Article

Adult scoliosis is sometimes associated with back pain. Recently, the
Peak() Scoliosis Brace was designed to alleviate pain in adult patients with
scoliosis. OBJECTIVES: To test the efficacy of the Peak Scoliosis Brace in
reducing pain in adult scoliosis patients. STUDY DESIGN: Prospective experimental
cohort study. METHODS: A total of 20 adult females with back pain secondary to
idiopathic scoliosis were included. Patients were evaluated at baseline
immediately before starting bracing and after 1 month. The brace had to be worn
for at least 2 h per day. The outcome measures used were Graphical Rating Scale,
Roland-Morris Questionnaire, Core Outcome Measurement Index, and Oswestry
Disability Index. RESULTS: Worst pain, back pain, and leg pain significantly
improved from 7.15 to 5.85, from 6.55 to 5.25, and from 5.65 to 3.55,
respectively ( p < 0.05). A total of 75% of patients reported improved worst and
leg pain, 65% improved back pain, 30% of patients achieved the minimal clinically
significant difference of 2 points for worst pain, 60% for leg pain, and 25% for
back pain. Roland-Morris Questionnaire and Core Outcome Measurement Index
improved ( p < 0.05) and no differences were observed for Oswestry Disability
Index. CONCLUSION: The Peak Scoliosis Brace led to some improvement of pain at 1
month in a group of adult women with scoliosis and chronic low back pain. The
quality of life did not change significantly. Clinical relevance According to our
data, the Peak Brace is helpful to quickly improve pain in patients with chronic
low back pain secondary to scoliosis. To achieve this goal, it should be applied
for at least 2 h per day.

Langue : ANGLAIS