Safety and Efficacy of Anisotropic Textile Braces for Adolescent Idiopathic Scoliosis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Scoliosis
- Sponsor
- The Hong Kong Polytechnic University
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Progression of the spinal curve
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
One of the most common types of 3-dimensional spinal deformities with unknown etiology in youths is adolescent idiopathic scoliosis (AIS). The spinal curvature increases as puberty progresses. Generally, rigid orthotic bracewear is prescribed as non-invasive treatment for moderate AIS if treatment begins early and the orthosis is worn with compliance. Obviously, teenage patients are reluctant to accept a rigid orthosis due to aesthetics and the physical constraint. Therefore, semi-rigid and flexible orthoses have been developed, but their efficacy is still controversial and there are other issues, such as high pain scores. There is clearly room for improvement. Therefore, a garment-type of bracewear will be designed and developed to correct spinal deformity, reduce the possibility of spinal curve progression, and satisfy the needs of the patients as well as take their psychological concerns into consideration.
Detailed Description
The design of the anisotropic textile braces will provide different mechanisms with rigid, semi-rigid and flexible materials: 1. axial elongation through a close fit of the brace supported with textile composites on the lateral sides of the trunk, 2. 3-point pressure with push and counter-pushes through semi-rigid pads inserted inside the pocket lining, 3. pulling or compression to correct kyphosis or lordosis in the sagittal plane with elastic bands, 4. derotation between the pelvis and shoulders with uneven straps, and 5. an active mechanism with sensors added to the brace to maintain correct posture.
Investigators
Joanne Yip
Professor
The Hong Kong Polytechnic University
Eligibility Criteria
Inclusion Criteria
- •Aged 10 to 14 years
- •Diagnosis of AIS
- •a Cobb's angle between 20 to 30 degrees
- •a Risser grade of the iliac crest of ≤ 2
- •Pre-menarche or post- menarche by no more than 1 year
- •Ability to read and understand English or Chinese
- •Physical and mental ability to adhere to anisotropic textile braces protocol
Exclusion Criteria
- •Contraindications for x-ray exposure
- •Diagnosis of other musculoskeletal or developmental illness that might be responsible for the spinal curvature
- •History of previous surgical or orthotic treatment for AIS
- •Contraindications for pulmonary and/ or exercise tests
- •Psychiatric disorders
- •Recent trauma
- •Recent traumatic (emotional) event
Outcomes
Primary Outcomes
Progression of the spinal curve
Time Frame: 18 months
The spinal curve is said to be under control if the increase in the Cobb's angle is \<5°
Secondary Outcomes
- Posture improvement(18 months)