title: Orthotic treatment of idiopathic hyperkyphosis with Milwaukee brace.
abstract: BACKGROUND
  Hyperkyphosis with unknown reason is common in teenagers and can be corrected by orthotic management.
  
  
  OBJECTIVE
  Investigation of orthotic outcomes by Milwaukee brace.
  
  
  METHODS
  Sixty-one patients with idiopathic hyperkyphosis (> 45 degrees) were given Milwaukee brace before skeletal maturity. Hyperkyphosis was measured during the first visit without brace, in-brace, at the end of full-time and part time duration of treatment. After treatment completion, participants were categorized in two groups: with hyperkyphosis of 45 degrees and less (Group I) and more than 45 degrees (Group II). These groups were compared to interpret the treatment outcomes.
  
  
  RESULTS
  The mean kyphotic curve was 60.1 (SD ± 7.7) and 71 (SD = 10.1) degrees in Group I and II, respectively. The mean kyphotic curve at the time of full time and part time duration of treatment showed no significant difference in patients successfully completed the treatment (P = 0.10) while there was a significant difference between mean kyphotic curve in full time and part time treatment duration for patients with hyperkyphosis of more than 45 degrees (P < 0.05).
  
  
  CONCLUSIONS
  Hyperkyphosis of less than 70 degrees can be treated if the in-brace correction is saved in part-time duration.
authors.affiliation: Rehabilitation Research Center, Iran University of Medical Sciences, Iran.|Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: Mahboobeh
authors.initials: M
authors.lastname: Mehdikhani
authors.affiliation: Department of Orthopaedic Surgery, Shafa Yahyaiian Hospital, Iran University of Medical Sciences, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Behtash
authors.affiliation: Department of Orthopaedic Surgery, Shafa Yahyaiian Hospital, Iran University of Medical Sciences, Iran.
authors.forename: Mohammad S
authors.initials: MS
authors.lastname: Ganjavian
authors.affiliation: Department of Biomedical Engineering, Faculty of Engineering, University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: Nafiseh
authors.initials: N
authors.lastname: Khalaj
mesh_terms: D000293:Adolescent; D001915:Braces; D002648:Child; D003131:Combined Modality Therapy; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007738:Kyphosis / Q000628:therapy*; D008297:Male; D016896:Treatment Outcome
keywords: Hyperkyphosis; Milwaukee brace; idiopathic hyperkyphosis