Analysis of the interface pressure exerted by the Chêneau brace in patients with double-curve adolescent idiopathic scoliosis

Author(s):  
Asliza Ahmad ◽  
NA Abu Osman ◽  
Halim Mokhtar ◽  
Waqas Mehmood ◽  
Nahrizul Adib Kadri

The Chêneau brace has proven its effectiveness in treating the adolescent idiopathic scoliosis patients. However, no studies reported on the analysis of interface pressure in double-curve adolescent idiopathic scoliosis patients. In this study, we evaluated the interface pressure of the Chêneau brace action in double-curve adolescent idiopathic scoliosis patient treatment. A total of 72 (60 girls and 12 boys) patients aged 10 years and above participated in the study. The F-Socket transducers (9811E) were used to evaluate the pressure on the right thoracic and left thoracolumbar curves between normal and maximum strap tension and variation in these interface pressures with other tasks. Each patient was asked to do nine different tasks corresponding to daily activities, and the interface pressures for each activity were recorded for both normal and maximum tension. The resultant mean peak pressure in double-curve adolescent idiopathic scoliosis was higher for right thoracic curves than left thoracolumbar curves in all tasks. The pressure significantly increased at the task of maximal inspiration ( p < 0.0001) for both types of curves for normal and maximum tension. The degrees of correction for the thoracic and thoracolumbar curves were 23.2% and 34.5%, respectively, after 6 months of brace use (23 h per day). Hence, we could not find any substantial correlation between mean peak pressure in the standing position and degree of scoliosis correction for two curves having r = 0.158, p = 0.356 and r =  –0.024, p = 0.889 values.

2017 ◽  
Vol 5 (6) ◽  
pp. 381-386 ◽  
Author(s):  
Matthew J. Geck ◽  
Devender Singh ◽  
Holly Gunn ◽  
John K. Stokes ◽  
Eeric Truumees

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Rafal Pankowski ◽  
Szymon Wałejko ◽  
Marek Rocławski ◽  
Marcin Ceynowa ◽  
Tomasz Mazurek

Numerous indirect methods for apical vertebral rotation (AVR) measurement have been reported and none of them seems to be as accurate as computed tomography evaluation. The aim of this study was to compare spinal rotation changes during innovative technique of intraoperative computed tomography (ICT) evaluation with indirect methods such as Perdriolle and clinical evaluation with scoliometer. We examined 42 adolescent idiopathic scoliosis (AIS) patients treated with posterior scoliosis surgery (PSS). The mean age at the time of surgery was 16 years. ICT evaluation was performed before and after scoliosis correction in prone position. Clinical rib hump measure with scoliometer and radiographic Perdriolle were performed before and after surgery. There was 71,5% of average rib hump correction with scoliometer but only 31% of correction with ICT (P=0,026) and there was no significant correlation between them (R=0,297,p=0,26). Mean postcorrectional Perdriolle AVR had a decrease of 16,5°. The average ICT AVR had a decrease of only 1,2° (P=0,003). There was no significant statistic correlation between ICT and Perdriolle AVR evaluation (R=0,297,p=0,2). There is a significant discrepancy in AVR and rib hump assessment between scoliometer and Perdriolle methods and ICT evaluation, which seems to be the most accurate tool for spinal derotation measurement.


2016 ◽  
Vol 26 (6) ◽  
pp. 1732-1738 ◽  
Author(s):  
Audrey Angelliaume ◽  
E. Ferrero ◽  
K. Mazda ◽  
M. Le Hanneur ◽  
F. Accabled ◽  
...  

2009 ◽  
Vol 9 (10) ◽  
pp. 112S
Author(s):  
Jonathan Kamerlink ◽  
Martin Quirno ◽  
Joshua Auerbach ◽  
Andrew H. Milby ◽  
Laura Dean ◽  
...  

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