title: The association between brace compliance and outcome for patients with idiopathic scoliosis.
abstract: This was a prospective study on the association of brace compliance and curve progression in idiopathic scoliosis. Compliance was measured electronically by embedding a temperature sensor and logger in the Wilmington scoliosis brace. To date there have been no studies that relate objective measures of compliance in a scoliosis brace to treatment outcomes. Thirty-four subjects with idiopathic scoliosis were monitored over the duration of their brace wear. Compliance data were downloaded and analyzed. The compliance rate for the patients whose curve progressed (>5 degrees) was 62%; the compliance rate for the patients who did not progress was 85% (P = 0.004). In the group that had high compliance (>90%), one of the nine subjects' curves progressed (11%). In the group with low compliance (<90%), 14 of the 25 subjects' curves progressed (56%, P = 0.0075). Results indicate that the more patients comply with brace treatment, the better their chances of a favorable outcome.
authors.affiliation: Alfred I. duPont Hospital for Children, Nemours Children's Clinic, Wilmington, Delaware 19899, USA. trahman@nemours.org
authors.forename: Tariq
authors.initials: T
authors.lastname: Rahman
authors.forename: J Richard
authors.initials: JR
authors.lastname: Bowen
authors.forename: Masakazu
authors.initials: M
authors.lastname: Takemitsu
authors.forename: Claude
authors.initials: C
authors.lastname: Scott
mesh_terms: D000293:Adolescent; D001915:Braces / Q000592:standards*; D002648:Child; D003187:Compliance; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D011446:Prospective Studies; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome