Scoliosis and Spinal Disorders最新文献

{"title":"Significant variability in surgeons' preferred correction maneuvers and instrumentation strategies when planning adolescent idiopathic scoliosis surgery.","authors":"Franck Le Navéaux, A Noelle Larson, Hubert Labelle, Carl-Eric Aubin","doi":"10.1186/s13013-018-0169-8","DOIUrl":"10.1186/s13013-018-0169-8","url":null,"abstract":"<p><strong>Background: </strong>Increased implant number is thought to provide better control on the scoliotic spine, but there is limited scientific evidence of improved deformity correction and surgical outcomes with high-density constructs. The objective is to assess key anchor points used by experienced spinal deformity surgeons and to evaluate the effect of implant density pattern on correction techniques.</p><p><strong>Methods: </strong>Seventeen experienced spine surgeons reviewed five Lenke 1 adolescent idiopathic scoliosis cases and provided their preferred posterior correction technique (implant pattern, correction maneuvers, and implants used for their execution) and an alternative technique with the minimal implant density they felt would be acceptable (170 surgical plans total). Additionally, for each case, they selected acceptable screw patterns for surgery from seven published implant configurations. Variability in the surgeons' plans was assessed, including instrumentation and correction strategies.</p><p><strong>Results: </strong>The preferred correction plan involved an average of 1.65 implants/vertebra, with 88% of the available anchor points at the apex ± 1 vertebra used for the execution of correction maneuvers and only 43% of possible anchor points used proximal and distal to the apical area. The minimal density that surgeons found acceptable was 1.24 implants/vertebra. The minimal density plan involved more in situ rod contouring (53 vs. 41%), fewer vertebral derotation maneuvers (82 vs. 96%), and fewer implants used for compression/distraction maneuvers (1.18 and 1.42 respectively) (<i>p</i> < 0.05). Implant placement at alternate levels or dropout of convex implants above and below the apical area was most frequently considered acceptable (> 70% agreement).</p><p><strong>Conclusions: </strong>Implant position and number affect surgeons correction maneuvers selection. For low implant density constructs, dropout in the convexity and particularly in the periapical region is accepted by surgeons, with minor influence on planned correction maneuvers. Thus, preoperative implant planning must take into account which anchor points are needed for desired correction maneuvers.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2018-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36587391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Progression of idiopathic thoracic or thoracolumbar scoliosis and pelvic obliquity in adolescent patients with and without limb length discrepancy.","authors":"Avraam Ploumis,&nbsp;Vikas Trivedi,&nbsp;Jae-Hyuk Shin,&nbsp;Kirkham B Wood,&nbsp;Brian E Grottkau","doi":"10.1186/s13013-018-0166-y","DOIUrl":"https://doi.org/10.1186/s13013-018-0166-y","url":null,"abstract":"<p><strong>Βackground: </strong>Both limb length inequality and scoliosis are associated with pelvic obliquity.</p><p><strong>Methods: </strong>This is an observational study of adolescents with growth potential presenting for evaluation of thoracic or thoracolumbar idiopathic scoliosis at an outpatient pediatric orthopedic clinic. Patients were evaluated for limb length discrepancy (LLD) (using bilateral femoral head height difference), pelvic obliquity (using bilateral iliac crest height difference and sacral takeoff angle), and scoliotic curve (using Cobb angle and rotation) on full spine standing radiographs. The same radiographic parameters were measured at a follow-up visit at least 2 years later.</p><p><strong>Results: </strong>Seventy-three consecutive patients with a mean (SD) age of 13.3 (0.2) years at initial examination were included in the study. Scoliosis (major curve Cobb angle ≥ 10°) was confirmed in all 73 patients, pelvic obliquity (iliac crest height difference > 1 cm or sacral takeoff angle > 5°) appeared in 23 (31.5%) patients with scoliosis, and LLD (> 1 cm femoral head height difference) was identified in 6 (8.2%) patients with scoliosis and pelvic obliquity. At a subsequent visit, a mean of 2.8 (range 2-5.8) years later, no significant change (<i>p</i> > 0.05) in limb length inequality was observed but a statistically significant increase (<i>p</i> < 0.05) in scoliotic and pelvic deformity parameters was found.</p><p><strong>Conclusions: </strong>In adolescent patient population with thoracic or thoracolumbar scoliosis, the anisomelia remains stable with growth but both the scoliotic deformity and pelvic obliquity progress.</p><p><strong>Trial registration: </strong>MGH no 2012-P-000774/1.