Preliminary wear trial of anisotropic textile brace designed for adolescent idiopathic scoliosis

Hoi Yan Cheung, J. Yip, Kit Lun Yick, Sun Pui Ng
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Abstract

Adolescent idiopathic scoliosis (AIS) is a common condition that involves the curvature of the lateral spine and rotation of vertebrae often found in adolescents from age 10 to skeletal maturity. There are various kinds of treatments that prevent the natural progression of the spinal curvature, such as bracing and surgery. However, spinal surgery is mainly reserved for patients with severe scoliosis (spinal curvature that exceeds 45 degrees). For those with moderate scoliosis (spinal curvature larger than 21 but less than 40 degrees), bracing treatment is usually recommended as a non-operative treatment. In this study, the anisotropic textile brace (ATB) is designed to help those with moderate AIS to stop any further progression of their curvature. A case study of a female patient with AIS who has participated a 2-hour wear trial with the ATB is reported. The result of her Cobb angle values shown in the in-brace radiograph is compared without wearing a brace so as to evaluate the immediate effects of this treatment with a soft brace. Besides, the in-brace radiograph is also compared with a supine radiograph to determine the effectiveness of the bracing treatment. A positive result is found in that there is an immediate reduction of the spinal curvature.
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专为青少年特发性脊柱侧凸设计的各向异性织物支架的初步磨损试验
青少年特发性脊柱侧凸(AIS)是一种常见的情况,涉及脊柱外侧弯曲和椎体旋转,常见于10岁至骨骼成熟的青少年。有各种各样的治疗方法可以防止脊柱弯曲的自然发展,比如支架和手术。然而,脊柱手术主要用于严重脊柱侧凸(脊柱弯曲超过45度)的患者。对于中度脊柱侧凸(脊柱曲度大于21度但小于40度),通常建议采用支具治疗作为非手术治疗。在这项研究中,各向异性纺织品支架(ATB)旨在帮助中度AIS患者阻止其曲率的进一步发展。本文报道了一位女性AIS患者参加了2小时的ATB佩戴试验的病例研究。在不佩戴支具的情况下,比较其在支具内x线片上显示的Cobb角值,以评估使用软支具治疗的即时效果。此外,还将支具内x线片与仰卧x线片进行比较,以确定支具治疗的有效性。一个积极的结果是发现有一个立即减少脊柱弯曲。
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