医学
脊柱侧凸
物理疗法
柯布角
特发性脊柱侧凸
生活质量(医疗保健)
随机对照试验
患者满意度
患者依从性
外科
护理部
急诊医学
作者
Yangmin Lin,Edmond Lou,Tsz Ping Lam,Jack Chun Yiu Cheng,Sai Wing Sin,Wing Kwan Kwok,Man Sang Wong
出处
期刊:Spine
[Ovid Technologies (Wolters Kluwer)]
日期:2020-05-21
卷期号:45 (20): 1395-1402
被引量:7
标识
DOI:10.1097/brs.0000000000003559
摘要
Study Design. Randomized controlled trial. Objective. To compare the effectiveness of the automated pressure-adjustable orthosis (PO) and conventional orthosis (CO) for treatment of adolescent idiopathic scoliosis (AIS). Summary of Background Data. Orthosis wearing quality may influence its effectiveness for AIS. An automated PO aimed to provide a more optimized and consistent biomechanical environment. Clinical evaluation was conducted to study the effectiveness of this innovative orthosis. Methods. Patients with AIS who met the criteria (Age 10–14, Cobb 20°–40°, and Risser sign 0–2) were recruited from two clinics and randomly assigned to the PO and CO groups. Compliance sensors were embedded in both groups, while the PO group was set to adjust the interfacial pressure as prescribed automatically. Clinical assessments (radiology and quality of life, QoL) were conducted at the baseline, immediate after orthosis fitting and 1-year follow-up. Orthosis wearing compliance was tracked using thermo and pressure sensors. Results. Twenty-four patients were enrolled with one drop-out (PO, n = 11; CO, n = 12). Significant immediate in-orthosis correction was observed in the PO (11.0° ± 6.5°, 42.0%, P < 0.001) and CO (10.3° ± 5.3°, 37.6%, P < 0.001) groups. After 1 year, no patient with PO progressed while two with CO had progression more than 5°. The mean daily wearing duration was 1.1 hours longer in the PO group as compared with the CO group (15.4 ± 4.5 vs. 14.3 ± 3.8 h). Moreover, the wearing quality within the targeted pressure was 33.9% higher in the PO group (56.5 ± 16.5% vs. 23.1 ± 12.1%, P < 0.001). No significant difference in the QoL results was observed between two groups nor within both groups during the study period. Conclusion. This study showed that the automated PO could enhance wearing quality when compared with the CO, thus offering a better biomechanical corrective effect in the study period without adverse effect on the patients’ wearing quantity and QoL. Level of Evidence: 1
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