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Boston brace

Annika Blomkvist, Kristina Olsson, Meta N Eek
BACKGROUND: Scoliosis is common in children with neuromuscular deficits. It is often associated with an asymmetric sitting position and with poor balance. Many children with neuromuscular scoliosis spend most of their day sitting. OBJECTIVES: To describe how sitting function is affected by treatment with a modified custom-moulded Boston brace in children with neuromuscular scoliosis. STUDY DESIGN: Retrospective review of medical records. METHODS: A review of medical records from children fitted with scoliosis braces, including analysis of sitting, using a pressure-mapping system...
June 1, 2018: Prosthetics and Orthotics International
Eran Kessous, Tracy Borsinger, Ayesha Rahman, Pierre A d'Hemecourt
STUDY DESIGN: Clinical case report of unilateral pedicular stress fracture with a contralateral spondylolysis in a male high-school athlete presenting with low back pain. OBJECTIVE: To report this uncommon cause of low back pain in an adolescent athlete, and review the relevant literature. SUMMARY OF BACKGROUND DATA: The incidence of spondylolysis in the Caucasian population was found to be about 3% to 6%. This number is probably higher in the athletic adolescent age group, with reports ranging from 8% to 15%...
September 15, 2017: Spine
Miriam K Minsk, Kristen D Venuti, Gail L Daumit, Paul D Sponseller
BACKGROUND: Bracing can effectively treat adolescent idiopathic scoliosis (AIS), but patient outcomes have not been compared by brace type. We compared outcomes of AIS patients treated with Rigo Chêneau orthoses (RCOs) or custom-molded Boston-style thoracolumbosacral orthoses (TLSOs). METHODS: We retrospectively reviewed patient records from one scoliosis center from 1999 through 2014. Patients were studied from initial treatment until skeletal maturity or surgery...
2017: Scoliosis and Spinal Disorders
Gabriel Gutman, Mathieu Benoit, Julie Joncas, Marie Beauséjour, Soraya Barchi, Hubert Labelle, Stefan Parent, Jean-Marc Mac-Thiong
BACKGROUND CONTEXT: The Boston brace (Bb) is the most widely used brace design to treat adolescent idiopathic scoliosis (AIS). The dynamic SpineCor (SC) brace is prescribed in several scoliosis clinics worldwide, but its effectiveness remains controversial. PURPOSE: The study aimed to compare the treatment effectiveness of SC in patients with AIS treated by the developers of the brace with that of the Bb at a single institution. STUDY DESIGN/SETTING: This is a retrospective comparison between a cohort of AIS patients treated using the SC brace and a cohort treated using the Bb...
May 2016: Spine Journal: Official Journal of the North American Spine Society
Harald Steen, Johan Emil Lange, Jens Ivar Brox
BACKGROUND: Many years of bracing represent a burden to the patients. Early weaning may be the result of poor compliance, but may also be planned in patients with a long expected treatment time and a reduced stable primary curve during bracing. The aim of the present cohort study was to compare curve size, health related quality of life and surgical rates at long-term follow-up after ordinary bracing, planned and unplanned early weaning. METHODS: Three hundred eighty-one patients (353 girls/28 boys) with late-onset juvenile (n = 30) and adolescent (n = 351) idiopathic scoliosis and a mean primary major curve of 33...
2015: Scoliosis
Hans-Rudolf Weiss, Alexander Kleban
STUDY DESIGN: Retrospective controlled cohort study comparing the in-brace correction of two samples of scoliosis patients with braces of different computer aided design (CAD). PURPOSE: In-brace correction and compliance correlate with outcome. The more standardized CAD braces that are available should enable improved in-brace correction and outcome. This study compared recent CAD brace developments with respect to in-brace corrections. OVERVIEW OF LITERATURE: A 2013 randomized controlled trial demonstrated that 72% of a population complying to Scoliosis Research Society inclusion criteria on bracing did not progress using braces (mainly Boston braces) used in the United States and Canada with moderate corrective effect...
