Sökning: WFRF:(Gerdhem Paul Professor) >
Nighttime Bracing o...
Nighttime Bracing or Exercise in Moderate-Grade Adolescent Idiopathic Scoliosis
-
- Charalampidis, Anastasios (författare)
- Karolinska Institute,Karolinska Institutet,Karolinska University Hospital
-
- Diarbakerli, Elias (författare)
- Karolinska Institute,Karolinska Institutet,Karolinska University Hospital
-
- Dufvenberg, Marlene, 1961- (författare)
- Linköping University,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Linköping Univ, Unit Physiotherapy, Dept Hlth Med & Caring Sci, Linköping, Sweden.
-
visa fler...
-
- Jalalpour, Kourosh (författare)
- Department of Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Dept Reconstruct Orthopaed, Stockholm, Sweden.
-
- Ohlin, Acke (författare)
- Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Orthopedics,Lund University Research Groups,Skåne University Hospital
-
- Ahl, Anna Aspberg (författare)
- Department of Orthopaedics, Ryhov Hospital, Jönköping, Sweden,Ryhov Hosp, Dept Orthopaed, Jönköping, Sweden.,Ryhov County Hospital, Jönköping
-
- Möller, Hans (författare)
- Karolinska Institute
-
- Abbott, Allan, Professor, 1978- (författare)
- Linköping University,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Ortopedkliniken i Linköping,Linköping Univ, Unit Physiotherapy, Dept Hlth Med & Caring Sci, Linköping, Sweden.;Linköping Univ Hosp, Dept Orthopaed, Linköping, Sweden.,Linköping University Hospital
-
- Gerdhem, Paul (författare)
- Uppsala University,Karolinska Institute,Karolinska Institutet,Uppsala universitet,Ortopedi och Handkirurgi,Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden; Uppsala Univ Hosp, Dept Orthoped & Hand Surg, Uppsala, Sweden,Uppsala University Hospital
-
visa färre...
-
(creator_code:org_t)
- AMER MEDICAL ASSOC, 2024
- 2024
- Engelska.
-
Ingår i: JAMA Network Open. - : AMER MEDICAL ASSOC. - 2574-3805. ; 7:1
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://uu.diva-port... (primary) (Raw object)
-
http://dx.doi.org/10... (free)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
http://kipublication...
-
https://lup.lub.lu.s...
-
visa färre...
Abstract
Ämnesord
Stäng
- IMPORTANCE Moderate-grade adolescent idiopathic scoliosis (AIS) may be treated with full-timebracing. For patients who reject full-time bracing, the effects of alternative, conservativeinterventions are unknown.OBJECTIVE To determine whether self-mediated physical activity combined with either nighttimebracing (NB) or scoliosis-specific exercise (SSE) is superior to a control of physical activity alone (PA)in preventing Cobb angle progression in moderate-grade AIS.DESIGN, SETTING, AND PARTICIPANTS The Conservative Treatment for Adolescent IdiopathicScoliosis (CONTRAIS) randomized clinical trial was conducted from January 10, 2013, throughOctober 23, 2018, in 6 public hospitals across Sweden. Male and female children and adolescentsaged 9 to 17 years with an AIS primary curve Cobb angle of 25° to 40°, apex T7 or caudal, and skeletalimmaturity based on estimated remaining growth of at least 1 year were included in the study. Datesof analysis were from October 25, 2021, to January 28, 2023.INTERVENTIONS Interventions included self-mediated physical activity in combination with eitherNB or SSE or PA (control). Patients with treatment failure were given the option to transition to afull-time brace until skeletal maturity.MAIN OUTCOMES AND MEASURES The primary outcome was curve progression of 6° or less(treatment success) or curve progression of more than 6° (treatment failure) seen on 2 consecutiveposteroanterior standing radiographs compared with the inclusion radiograph before skeletalmaturity. A secondary outcome of curve progression was the number of patients undergoing surgeryup until 2 years after the primary outcome.RESULTS The CONTRAIS study included 135 patients (45 in each of the 3 groups) with a mean (SD)age of 12.7 (1.4) years; 111 (82%) were female. Treatment success was seen in 34 of 45 patients (76%)in the NB group and in 24 of 45 patients (53%) in the PA group (odds ratio [OR], 2.7; 95% CI, 1.1-6.6).The number needed to treat to prevent curve progression with NB was 4.5 (95% CI, 2.4-33.5).Treatment success occurred in 26 of 45 patients (58%) in the SSE group (OR for SE vs PA, 1.2; 95% CI,0.5-2.8). Up to 2 years after the primary outcome time point, 9 patients in each of the 3 groupsunderwent surgery.CONCLUSIONS AND RELEVANCE In this randomized clinical trial, treatment with NB preventedcurve progression of more than 6° to a significantly higher extent than did PA, while SSE did not; inaddition, allowing transition to full-time bracing after treatment failure resulted in similar surgicalfrequencies independent of initial treatment. These results suggest that NB may be an effectivealternative intervention in patients rejecting full-time bracing.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Charalampidis, A ...
-
Diarbakerli, Eli ...
-
Dufvenberg, Marl ...
-
Jalalpour, Kouro ...
-
Ohlin, Acke
-
Ahl, Anna Aspber ...
-
visa fler...
-
Möller, Hans
-
Abbott, Allan, P ...
-
Gerdhem, Paul
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Ortopedi
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Kardiologi
- Artiklar i publikationen
-
JAMA Network Ope ...
- Av lärosätet
-
Linköpings universitet
-
Uppsala universitet
-
Karolinska Institutet
-
Lunds universitet