ADOLESCENT IDIOPATHIC SCOLIOSIS: TREATMENT WITH THE WILMINGTON BRACE. A COMPARISON OF FULL-TIME AND PART-TIME USE

Purpose: To compare treatment efficacy between the Boston full-time brace and the Providence part-time brace in main thoracic adolescent idiopathic scoliosis (AIS). Methods: Patients were treated with either the Boston brace ( n = 37) or the Providence brace ( n = 40). Inclusion criteria were Risser grade ≤2, major curve between 25° and 40° with the apex of the curve between T7 and T11 vertebrae. Two-year follow-up was available in all patients unless brace treatment had reached endpoint. The primary outcome measure was main curve progression to ≥45°. Results: Median age was 12.6 years and median treatment length at follow-up was 25 months (interquartile range (IQR): 18–32)) with no difference between the groups ( p ≥ 0.116). Initial median main Cobb angle was 29° (IQR: 27–33) and 36° (IQR: 33–38) in the Boston and Providence groups, respectively ( p < 0.001). At follow-up, 13 patients (35%) had progressed to ≥45° in the Boston group versus 16 patients (40%) in the Providence group ( p = 0.838). Twenty-three patients (62%) had progressed by more than 5° in the Boston group versus 22 patients (55%) in the Providence group ( p = 0.685). The secondary thoracolumbar/lumbar curve progressed by more than 5° in 14 (38%) and 18 (45%) in the Boston and Providence groups, respectively ( p = 0.548). Conclusions: Despite a larger initial curve size in the Providence group, progression of more than 5° or to surgical indication area was similar in the Boston group. Our results indicate that nighttime bracing is a viable alternative to full-time bracing also in main thoracic AIS.

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The Effectiveness of Different Concepts of Bracing in Adolescent Idiopathic Scoliosis (AIS): A Systematic Review and Meta-Analysis

Journal of Clinical Medicine ◽

10.3390/jcm10102145 ◽

2021 ◽

Vol 10 (10) ◽

pp. 2145

Author(s):

Lorenzo Costa ◽

Tom P. C. Schlosser ◽

Hanad Jimale ◽

Jelle F. Homans ◽

Moyo C. Kruyt ◽

...

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Success Rate ◽

Meta Analysis ◽

Risk Of Bias ◽

Full Time ◽

Brace Treatment ◽

Night Time ◽

Significant Difference ◽

Part Time

Brace treatment is the most common noninvasive treatment in adolescent idiopathic scoliosis (AIS); however it is currently not fully known whether there is a difference in effectiveness between brace types/concepts. All studies on brace treatment for AIS were searched for in PubMed and EMBASE up to January 2021. Articles that did not report on maturity of the study population were excluded. Critical appraisal was performed using the Methodological Index for Non-Randomized Studies tool (MINORS). Brace concepts were distinguished in prescribed wearing time and rigidity of the brace: full-time, part-time, and night-time, rigid braces and soft braces. In the meta-analysis, success was defined as ≤5° curve progression during follow-up. Of the 33 selected studies, 11 papers showed high risk of bias. The rigid full-time brace had on average a success rate of 73.2% (95% CI 61–86%), night-time of 78.7% (72–85%), soft braces of 62.4% (55–70%), observation only of 50% (44–56%). There was insufficient evidence on part-time wear for the meta-analysis. The majority of brace studies have significant risk of bias. No significant difference in outcome between the night-time or full-time concepts could be identified. Soft braces have a lower success rate compared to rigid braces. Bracing for scoliosis in Risser 0–2 and 0–3 stage of maturation appeared most effective.

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Does quality of exercises affect results in adolescent idiopathic scoliosis treatment to avoid braces? SEAS.02 results at two years

Scoliosis ◽

10.1186/1748-7161-2-s1-s8 ◽

2007 ◽

Vol 2 (Suppl 1) ◽

pp. S8 ◽

Cited By ~ 2

Author(s):

Michele Romano ◽

Stefano Negrini ◽

Fabio Zaina ◽

Alessandra Negrini ◽

Silvana Parzini

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Scoliosis Treatment

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Diagnostic accuracy of perioperative electromyography in the positioning of pedicle screws in adolescent idiopathic scoliosis treatment: a cross-sectional diagnostic study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-03491-z ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Carlos Eduardo Barsotti ◽

Bruno Moreira Gavassi ◽

Francisco Eugenio Prado ◽

Bernardo Nogueira Batista ◽

Raphael de Resende Pratali ◽

...

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Diagnostic Accuracy ◽

Pedicle Screws ◽

Diagnostic Study ◽

Cross Sectional ◽

Scoliosis Treatment

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Men Taking Up Career Leave: An Opportunity for a Better Work and Family Life Balance?

