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Nighttime Bracing o...
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Charalampidis, AnastasiosKarolinska Institute,Karolinska University Hospital
(författare)
Nighttime Bracing or Exercise in Moderate-Grade Adolescent Idiopathic Scoliosis
- Artikel/kapitelEngelska2024
Förlag, utgivningsår, omfång ...
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AMER MEDICAL ASSOC,2024
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:liu-200567
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-200567URI
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https://doi.org/10.1001/jamanetworkopen.2023.52492DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-523740URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:154853991URI
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https://lup.lub.lu.se/record/9a01dfc9-e444-4c0c-8156-b1826c2cd514URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding: Swedish Research Council [2012-01771]; Stockholm County Council; Swedish Society of Spinal Surgeons; Karolinska Institutet; Crown Princess Lovisas Foundation
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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 och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Diarbakerli, EliasKarolinska Institute,Karolinska Institutet,Karolinska University Hospital
(författare)
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Dufvenberg, Marlene,1961-Linköping University,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Linköping Univ, Unit Physiotherapy, Dept Hlth Med & Caring Sci, Linköping, Sweden.(Swepub:liu)mardu44
(författare)
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Jalalpour, KouroshDepartment of Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Dept Reconstruct Orthopaed, Stockholm, Sweden.
(författare)
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Ohlin, AckeLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)orto-aoh
(författare)
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Ahl, Anna AspbergDepartment of Orthopaedics, Ryhov Hospital, Jönköping, Sweden,Ryhov Hosp, Dept Orthopaed, Jönköping, Sweden.,Ryhov County Hospital, Jönköping
(författare)
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Möller, HansKarolinska Institute
(författare)
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Abbott, Allan,Professor,1978-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(Swepub:liu)allab56
(författare)
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Gerdhem, PaulUppsala 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(Swepub:uu)pauge104
(författare)
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Karolinska InstituteKarolinska University Hospital
(creator_code:org_t)
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Ingår i:JAMA Network Open: AMER MEDICAL ASSOC7:12574-3805
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