | 2 years after deposition of the brace | Follow-up Cobb angle (degree) in relation to the initial Cobb angle |
Outcome results
None listed