Journal of Social Policy ◽

10.1017/s0047279407001742 ◽

2008 ◽

Vol 37 (2) ◽

pp. 271-294 ◽

Cited By ~ 11

Author(s):

JESSIE VANDEWEYER ◽

IGNACE GLORIEUX

Keyword(s):

Time Use ◽

Family Life ◽

Work And Family ◽

Full Time ◽

Life Balance ◽

Career Break ◽

Part Time ◽

Female Employees ◽

Time Basis ◽

Do So

AbstractIn 2004, 9 per cent of female employees took advantage of the system of ‘career break’ or ‘time credit’ in Flanders, compared to only 3 per cent of male workers. Although the number of men taking a career break is increasing, they remain a small group. In this article the time use of men interrupting their careers full-time or part-time is compared to that of full-time working men, using representative time use data from 2004. Analyses show that a career break does not imply a reduced workload. Half of the men interrupting their career full-time do so to try out another job. Men who take part-time leave are mainly motivated by their desire for a better work and family life balance. About 80 per cent of the time they gain by working on a part-time basis is allocated to household and childcare activities. This suggests that encouraging men to work fewer hours could well be the best policy for achieving gender equality.

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Lack of In-Brace X-Rays in Compliant AIS Patients Wearing Full-Time TLSO Braces Associates with Failure

10.21203/rs.3.rs-447157/v1 ◽

2021 ◽

Author(s):

Isabel Alvarez ◽

Kiley Poppino ◽

Lori Karol ◽

Amy L McIntosh

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Successful Treatment ◽

Univariate Analysis ◽

Full Time ◽

X Rays ◽

Skeletally Immature ◽

X Ray ◽

Total Treatment ◽

Registration Date

Abstract BackgroundIn-brace correction and brace compliance with Thoraco-Lumbo-Sacral Orthotic (TLSO) braces are associated with successful treatment of Adolescent Idiopathic Scoliosis (AIS). This paper compares patients who had consistent radiographic documentation of in-brace correction to those who did not.MethodsAll skeletally immature (Risser 0–2) patients were treated for AIS (25°-45°) with full-time TLSO braces that had compliance temperature monitors. All patients wore their braces at least 12 hours a day. Brace failure was defined as curve progression to a surgical magnitude (≥ 50°). All patients were followed until brace discontinuation.Results90 patients (F:82, M:8) with an average age of 12.1(10.1–15.0) years, Risser grade 0(0–2), BMI percentile 48.5(0.0-98.8), and daily brace wear of 16.5(12.1–21.6) hrs/day were treated for 24.3(8.0-66.6) months. Patients went through 1.7(1–4) braces on average. 42/90(46.7%) patients had some amount of brace time with an unknown in-brace correction, which, on average, was 66.1% of their total treatment course (11.5–100). On univariate analysis, patients that did not have a repeat in-brace x-ray with major brace adjustments or new brace fabrication tended to be more skeletally immature (Risser 0 and tri-radiate open, p = 0.028), wear more braces throughout their treatment (2.0 vs 1.4, p < 0.001), were treated for a longer period of time (27 vs 22 months, p = 0.022), and failed bracing more often (47.6% vs 22.9%, p = 0.014).ConclusionsPatients who did not have new in-brace x-rays with major brace adjustments and/or new brace fabrication were 3.1(95% CI 1.2–7.6) times more likely to fail bracing than patients who were re-checked with new in-brace x-rays.Trial Registration:ClinicalTrials.gov - NCT02412137, Initial Registration Date April 2015

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Part-time bracing of adolescent idiopathic scoliosis.

The Journal of Bone and Joint Surgery (American) ◽

10.2106/00004623-198668050-00016 ◽

1986 ◽

Vol 68 (5) ◽

pp. 738-742 ◽

Cited By ~ 76

Author(s):

N E Green

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Part Time

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Expensive Childcare and Short School Days = Lower Maternal Employment and More Time in Childcare? Evidence from the American Time Use Survey

Socius Sociological Research for a Dynamic World ◽

10.1177/2378023119860277 ◽

2019 ◽

Vol 5 ◽

pp. 237802311986027 ◽

Cited By ~ 1

Author(s):

Leah Ruppanner ◽

Stephanie Moller ◽

Liana Sayer

Keyword(s):

Time Use ◽

Maternal Employment ◽

State Level ◽

Day Length ◽

Full Time ◽

American Time Use Survey ◽

Childcare Time ◽

Time Use Survey ◽

School Day ◽

Part Time

This study investigates the relationship between maternal employment and state-to-state differences in childcare cost and mean school day length. Pairing state-level measures with an individual-level sample of prime working-age mothers from the American Time Use Survey (2005–2014; n = 37,993), we assess the multilevel and time-varying effects of childcare costs and school day length on maternal full-time and part-time employment and childcare time. We find mothers’ odds of full-time employment are lower and part-time employment higher in states with expensive childcare and shorter school days. Mothers spend more time caring for children in states where childcare is more expensive and as childcare costs increase. Our results suggest that expensive childcare and short school days are important barriers to maternal employment and, for childcare costs, result in greater investments in childcare time. Politicians engaged in national debates about federal childcare policies should look to existing state childcare structures for policy guidance.

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