October 2015: Asian Spine Journal
Ane Simony, Emil Jesper Hansen, Leah Y Carreon, Steen Bach Christensen, Mikkel Osterheden Andersen
BACKGROUND: Since 1962 to the mid eighties the Harrington Rod instrumentation was the Golden standard for surgical treatment of Adolescent Idiopathic Scoliosis (AIS). The Boston braces were introduced in the 1970´s and are still used as a conservative treatment, for curves less than 40°. Very few long-term studies exists, focusing on the health related quality of life. The purpose of this study was to evaluate the long-term health related outcome, in a cohort of AIS patients, treated 25 years ago...
2015: Scoliosis
Emmanouil Grigoriou, Jeffrey R Boris, John P Dormans
BACKGROUND: Postural orthostatic tachycardia syndrome (POTS) is the most common of several types of dysautonomia, characterized by dysfunction of the autonomic nervous system manifesting with symptoms of orthostatic intolerance with or without associated orthostatic hypotension and excessive autonomic excitation. Given the numerous presenting musculoskeletal symptoms of POTS and its known associations with other clinical entities like Ehlers-Danlos syndrome, POTS constitutes an unusual treatment challenge of which the orthopaedic surgeon and other related healthcare providers should be aware...
February 2015: Clinical Orthopaedics and related Research
James O Sanders, Peter O Newton, Richard H Browne, Donald E Katz, John G Birch, J Anthony Herring
BACKGROUND: Although the efficacy of bracing for adolescent idiopathic scoliosis has been debated, recent evidence indicates a strong dose-response effect with respect to preventing curve progression of ≥6°. The purpose of this study was to investigate whether bracing, prescribed with use of current criteria, prevents surgery and how many patients must be treated with bracing to prevent one surgery. METHODS: Of 126 patients with adolescent idiopathic scoliosis measuring between 25° and 45° and with a Risser sign of ≤2, 100 completed a prospective study in which they were managed with a Boston brace fitted with a heat sensor that measured brace wear...
April 16, 2014: Journal of Bone and Joint Surgery. American Volume
F Zaina, J C De Mauroy, T Grivas, M T Hresko, T Kotwizki, T Maruyama, N Price, M Rigo, L Stikeleather, J Wynne, S Negrini
Bracing is currently the primary method for treating moderate idiopathic scoliosis (IS) during the developmental phase of growth. Following a lengthy debate, during which researchers and authors questioned the role of bracing in the treatment of IS due to inconsistent evidence, the Bracing in Adolescent Idiopathic Scoliosis Trial study have provided a high level of evidence to the value of bracing and may have convinced most of those who were skeptic. However, although some guidelines have been published, there remains no standard for constructing scoliosis orthoses and no standard treatment protocol...
February 2014: European Journal of Physical and Rehabilitation Medicine
J I Brox, J E Lange, H Steen
BACKGROUND: Comorbidity is common in patients with low back pain and is associated with a poorer prognosis, but this has not been evaluated in patients with idiopathic scoliosis. AIM: To evaluate comorbidity and health-related quality of life in scoliosis patients. DESIGN: Cross-sectional study. SETTING: Outpatient clinic. POPULATION: Four hundred and ninety-six patients treated with Boston brace for idiopathic scoliosis were invited for long-term follow-up...
February 2014: European Journal of Physical and Rehabilitation Medicine
Caroline Louise Cozon
Adolescent idiopathic scoliosis in Down's syndrome individuals has previously been reported in the context of institutionalised individuals and is of an iatrogenic nature, resulting from previous thoracotomy for congenital heart defects. We report the case of a male, non-institutionalised Down's syndrome individual, with no history of previous thoracic surgery and we follow the natural history of the condition, with particular reference to height velocity and curve progression velocity throughout puberty and successful treatment with a Boston thoracolumbosacral orthosis...
2013: BMJ Case Reports
Louis Vernacchio, Emily K Trudell, M Timothy Hresko, Lawrence I Karlin, Wanessa Risko
OBJECTIVE: Adolescent idiopathic scoliosis (AIS) is a relatively common reason for referral to orthopedic surgery, but most referred patients do not require bracing or surgery. We developed a quality improvement (QI) program within the Pediatric Physicians' Organization at Children's, an independent practice association affiliated with Boston Children's Hospital, to reduce unnecessary specialty referrals for AIS. METHODS: The QI program consisted of physician education, decision support tools available at the point of care, and longitudinal feedback of data on physician referrals for AIS...
