Influence of orthopedic braces on change in Cobb angle in patients with AIS, according to SRS and SOSORT criteria

• Authors: Igor Miczek , Patrycja Paschke , Julia Pałuchowska , Anna Szymkowicz , Sara Rosołowska-Żak , Maria Sambura

Title variants

PL

Wpływ ortez ortopedycznych na zmianę kąta Cobba u pacjentów z AIS, według kryteriów SRS i SOSORT

Abstracts

PL

Młodzieńcza skolioza idiopatyczna (adolescent idiopathic scoliosis – AIS) stanowi kompleksowe wyzwanie diagnostyczne i terapeutyczne. Rozwija się głównie u dzieci w wieku od 10 do 16 lat. Etiologia AIS wiąże się z różnymi czynnikami genetycznymi, posturalnymi i neuromięśniowymi.
Szczególną uwagę zwracamy na rolę stabilizatorów ortopedycznych oraz ich wpływ na zmiany kąta Cobba. Przegląd badań obejmuje różne rodzaje ortez, zarówno sztywne, jak i elastyczne, określając ich wpływ na kąt Cobba. Pomimo obiecujących wyników istnieją wyzwania związane z przestrzeganiem zaleceń lekarskich, a długotrwałe stosowanie ortez może wpływać na zdrowie psychiczne pacjentów i ich opiekunów.
W dwunastu prezentowanych badaniach porównywano populacje pacjentów liczące od 2 do 170 osób. Analizowano następujące typy stabilizatorów: TLSO, orteza Providence, Rigo-Cheneau, Lyon, SpineCor, SPoRT, PASB, orteza sztywna, Milwaukee, Sforzesco, Sibilla i gorset Rissera. Wyniki siedmiu badań wskazują na sukces terapeutyczny,
definiowany jako lekki progres lub stabilizacja kąta Cobba u > 82% pacjentów. Trzy badania raportują wyniki w zakresie 59–65% sukcesu, a dwa badania odnotowują sukces u mniej niż połowy pacjentów.
Analizując dane badawcze, stwierdzamy korzystny wpływ ortez na stabilizację kąta Cobba w AIS. Wskazujemy na konieczność dalszych badań zgodnych z wytycznymi SRS i SOSORT w celu określenia, jaki rodzaj ortez przynosi najlepsze wyniki. Skoncentrowanie się na profilaktyce może być kluczem do lepszej kontroli skoliozy.

EN

Adolescent idiopathic scoliosis (AIS) poses a comprehensive diagnostic and therapeutic challenge. It develops mainly in children aged 10 to 16. The etiology of AIS is associated with various genetic, postural and neuro-muscular factors.
We pay special attention to the role of orthopedic braces and their impact on changes in the Cobb angle. The research review covers various types of orthoses, both rigid and flexible, determining their effect on the Cobb angle. Despite promising results, there are challenges related to medical adherence and the long-term use of orthoses may affect the psychological aspects of patients and their families.
The twelve studies presented compared patient populations ranging from 2 to 170 people. The following types of braces were analyzed: TLSO, Providence brace, Rigo-Cheneau, Lyon, SpineCor, SPoRT, PASB, rigid brace, Milwaukee, Sforzesco, Sibilla and Risser cast. The results of seven studies indicate therapeutic success, defined as slight progression or stabilization of the Cobb angle in > 82% of patients. Three studies report results in the range of 59–65% success, and two studies report success in less than half of the patients.
In analyzing the research data, we find a beneficial effect of orthoses on stabilization of the Cobb angle in AIS.
We suggest that further research in line with SRS and SOSORT guidelines is needed to determine which type of orthoses provides the best results. Focusing on prevention may be the key to better control of scoliosis.

Keywords

EN

scoliosis; SRS; SOSORT; brace; adolescent idiopathic scoliosis

PL

skolioza; SRS; SOSORT; stabilizator; młodzieńcza skolioza idiopatyczna

• Publisher: Śląski Uniwersytet Medyczny w Katowicach
• Journal: Annales Academiae Medicae Silesiensis
• Year: 2024
• Issue: 78
• Pages: 298-303

Dates

published

2024

Contributors

author

Igor Miczek

• Samodzielny Publiczny Zakład Opieki Zdrowotnej MSWiA im. Sierżanta Grzegorza Załogi w Katowicach / Sergeant Grzegorz Załoga Independent Public Health Care Institute of the Ministry of Internal Affairs and Administration in Katowice, Poland

• https://orcid.org/0009000084767943

author

Patrycja Paschke

• Samodzielny Publiczny Zakład Opieki Zdrowotnej MSWiA im. Sierżanta Grzegorza Załogi w Katowicach / Sergeant Grzegorz Załoga Independent Public Health Care Institute of the Ministry of Internal Affairs and Administration in Katowice, Poland

• https://orcid.org/0009000603063332

author

Julia Pałuchowska

• Zespół Opieki Zdrowotnej w Nysie / Health Care Team in Nysa, Poland

• https://orcid.org/0009000941632569

author

Anna Szymkowicz

• Zespół Opieki Zdrowotnej w Nysie / Health Care Team in Nysa, Poland

• https://orcid.org/0009000925966593

author

Sara Rosołowska-Żak

• Wojewódzki Szpital Specjalistyczny nr 5 im. św. Barbary w Sosnowcu / St. Barbara Provincial Specialist Hospital No. 5 in Sosnowiec, Poland

• https://orcid.org/0009000362022475

author

Maria Sambura

• Wojewódzki Szpital Specjalistyczny nr 5 im. św. Barbary w Sosnowcu / St. Barbara Provincial Specialist Hospital No. 5 in Sosnowiec, Poland

• https://orcid.org/0009000755181418

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Identifiers

DOI

10.18794/aams/189533

Biblioteka Nauki

54867088