Brace treatment can change aesthetics in Adolescent Idiopathic Scoliosis (AIS) patients
© Zaina et al; licensee BioMed Central Ltd. 2009
Published: 15 January 2009
Aesthetics is a main goal both of conservative and surgical treatment in AIS. Previously we developed and validated a clinical scale, the Aesthetic Index (AI), to measure aesthetic impairment and changes during treatment.
To verify the efficacy of bracing on aesthetics in AIS.
Thirty four consecutive patients, age 13.2 ± 3.7, initial Cobb Angle 30 ± 12°, ATR 10 ± 4° Bunnel, 11 males.
Patients with at least 5/6 score of AI were included. All of them had a brace prescription (18 to 23 h per day). After 6 months, AI was measured again, and pre-post scores compared. The Wilcoxon test was performed. 11 of these patients already concluded treatment and definitive results are reported.
At the beginning, median AI was 6 (95% IC 5–6), after 6 months of brace AI score decreased to 2 (95% IC 0–6) (p < 0.05). In the final subgroup results, the effect of the brace was the same (from 6 to 3). After 6 months, we did not find any difference in the results according to the hours of brace wearing or to the type of exercises performed.
Use of a brace for just 6 months, will improve aesthetics. This is evident even in high aesthetic impact scoliosis. Completing brace treatment can guarantee the maintenance of achieved results.
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