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0166-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36528125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative pain management in patients undergoing posterior spinal fusion for adolescent idiopathic scoliosis: a narrative review.","authors":"Hiroyuki Seki,&nbsp;Satoshi Ideno,&nbsp;Taiga Ishihara,&nbsp;Kota Watanabe,&nbsp;Morio Matsumoto,&nbsp;Hiroshi Morisaki","doi":"10.1186/s13013-018-0165-z","DOIUrl":"https://doi.org/10.1186/s13013-018-0165-z","url":null,"abstract":"<p><p>Posterior spinal fusion for adolescent idiopathic scoliosis is one of the most invasive surgical procedures performed in children and adolescents. Because of the extensive surgical incision and massive tissue trauma, posterior spinal fusion causes severe postoperative pain. Intravenous patient-controlled analgesia with opioids has been the mainstay of postoperative pain management in these patients. However, the use of systemic opioids is sometimes limited by opioid-related side effects, resulting in poor analgesia. To improve pain management while reducing opioid consumption and opioid-related complications, concurrent use of analgesics and analgesic modalities with different mechanisms of action seems to be rational. The efficacy of intrathecal opioids and nonsteroidal anti-inflammatory drugs as components of multimodal analgesia in scoliosis surgery has been well established. However, there is either controversy or insufficient evidence regarding the use of other analgesic methods, such as continuous ketamine infusion, perioperative oral gabapentin, acetaminophen, continuous wound infiltration of local anesthetics, a single dose of systemic dexamethasone, and lidocaine infusion in this patient population. Moreover, appropriate combinations of analgesics have not been established. The aim of this literature review is to provide detailed information of each analgesic technique so that clinicians can make appropriate choices regarding pain management in patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2018-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0165-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36490536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does postural stability differ between adolescents with idiopathic scoliosis and typically developed? A systematic literature review and meta-analysis.","authors":"Marlene Dufvenberg, Fisayo Adeyemi, Isabelle Rajendran, Birgitta Öberg, Allan Abbott","doi":"10.1186/s13013-018-0163-1","DOIUrl":"10.1186/s13013-018-0163-1","url":null,"abstract":"<p><strong>Background: </strong>Postural stability deficits have been proposed to influence the onset and progression of adolescent idiopathic scoliosis (AIS). This study aimed to systematically identify, critically evaluate and meta-analyse studies assessing postural stability during unperturbed stance with posturography in AIS compared to typically developed adolescents.</p><p><strong>Methods: </strong>Studies from four electronic databases (PubMed, Scopus, CINAHL, PEDro) were searched and case-control methodological quality assessed using a risk-of-bias assessment tool and a posturography methodological quality checklist. Pooled data regarding centre of pressure (COP) parameters such as sway area, Mediolateral (ML) and Anteroposterior (AP) position and range were compared for AIS and typically developed adolescents using Cohen's <i>d</i> effect size (ES) and homogeneity estimates.</p><p><strong>Results: </strong>Eighteen studies for quality analysis and 9 of these for meta-analysis were identified from 971 records. Risk-of-bias assessment identified 6 high, 10 moderate and 2 low risk-of-bias studies. The posturography methodological quality checklist identified 4 low, 7 moderate and 7 high-quality studies. Meta-analysis was performed for sway area whereas ML and AP are presented in three different meta-analyses due to divergent measurement units used in the studies: ML position 1 (MLP1), ML position 2 (MLP2) and ML range (MLR); AP position 1 (APP1), AP position 2 (APP2) and AP range (APR). Cohen's <i>d</i> showed a medium ES difference in sway area <i>0</i>.<i>65</i>, 95% CI (0.49-0.63), whereas ML showed no (MLP1, MLP2) and large (MLR) ES differences; MLP1 <i>0.15</i>, 95% CI (0.08-0.22); MLP2 <i>0.14</i>, 95% CI (0.08-0.19); and MLR 0.94, 95% CI (0.83-1.04). Cohen's <i>d</i> for AP showed small ES (APP1) and large ES difference (APP2 and APR); APP1 <i>0.43</i>, 95% CI (0.31-0.54); APP2 <i>0.85</i>, 95% CI (0.72-0.97); and APR <i>0.98</i>, 95% CI (0.87-1.09). Cochran's Q and Higgins <i>I</i>² showed homogeneity between studies.</p><p><strong>Conclusions: </strong>There is moderate quality evidence for decreased postural stability in AIS measured as COP parameters sway area, ML and AP range with a positional shift posteriorly in the sagittal plane. The findings support studying postural stability in early stage AIS and also prospectively identify cause and effect of the curvature as well as effectiveness of postural control interventions in the prevention of scoliosis progression.