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首页> 外文期刊>Scoliosis >Consistent and regular daily wearing improve bracing results: a case-control study
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Consistent and regular daily wearing improve bracing results: a case-control study

机译：病例对照研究表明，每天持续且有规律地穿着可改善支撑效果

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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. 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. 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. 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.
机译：关于规定的治疗方案和日常规律，以每天的小时数为单位，研究磨损时间的坚持对短期结果有何影响。这是一个病例对照研究。设置为门诊诊所。共有168名受试者，所有受试者均符合纳入标准：青少年特发性脊柱侧弯和每天18至23小时的Sforzesco大括号处方。随访的最短时间为4个月，最大随访时间为6个月，这是采用Thermobrace（TB）到治疗前进行支架外X射线检查之间的平均时间。根据支架磨损时间与处方的比率计算得出的支架磨损依从率与日常模式依从性相结合，根据Thermobrace数据的异常分布分类为一致（104例）或不一致。最后探讨了短期结果。稳定的支架磨损与提高曲线幅度的可能性更高（OR 1.96 CI 95％1.22-3.14卡方7.78 p？= 0.0053）。撑杆磨损不一致的可能性更大（OR 0.14 CI 95％0.30–0.75卡方角10.13 p？=？0.0015）。 Logistic回归的结果表明，影响最大的改善因素是一开始的Cobb度。在临床日常活动中，必须鼓励患者始终遵循他们的护具佩戴处方，因为这种态度显然与更高的改善机率相关。

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