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Rehabilitation Practice and Science

Translated Title

大阪醫科大學背架治療原發性脊椎側彎之效果：穿戴一年結果分析

Abstract

The Osaka Medical College (OMC) brace is an underarm spinal orthosis for the treatment of scoliosis. It consists of a plastic pelvic section with a pad extended from the lateral bar to correct the convexity of the curve. The plastic cover on the trunk is minimized, and thus perspiration under the plastic contour is reduced. This is favorable for people who are heat intolerant or for those living in a hot and humid climate. In Taiwan, the use of the OMC brace has been increasing because it allows for good ventilation, is light, and has a less-restrictive design, yet its effectiveness has not been described adequately in the literature. In the present study, we analyzed the change in the Cobb angle 1 year after bracing in 81 patients fitted with an OMC brace for the treatment of idiopathic scoliosis. During the study, 23 patients (28.4%) were lost to follow-up and were regarded as dropouts. Among the 58 patients remaining for analysis, 13 (22.4%) belonged to the brace failure group (curve progression＞5° at 1 year after bracing) and 45 (77.6%) belonged to the brace success group (curve progression≦5° at 1 year after bracing). No statistically significant difference existed between these 2 groups in terms of gender, curve type, side of curve vertex, and major curve level (p＞0.05). There was a significant difference in the mean age at which the need for bracing was presented between the brace failure group (10.7±3.2 years) and brace success group (12.4±2.1) years) (p=0.028); this indicates that patients who present with symptoms at a young age have poor prognosis. We suggest the OMC brace is an effective spinal orthosis for the treatment of idiopathic scoliosis, and further research is needed to investigate what kind of brace will be suitable for individuals with early onset of scoliosis in the future.

Language

Traditional Chinese

First Page

9

Last Page

16

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