Optimized scheme for paired transverse corrective forces in S-shaped scoliosis via ultrasound and application in Chêneau brace: a pilot study. Issue 1 (12th February 2022)

• Record Type: Journal Article
• Authors: Wang, Li; Xia, Nan; Wang, Chun; Zheng, Qian; Ma, Christina Zonghao; Youssef, Ahmed S. A.; Zhang, Chao; Deng, Youbin; Zhu, Guoli; Huang, Xiaolin
• Is Part Of: Prosthetics and orthotics international. Volume 46:Issue 1(2022)
• Page Start: 42
• Page End: 49
• Publication Date: 2022-02-12
• Subjects: adolescent idiopathic scoliosis -- transverse corrective force -- Chêneau brace -- ultrasound -- Cobb angle; Orthopedic apparatus -- Periodicals; Prosthesis -- Periodicals; Implants, Artificial -- Periodicals; 617.905
• DOI: 10.1097/PXR.0000000000000064
• Languages: English
• ISSNs: 0309-3646

Abstract

Abstract : Background: There is currently no consensus on the optimal positions of the transverse corrective forces (TCFs) for scoliosis braces. Objectives: This study aimed to explore an optimal scheme of placing paired TCF for S-shaped adolescent idiopathic scoliosis and its feasibility in Chêneau brace (CB) treatment. Study design: Cross-over feasibility pilot trial. Methods: Ten S-shaped adolescent idiopathic scoliosis participants were invited to receive four tests with different paired TCF positions under ultrasound. The positions of the paired TCF were test 1: thoracic apical vertebra (AV), lumbar AV; test 2: 2 cm inferior to thoracic AV, lumbar AV; test 3: thoracic AV, 2 cm superior to lumbar AV; and test 4: 2 cm inferior to thoracic AV, 2 cm superior to lumbar AV. The test scheme with the highest mean in-force correction rate (IFCR) for the thoracic spinous process angle (SPA) was further applied in the CB fabrication of 4 additional participants. Results: A significant higher mean IFCR of the thoracic SPA of 63.6% was found in test 2 ( P < 0.001), which also contributed to its higher overall IFCR of the SPA of 64.6% ( P = 0.001). Moreover, the mean in-brace correction rates for the thoracic and overall curves in CB were 46.4% and 51.8%, respectively. No adverse events were reported. Conclusions: Placing paired TCF at the lumbar AV and 2 cm inferior to the thoracic AV achieved better treatment efficacy than other schemes. The practical application of this scheme on the CB was feasible.