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2018-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36464351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supplementary addendum to \"Non-radiographic methods of measuring global sagittal balance: a systematic review\"; Reliability of the Spinal Mouse in adult back pain sufferers.","authors":"Larry Cohen,&nbsp;Sarah Kobayashi,&nbsp;Milena Simic,&nbsp;Sarah Dennis,&nbsp;Kathryn Refshauge,&nbsp;Evangelos Pappas","doi":"10.1186/s13013-018-0167-x","DOIUrl":"https://doi.org/10.1186/s13013-018-0167-x","url":null,"abstract":"","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2018-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0167-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36478006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A retrospective analysis of health-related quality of life in adolescent idiopathic scoliosis children treated by anterior instrumentation and fusion.","authors":"Balaji Zacharia,&nbsp;Dhiyaneswaran Subramaniyam,&nbsp;Sadiqueali Padinharepeediyekkal","doi":"10.1186/s13013-018-0162-2","DOIUrl":"10.1186/s13013-018-0162-2","url":null,"abstract":"<p><strong>Background: </strong>Idiopathic scoliosis is the most common type of spinal deformity. Scoliosis is defined as a lateral curvature of the spine greater than 10° accompanied by rotation of the vertebrae. The treatment available for adolescent idiopathic scoliosis is observation, orthosis, and surgery. The surgical options include open anterior release and instrumentation, posterior instrumentation, and thoracoscopic approaches. The Scoliosis Research Society Questionnaire (SRS-30) is a specific instrument to measure health-related quality of life in patients with scoliosis, who had or had not undergone surgery. The purpose was to assess the post-operative functional outcome using SRS-30 in children who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS).</p><p><strong>Methods: </strong>In a retrospective cohort study, 25 patients between the ages of 11 and 17 years, who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS) between 2008 and 2014, were included in the study.</p><p><strong>Results: </strong>The total average score was 4.26 with a SD of 0.014 and had maximum average score 4.5 (for pain) and minimum average score 3.8 (for self-image).</p><p><strong>Conclusion: </strong>Anterior release, instrumentation, and fusion using autogenous rib graft is having good functional outcome in all domains.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0162-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36462358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of an elongation bending derotation brace on the infantile or juvenile scoliosis.","authors":"John Thometz,&nbsp;XueCheng Liu,&nbsp;Robert Rizza,&nbsp;Ian English,&nbsp;Sergery Tarima","doi":"10.1186/s13013-018-0160-4","DOIUrl":"https://doi.org/10.1186/s13013-018-0160-4","url":null,"abstract":"<p><strong>Background: </strong>A wide variety of braces are commercially available designed for the adolescent idiopathic scoliosis (AIS), but very few braces for infantile scoliosis (IS) or juvenile scoliosis (JS). The goals of this study were: 1) to briefly introduce an elongation bending derotation brace (EBDB) in the treatment of IS or JS; 2) to investigate changes of Cobb angles in the AP view of X-ray between in and out of the EBDB at 0, 3, 6, 9, and 12 months; 3) to compare differences of Cobb angles (out of brace) in 3, 6, 9, and12 month with the baseline; 4) to investigate changes (out of brace) in JS and IS groups separately.</p><p><strong>Methods: </strong>Thirty-eight patients with IS or JS were recruited retrospectively for this study. Spinal manipulation was performed using a stockinet. This was done simultaneously with a surface topography scan. The procedure was done in the operating room for IS, or in a clinical setting for JS. The brace was edited and fabricated using CAD/CAM method. Radiographs were recorded in and out of bracing approximately every 3 months from baseline to 12 months. A linear mixed effects model was used to compare in and out of bracing, and out of brace Cobb angle change over the 12 month period.</p><p><strong>Results: </strong>Overall, 37.5% of curves are corrected and 37.5% stabilized after 12 months (Thoracic curves 48% correction, 19% stabilization; thoracolumbar curves 33% correction, 56% stabilization and lumbar curves 29% correction, 50% stabilization). The juvenile group had 25.7% correction and 42.9% stabilization, while the infantile group had 50% correction and 32.1% stabilization. There was a significant Cobb angle in-brace reduction in the thoracic (11°), thoracolumbar (12°), and lumbar (12°) (<i>p</i> < 0.001). There was no statistically significant change in out of brace Cobb angle from baseline to month 12 (<i>p</i> > 0.05). No patients required surgery within the 12 month span.</p><p><strong>Conclusions: </strong>This study describes a new clinical protocol in the development of the EBDB. Short-term results show brace is effective in preventing IS or JS curve progression over a 12 month span.