Review Article
Year: 2020 | Month: July | Volume: 10 | Issue: 7 | Pages: 75-80
Trends and Challenges in the Usage and Compliance of Bracing in Adolescent Idiopathic Scoliosis: A Review
Surbhi Nandal1, Yashika Kumar2
1Student, 2Assistant Professor (P&O),
Master of Prosthetics and Orthotics, ISIC - Institute of Rehabilitation Sciences, Vasant Kunj, New Delhi 110070
Corresponding Author: Surbhi Nandal
ABSTRACT
Background: Adolescent idiopathic scoliosis (AIS) is a three-dimensional lateral curvature of the spine associated with vertebral rotation. It is the most common type of scoliosis and affects 2–3% of the adolescent population. Bracing is the only conservative approach with proven effectiveness. Compliance and primary in- brace correction are the two most important variables associated with good brace outcomes. Poor compliance with wearing a brace is associated with poor quality of life which may relate to psychosocial coping mechanisms.
Objective: This literature review aims to review the Compliance and usage of spinal braces in Adolescent Idiopathic Scoliosis.
Study Design: Literature Review
Significance: This review was done to investigate the use and compliance in Scoliotic patients. These two factors are defined as the main issue that interferes with treatment success and clinical outcomes in Adolescent Idiopathic Scoliosis.
Method: An electronic database search was conducted using Google scholar, Science direct, Pub Med, Cochrane Library and reference lists from all retrieved articles.
Result & Discussion: The results demonstrated that the type of braces determines structure and appearance and affects compliance. Psychological aspects, age, brace wear pattern (daytime or night time or part time versus fulltime) and the assessment method (using temperature versus pressure sensors) can affect recorded compliance. Recent estimate of compliance was around 65-67% and also the compliance rate for night time was 80%, and daytime was 55%.
Conclusion: Compliance can be augmented by considering factors in the design and delivery of the brace. Superior appearance and comfortable within the brace can improve psychological acceptance and improve the compliance. Lower age, involving the patient in treatment procedure, considering the child habits, and improved family awareness of the treatment plan of idiopathic scoliosis can also improve overall compliance of the brace.
Key words: Adolescent Idiopathic Scoliosis, Spinal Braces, Compliance, Usage