Forskning & artikler
Korsettering af skoliose
Dette studie fra USA blev stoppet før tid, da man allerede havde påvist effekten ved korsettering af skoliose, og dermed ikke kunne forsvare at have kontrolgruppen uden korset:
Udklip fra Resultaterne af studiet omkring bæretid på 12,9 timer/dag eller over for bedst effekt af korsettering:
BRACE DOSE–RESPONSE RELATIONSHIP
The majority of patients assigned to bracing (68%) were treated with a customized Boston-type thora- columbosacral orthosis. Temperature data were available for 116 patients (from both the random- ized and preference cohorts). During the first 6 months, patients wore the brace for a mean (±SD) of 12.1±6.5 hours per day (range, 0 to 23.0). The quartile of duration of brace wear was positively associated with the rate of success (P<0.001). The lowest quartile of wear (mean hours per day, 0 to 6.0) was associated with a success rate (41%) sim- ilar to that in the observation group in the pri- mary analysis (48%), whereas brace wear for an average of at least 12.9 hours per day was associated with success rates of 90 to 93% (Fig. 2).
Conclusion:
Bracing significantly decreased the progression of high-risk curves to the threshold for surgery in patients with adolescent idiopathic scoliosis. The benefit increased with longer hours of brace wear.
Vigtigheden af bæretid i korset er allerede belyst i dette studie fra 1997:
Conclusion:
We found that use of the Milwaukee brace or another thoracolumbosacral orthosis for twenty-three hours per day effectively halted progression of the curve. Bracing for eight or sixteen hours per day was found to be significantly less effective than bracing for twenty-three hours per day
Studie omkring vigtigheden af korrektion i korsettet samt bæretid for slutresultatet:
Conclusion:
Compliant patients with a high initial correction can expect a final correction of around 7 degrees, while compliant patients with low initial correction may maintain the curve extent. Bad compliance is always associated with curve progression.
Conclusion:
According to survivorship analysis, treatment with a brace was associated with a success rate of 74 per cent (95 per cent confidence interval, 52 to 84) at four years; observation only, with a success rate of 34 per cent (95 per cent confidence interval, 16 to 49); and electrical stimulation, with a success rate of 33 per cent (95 per cent confidence interval, 12 to 60)
Cheneau korsetter
Conclusion:
At the end of treatment we observed an improvement in correction around at 23% from the beginning curves, and after 5 years there was stabilization at approximately 15%). Our results demonstrate that conservative treatment with the Cheneau brace is corrective for the treatment of Idiopathic Scoliosis (IS).
Conclusion:
Conservative treatment with Chêneau brace and physiotherapy was effective in our hands for halting scoliosis progression in 100 % of patients.
Conclusion:
Rate of surgery can be reduced with the help of Chêneau braces of the latest standard and satisfactory in-brace correction. Brace treatment with the Chêneau brace seems effective and therefore clearly is indicated. Clinical outcomes may be more important for the patient than radiologic outcomes.
Cheneau Gensingen (GBW)
Conclusion:
Conservative brace treatment using the Gensingen brace was successful in 92% of cases of patients with AIS of 40 degrees and higher. This is a significant improvement compared to the results attained in the BrAIST study (72%). Reduction of the ATR shows that postural improvement is also possible.
Conclusion:
Symmetrical braces for scoliosis are outdated. Asymmetric braces allow better in-brace correction compared to symmetric braces.