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2018-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0160-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36384336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcome of posterior spinal fusion for the correction of adolescent idiopathic scoliosis.","authors":"Hasan Ghandhari,&nbsp;Ebrahim Ameri,&nbsp;Farshad Nikouei,&nbsp;Milad Haji Agha Bozorgi,&nbsp;Shoeib Majdi,&nbsp;Mostafa Salehpour","doi":"10.1186/s13013-018-0157-z","DOIUrl":"https://doi.org/10.1186/s13013-018-0157-z","url":null,"abstract":"<p><strong>Background: </strong>Adolescent idiopathic scoliosis (AIS) is the most common form of idiopathic scoliosis, and surgery is considered as one of the therapeutic options. However, it is associated with a variety of irreversible complications, in spite of the benefits it provides. Here, we evaluated the long-term outcome of posterior spinal fusion (PSF) of AIS to shed more light on the consequences of this surgery.</p><p><strong>Methods: </strong>In a cross-sectional study, a total of 42 AIS patients who underwent PSF surgery were radiographically and clinically inspected for the potential post-operative complications. Radiographic assessments included the device failure, union status, and vertebral tilt below the site of fusion. Clinical outcomes were evaluated using the Oswestry disability index (ODI) and visual analogue scale (VAS).</p><p><strong>Results: </strong>The mean age of the surgery was 14.4 ± 5.1 years. The mean follow-up of the patients was 5.6 ± 3.2 years. Complete union was observed in all patients, and no device failure was noticed. Pre- and post-operative vertebral tilt below the site of fusion were 11.12° ± 7.92° and 6.21° ± 5.73°, respectively (<i>p</i> < 0.001). The mean post-operative ODI was 16.7 ± 9.8. The mean post-operative VAS was 2.1 ± 0.7. ODI value was positively correlated with follow-up periods (<i>p</i> = 0.04, <i>r</i> = 0.471). New degenerative disc disease (DDD) was observed in 6 out of 37 (16%) patients.</p><p><strong>Conclusion: </strong>In spite of the efficacy and safety of PSF surgery of AIS, it might result in irreversible complications such as DDD. Moreover, the amount of post-operative disability might increase over the time and should be discussed with the patients.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2018-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0157-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36407339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consistent and regular daily wearing improve bracing results: a case-control study.","authors":"Sabrina Donzelli,&nbsp;Fabio Zaina,&nbsp;Salvatore Minnella,&nbsp;Monia Lusini,&nbsp;Stefano Negrini","doi":"10.1186/s13013-018-0164-0","DOIUrl":"https://doi.org/10.1186/s13013-018-0164-0","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 <i>p</i> = 0.0053). Inconsistent brace wear is more likely to progress (OR 0.14 CI 95% 0.30-0.75 chi-square 10.13 <i>p</i> = 0.0015). Results from the logistic regression show that the most influencing factor for improvement is Cobb degrees at the start.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2018-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0164-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36361963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis.","authors":"Karina A Zapata,&nbsp;Sharon S Wang-Price,&nbsp;Tina S Fletcher,&nbsp;Charles E Johnston","doi":"10.1186/s13013-018-0159-x","DOIUrl":"10.1186/s13013-018-0159-x","url":null,"abstract":"<p><strong>Background: </strong>Software applications (apps) could potentially promote exercise adherence. However, it is unclear whether adolescents with painful hyperkyphosis will use an app designed for a home exercise program. The purpose of this study is to assess factors regarding adherence to an app-based home exercise program in adolescents with hyperkyphosis and back pain who were provided a one-time exercise treatment.</p><p><strong>Methods: </strong>Twenty-one participants were instructed in a one-time exercise treatment and asked to complete a home exercise program 3 times a week for 6 months using an app called PT PAL. At a 6-month follow-up, 14 participants completed a survey assessing factors related to their experiences using the app and their treatment engagement.</p><p><strong>Results: </strong>Although most participants did not use the app, they reported performing their exercises a few times per week. The adolescent participants considered the app to be more of a barrier than a supportive measure for promoting exercise adherence. Most participants still reported bothersome back pain.</p><p><strong>Conclusions: </strong>Although adherence to the 6-month app-based home exercise program was not successful, adolescents still viewed technology support such as text reminders as a potential solution.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT03212664. Registered 11 July 2017. Retrospectively registered.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"13 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2018-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-018-0159-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36329439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}