Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk MorphologyReportar como inadecuado




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The Scientific World JournalVolume 2012 2012, Article ID 435158, 5 pages

Clinical Study

Department of Rehabilitation, University of Medical Sciences of Poznan, Ul. 28 Czerwca 1956r. Nr. 135-147, 61-545 Poznan, Poland

Department of Pediatric Orthopedics and Traumatology, University of Medical Sciences of Poznan, Ul. 28 Czerwca 1956r. Nr. 135-147, 61-545 Poznan, Poland

Received 24 October 2011; Accepted 25 December 2011

Academic Editors: F. Hammarqvist, K. Hasegawa, and R. Pflugmacher

Copyright © 2012 Edyta Kinel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. The aim of the work was to study whether wearing a corrective brace by adolescent girls with severe idiopathic scoliosis can influence external shape of the trunk. Methods. Comparison of clinical deformity of two groups of girls matched for age and Cobb angle: group 1 of 23 girls, aged 1 4 . 9 ± 1 . 3 years, Cobb angle 5 5 . 0 ∘ ± 6 . 8 ∘ , who refused surgical treatment and have been wearing Chêneau brace for more than 6 months, compared with group 2 of 22 girls, aged 1 4 . 1 ± 1 . 8 years, Cobb angle 5 9 . 7 ∘ ± 1 4 . 6 ∘ never treated with corrective bracing. Clinical deformity was assessed with the Bunnell scoliometer angle of trunk rotation ATR and surface topography posterior trunk symmetry index POTSI and Hump Sum HS. Results. The ATR in the primary curvature was 1 1 . 9 ∘ ± 3 . 4 ∘ 5°–18° in group 1 versus 1 5 . 1 ∘ ± 5 . 6 ∘ 6°–25° in group 2 𝑃 = 0 . 0 2 7 . The HS was 1 6 . 8 ∘ ± 3 . 8 versus 1 9 . 2 ∘ ± 4 . 6 , respectively, 𝑃 = 0 . 0 7 . The POTSI value did not differ between groups. Conclusion. Girls with Cobb angle above 45 degrees, who have been subjected to brace treatment, revealed smaller clinical deformity of their back comparing to nontreated girls having similar radiological curvatures.





Autor: Edyta Kinel, Tomasz Kotwicki, Wanda Stryła, and Andrzej Szulc

Fuente: https://www.hindawi.com/



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