Bracing Outcomes in Adolescent Idiopathic Scoliosis: The Role of Generalised Joint Hypermobility.

IF 1.6 4区 医学 Q2 PEDIATRICS
Senay Çerezci-Duygu, Gözde Yağcı, Kübra Nurdoğan, Halil Gökhan Demirkıran
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Abstract

Objective: To evaluate the effects of generalised joint hypermobility (JHM) on bracing outcomes in adolescent idiopathic scoliosis (AIS).

Methods: Twenty-two female participants with a mean age of 12 ± 2 years who were diagnosed with AIS and planned to use a brace were included in the study. Assessments were performed at three different time points. Visit 1, 1-7 days before bracing; Visit 2, in-brace condition in the fourth week of bracing; Visit 3, out-brace condition in the sixth month of bracing. At Visit 1, the participants' Risser sign, curve type according Rigo classification and sagittal spinal range of motion defined in modified Schober's test were recorded. The nine-point Beighton scale and Hakim-Graham's five-part questionnaire were used to determine the presence of JHM. The following data were recorded from the antero-posterior radiographs at each of the three visits: coronal curvature, apical vertebral rotation, spine height, global coronal balance and apical translation.

Results: In the in-brace evaluation, there was no difference in radiographic measurements between the groups defined as JHM present (n = 11) and JHM absent (n = 11). At the out-brace evaluation performed at the sixth month of brace use, the change in the Cobb angle representing the coronal curvature between the groups was found to be significant in favour of the JHM-present group (JHM-absent: 4 (1, 7) vs. JHM-present: 10 (6, 15)), and no difference was found in the other radiographic measurements.

Conclusion: In AIS, scoliosis indicators such as coronal curvature, apical vertebral rotation, and coronal balance can be improved with bracing. Furthermore, the presence of JHM may have a possible impact when bracing is included in AIS management.

Trial registration: National Library of Medicine platform (NCT06021314) (record verification on 25.08.2023).

青少年特发性脊柱侧凸的支具治疗效果:广泛性关节活动过度的作用。
目的:评价全身性关节活动过度(JHM)对青少年特发性脊柱侧凸(AIS)支具效果的影响。方法:22名平均年龄为12±2岁、诊断为AIS并计划使用支具的女性纳入研究。评估在三个不同的时间点进行。1、支架前1-7天到访;第2次就诊,在支具的第四周处于支具状态;就诊3,在支具使用的第六个月出现支具外的情况。在访视1时,记录受试者的Risser标志、Rigo分类曲线类型和修正Schober试验定义的矢状脊柱运动范围。采用九分制的Beighton量表和Hakim-Graham的五部分问卷来确定JHM的存在。三次就诊的前后位x线片记录了以下数据:冠状曲率、椎体根尖旋转、脊柱高度、整体冠状平衡和根尖平移。结果:在支架内评估中,被定义为存在JHM (n = 11)和不存在JHM (n = 11)的组之间的放射测量没有差异。在使用支具的第六个月进行的外支具评估中,两组之间代表冠状曲率的Cobb角的变化被发现对存在jhm组有显著的好处(不存在jhm组:4 (1,7)vs.存在jhm组:10(6,15)),并且在其他放射测量中没有发现差异。结论:在AIS患者中,支具可改善脊柱侧弯指标,如冠状曲率、椎根旋转和冠状平衡。此外,当支撑纳入AIS管理时,JHM的存在可能会产生影响。试验注册:国家医学图书馆平台(NCT06021314)(2023年8月25日审核记录)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
487
审稿时长
3-6 weeks
期刊介绍: The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.
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