Article

OBJECTIVE: To assess the effectiveness of bracing in adult with scoliosis.
DESIGN: Retrospective cohort study. SETTING: Outpatients followed in 2 tertiary
care hospitals. PARTICIPANTS: Adults (N=38) with nonoperated progressive
idiopathic or degenerative scoliosis treated by custom-molded lumbar-sacral
orthoses, with a minimum follow-up time of 10 years before bracing and 5 years
after bracing. Progression was defined as a variation in Cobb angle >/=10 degrees
between the first and the last radiograph before bracing.
The brace was
prescribed to be worn for a minimum of 6h/d. INTERVENTIONS: Not applicable. MAIN
OUTCOME MEASURE: Rate of progression of the Cobb angle before and after bracing
measured on upright 3-ft full-spine radiographs. RESULTS: At the moment of
bracing, the mean age was 61.3+/-8.2 years, and the mean Cobb angle was 49.6
degrees +/-17.7 degrees . The mean follow-up time was 22.0+/-11.1 years before
bracing and 8.7+/-3.3 years after bracing. For both types of scoliosis, the rate
of progression decreased from 1.28 degrees +/-.79 degrees /y before to .21
degrees +/-.43 degrees /y after bracing (P<.0001). For degenerative and
idiopathic scoliosis, it dropped from 1.47 degrees +/-.83 degrees /y before to
.24 degrees +/-.43 degrees /y after bracing (P<.0001) and .70 degrees +/-.06
degrees /y before to .24 degrees +/-.43 degrees /y after bracing (P=.03),
respectively. CONCLUSIONS: For the first time, to our knowledge, this study
suggests that underarm bracing may be effective in slowing down the rate of
progression in adult scoliosis. Further prospective studies are needed to confirm
these results.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.
- Corset

Langue : ANGLAIS