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Consistent and regular daily wearing improve bracing results: a case-control study

BACKGROUND: In respect to the prescribed regimen and the regular daily pattern, investigate how short-term results are affected by wear time adherence in terms of hours per day. METHODS: This is a case-control study. The setting is outpatient clinic. There were 168 subjects, all of whom met the incl...

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Autores principales: Donzelli, Sabrina, Zaina, Fabio, Minnella, Salvatore, Lusini, Monia, Negrini, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064121/
https://www.ncbi.nlm.nih.gov/pubmed/30065972
http://dx.doi.org/10.1186/s13013-018-0164-0
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author Donzelli, Sabrina
Zaina, Fabio
Minnella, Salvatore
Lusini, Monia
Negrini, Stefano
author_facet Donzelli, Sabrina
Zaina, Fabio
Minnella, Salvatore
Lusini, Monia
Negrini, Stefano
author_sort Donzelli, Sabrina
collection PubMed
description BACKGROUND: In respect to the prescribed regimen and the regular daily pattern, investigate how short-term results are affected by wear time adherence in terms of hours per day. METHODS: This is a case-control study. The setting is outpatient clinic. There were 168 subjects, all of whom met the inclusion criteria: adolescent idiopathic scoliosis and Sforzesco brace prescription of 18 to 23 h/day. The minimum period of follow-up was 4 months, and the maximum was 6 months, which is the average time passing between the Thermobrace (TB) adoption and out-of-brace X-ray before treatment. The brace wear adherence rate, calculated from the ratio of brace wear time with the prescription, was considered in combination with the daily pattern compliance, classified as consistent (104 patients) or inconsistent according to the abnormal distribution of Thermobrace data. The short-term results were finally explored. RESULTS: Consistent brace wear is associated with a higher probability of improvement in curve magnitude (OR 1.96 CI 95% 1.22–3.14 chi-square 7.78 p = 0.0053). Inconsistent brace wear is more likely to progress (OR 0.14 CI 95% 0.30–0.75 chi-square 10.13 p = 0.0015). Results from the logistic regression show that the most influencing factor for improvement is Cobb degrees at the start. CONCLUSIONS: In clinical everyday activity, patients must be encouraged to consistently follow their brace wear prescription, because this attitude is clearly associated with a higher probability of improvement.
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spelling pubmed-60641212018-07-31 Consistent and regular daily wearing improve bracing results: a case-control study Donzelli, Sabrina Zaina, Fabio Minnella, Salvatore Lusini, Monia Negrini, Stefano Scoliosis Spinal Disord Research BACKGROUND: In respect to the prescribed regimen and the regular daily pattern, investigate how short-term results are affected by wear time adherence in terms of hours per day. METHODS: This is a case-control study. The setting is outpatient clinic. There were 168 subjects, all of whom met the inclusion criteria: adolescent idiopathic scoliosis and Sforzesco brace prescription of 18 to 23 h/day. The minimum period of follow-up was 4 months, and the maximum was 6 months, which is the average time passing between the Thermobrace (TB) adoption and out-of-brace X-ray before treatment. The brace wear adherence rate, calculated from the ratio of brace wear time with the prescription, was considered in combination with the daily pattern compliance, classified as consistent (104 patients) or inconsistent according to the abnormal distribution of Thermobrace data. The short-term results were finally explored. RESULTS: Consistent brace wear is associated with a higher probability of improvement in curve magnitude (OR 1.96 CI 95% 1.22–3.14 chi-square 7.78 p = 0.0053). Inconsistent brace wear is more likely to progress (OR 0.14 CI 95% 0.30–0.75 chi-square 10.13 p = 0.0015). Results from the logistic regression show that the most influencing factor for improvement is Cobb degrees at the start. CONCLUSIONS: In clinical everyday activity, patients must be encouraged to consistently follow their brace wear prescription, because this attitude is clearly associated with a higher probability of improvement. BioMed Central 2018-07-28 /pmc/articles/PMC6064121/ /pubmed/30065972 http://dx.doi.org/10.1186/s13013-018-0164-0 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Donzelli, Sabrina
Zaina, Fabio
Minnella, Salvatore
Lusini, Monia
Negrini, Stefano
Consistent and regular daily wearing improve bracing results: a case-control study
title Consistent and regular daily wearing improve bracing results: a case-control study
title_full Consistent and regular daily wearing improve bracing results: a case-control study
title_fullStr Consistent and regular daily wearing improve bracing results: a case-control study
title_full_unstemmed Consistent and regular daily wearing improve bracing results: a case-control study
title_short Consistent and regular daily wearing improve bracing results: a case-control study
title_sort consistent and regular daily wearing improve bracing results: a case-control study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064121/
https://www.ncbi.nlm.nih.gov/pubmed/30065972
http://dx.doi.org/10.1186/s13013-018-0164-0
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