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首页> 外文会议>International Research Society of Spinal Deformities >SpineCor, exercise and SPoRT rigid brace: what is the best for Adolescent Idiopathic Scoliosis? Short term results from 2 retrospective studies
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SpineCor, exercise and SPoRT rigid brace: what is the best for Adolescent Idiopathic Scoliosis? Short term results from 2 retrospective studies

机译：Spinecor，运动和运动刚性支撑：青少年特发性脊柱侧凸是什么？短期结果来自2项回顾性研究

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Introduction. SpineCor is a dynamic brace that showed good results in scoliosis treatment. But data suggest that its efficacy is reduced as curves magnitude increase, and no comparisons exist versus exercise alone. The objective of this double study is to compare the short term results of the SpineCor versus SEAS exercises and versus rigid SpoRT brace for AIS. Methods. Study design: 2 retrospective controlled studies. Population 1: 56 consecutive AIS patients (39 female; age 13+-1, Cobb 21+-4deg; ATR 11+-4deg): 28 patients (19 females; age 13+-1; TRACE 6; Cobb angle 22+-4deg; ATR 12+-4deg, Risser 0-3) treated by SpineCor 20/24 hours; 28 patients (20 females; age 13+-1; TRACE 5; Cobb angle 20+-4deg; ATR 9+-3deg, Risser 0-3) treated by SEAS exercises. Population 2: 103 consecutive AIS patients from our prospective database (85 females; age 13+-1, Cobb 24+-5deg; ATR 8+-4deg): 29 patients (19 females; age 13+-1; TRACE 6; Cobb angle 22+-5deg; ATR 9+-3deg, Risser 0-3) treated by SpineCor 20/24 hours per day; 74 patients (66 females; age 13+-1; TRACE 5; Cobb angle 25+-4deg; ATR 8+-4deg, Risser 0-3) treated by SPoRT Brace 18 to 23 hours per day. The short term results of treatment, both clinical and radiographic, were evaluated after 18 months. Outcome measures: № of rigid brace prescribed, TRACE, Cobb angle (changes > +-5), ATR (changes > +-2). Results. Study 1: the № of patients prescribed with a rigid brace was not significantly different in the 2 groups. TRACE was stable for SEAS while decreased for SpineCor (p<0.05). Considering the number of patients changed > +-5deg Cobb in the SEAS Group we found 39.3% improved and 14.3% worsened vs 25% and 21.4% in SpineCor (NS); no differences for ATR. Study 2: Both the treatment showed to be effective in improving the TRACE. Considering the other parameters, the SPoRT brace seems to be slightly more effective than the SpineCor both for the Cobb angle and the ATR. Conclusion. Short term results showed the SpineCor's efficacy to be between rigid brace and exercise for treatment efficacy for AIS.
机译：介绍。转化器是一种动态支撑，表现出良好的脊柱侧凸处理结果。但数据表明，随着曲线幅度的增加，其功效减少，并且不存在比较与锻炼相比。这项双重研究的目的是比较Spinecor与SEA运动的短期结果，并且对AIS的刚性运动支撑。方法。研究设计：2回顾性控制研究。人口1：56连续AIS患者（39名女性;年龄13 + -1，COBB 21 + -4deg; ATR 11 + -4deg）：28名患者（19名女性;年龄13 + -1;痕量6; COBB角22 + - 4deg; atr 12 + -4deg，risser 0-3）由Spinecor 20/24小时处理; 28名患者（20名女性;年龄13 + -1;痕量5; COBB角20 + -4deg; ATR 9 + -3deg，risser 0-3）由海洋练习处理。人口2：103来自我们的前瞻性数据库的连续AIS患者（85名女性;年龄13 + -1，Cobb 24 + -5deg; ATR 8 + -4deg）：29名患者（19名女性;年龄13 + -1;痕量6; COBB角度22 + -5deg; atr 9 + -3deg，risser 0-3）由Spinecor 20/24小时每天处理; 74名患者（66名女性;年龄13 + -1;痕量5; COBB角度25 + -4deg; ATR 8 + -4deg，risser 0-3）通过运动支撑18至23小时每天处理。治疗的短期结果，临床和射线照相，在18个月后评估。结果措施：刚性支撑规定，痕量，Cobb角（变化> + -5），ATR（变化> + -2）。结果。研究1：在2组中，用刚性支撑处规定的患者的Ⅳ次没有显着差异。 SEAR的痕迹稳定，同时为三星减少（P <0.05）。考虑到患者的数量发生变化> + -5EG COBB在海洋集团中，我们发现39.3％改善，三分之二（NS）中的增长率为39.3％和21.4％;对ATR没有差异。研究2：治疗均显示出有效改善痕迹。考虑到其他参数，运动支架似乎比COBB角度和ATR都稍微有效。结论。短期结果表明，转化师的效果在刚性支撑和运动锻炼之间进行治疗效果。

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