Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk Morphology

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 14.9±...

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Main Authors: Edyta Kinel, Tomasz Kotwicki, Wanda Stryła, Andrzej Szulc
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/435158
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author Edyta Kinel
Tomasz Kotwicki
Wanda Stryła
Andrzej Szulc
author_facet Edyta Kinel
Tomasz Kotwicki
Wanda Stryła
Andrzej Szulc
author_sort Edyta Kinel
collection DOAJ
description 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 14.9±1.3 years, Cobb angle 55.0°±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 14.1±1.8 years, Cobb angle 59.7°±14.6° 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 11.9°±3.4° (5°–18°) in group 1 versus 15.1°±5.6° (6°–25°) in group 2 (P=0.027). The HS was 16.8°±3.8 versus 19.2°±4.6, respectively, P=0.07. 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.
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spelling doaj-art-070213b8a16f43de855fc8a3f0aba1b52025-08-20T02:02:50ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/435158435158Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk MorphologyEdyta Kinel0Tomasz Kotwicki1Wanda Stryła2Andrzej Szulc3Department of Rehabilitation, University of Medical Sciences of Poznan, Ul. 28 Czerwca 1956r. Nr. 135/147, 61-545 Poznan, PolandDepartment of Pediatric Orthopedics and Traumatology, University of Medical Sciences of Poznan, Ul. 28 Czerwca 1956r. Nr. 135/147, 61-545 Poznan, PolandDepartment of Rehabilitation, University of Medical Sciences of Poznan, Ul. 28 Czerwca 1956r. Nr. 135/147, 61-545 Poznan, PolandDepartment of Pediatric Orthopedics and Traumatology, University of Medical Sciences of Poznan, Ul. 28 Czerwca 1956r. Nr. 135/147, 61-545 Poznan, PolandAim. 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 14.9±1.3 years, Cobb angle 55.0°±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 14.1±1.8 years, Cobb angle 59.7°±14.6° 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 11.9°±3.4° (5°–18°) in group 1 versus 15.1°±5.6° (6°–25°) in group 2 (P=0.027). The HS was 16.8°±3.8 versus 19.2°±4.6, respectively, P=0.07. 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.http://dx.doi.org/10.1100/2012/435158
spellingShingle Edyta Kinel
Tomasz Kotwicki
Wanda Stryła
Andrzej Szulc
Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk Morphology
The Scientific World Journal
title Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk Morphology
title_full Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk Morphology
title_fullStr Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk Morphology
title_full_unstemmed Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk Morphology
title_short Corrective Bracing for Severe Idiopathic Scoliosis in Adolescence: Influence of Brace on Trunk Morphology
title_sort corrective bracing for severe idiopathic scoliosis in adolescence influence of brace on trunk morphology
url http://dx.doi.org/10.1100/2012/435158
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