March 2013: Pediatrics
Piet Jm van Loon, Monique Roukens, Joop Dj Kuit, Frederik Btm Thunnissen
STUDY DESIGN: A prospective treatment study with a new brace was conducted Objective. To evaluate radiological and subjective clinical results after one year conservative brace treatment with pressure onto lordosis at the thoracolumbar joint in children with scoliosis and kyphosis. SUMMARY OF BACKGROUND DATA: Conservative brace treatment of adolescent scoliosis is not proven to be effective in terms of lasting correction. Conservative treatment in kyphotic deformities may lead to satisfactory correction...
2012: Scoliosis
Priyadarshini Sengupta Dasgupta, Scott Fulmer, Xialou Jing, Bryan Buchholz
OBJECTIVE: The study was conducted to assess the physical/ergonomic exposures that may lead to musculoskeletal injuries of Pile Drivers. PARTICIPANTS: Pile Drivers in the Greater Boston area. METHODS: A hierarchical taxonomy for pile driving work was developed with tasks and activities defined within each of seven main pile driving operations. Exposures were characterized for the pile driving work with the PATH (Posture, Activity, Tools, and Handling) method...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
Ana María Martín-Fuentes, Juan Pretell-Mazzini, Angel Curto de la Mano, Rafael Viña-Fernández
Neurofibromatosis (NF) type 1 is characterized by several skin, endocrine, central nervous system and musculoskeletal manifestations, spine deformities being the most common, affecting up to 64% of patients. Thoracic kyphoscoliosis is the most common deformity observed; however, high-grade spondylolisthesis and dural defects such as dural ectasia can also be found. The aim of this study is to describe a case of high-grade spondyloretrolisthesis in an NF-1 patient, associated with dural ectasia and extensive lumbar laminectomies, and to discuss our management and review the current literature on this controversial topic...
March 2013: Journal of Pediatric Orthopedics. Part B
Hans-Rudolf Weiss, Mario Werkmann
BACKGROUND: The use of soft braces to treat scoliosis has been described by Fischer as early as 1876. With the help of elastic straps, as the authors suggested, a corrective movement for individual curve patterns should be maintained in order to inhibit curve progression. Today this concept has been revived besides soft 3 point pressure systems. Some shortcomings have been revealed in literature in comparison with hard braces, however the concept of improving quality of life of a patient while under brace treatment should furtherly be considered as valuable...
May 28, 2012: Scoliosis
Xin Zheng, Xu Sun, Bangping Qian, Tao Wu, Saihu Mao, Zezhang Zhu, Bin Wang, Yong Qiu
UNLABELLED: The curve pattern of idiopathic scoliosis is important for making decisions concerning bracing. However, whether the curve pattern changes during brace treatment have not been fully documented. The aim of this study was to investigate the changes of curve pattern during brace treatment in skeletally immature patients with adolescent idiopathic scoliosis (AIS). METHODS: From January 2002 to January 2011, AIS patients treated with a Boston or Milwaukee brace were recruited after meeting the following inclusion criteria: older than 10 years of age at initiation of bracing; having a Cobb angle of 25°-40°; with a Risser sign 0-2; being regularly followed until the weaning of brace or the necessity of surgical treatment; and without history of previous treatment...
June 2012: European Spine Journal
J Hermus, M Hulsbosch, C Arts, L Van Rhijn
No abstract text is available yet for this article.
January 27, 2012: Scoliosis
Mohammad Saleh Ganjavian, Hamid Behtash, Ebrahim Ameri, Mohammad Khakinahad
Bracing is the non-operative treatment of choice for adolescent idiopathic scoliosis (AIS) and careful application of pads on apical segment of curve is very important for correction. Control of pads` appropriate site in brace is not easy by clinical evaluation. Therefore, we decided to compare results of braces which for better control of pads by radiographs, metal marker inserted around pads with those without metal marker. We evaluated 215 consecutive cases (182 female, 33 male) of AIS with 342 major curves from 1993 to 2003...
2011: Acta Medica Iranica
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