ĐÁNH GIÁ HIỆU QUẢ ĐIỀU TRỊ VẸO CỘT SỐNG VÔ CĂN BẰNG ÁO NẸP NẮN CHỈNH BOSTON – CHÊNEAU

Thanh Đinh Quang; Quyên Lê Thị Hạ; Thật Lê Thành; Lan Đinh Thị; Thái Cao Hoàng

Keywords:

Primary idiopathic scoliosis, brace for correction Boston – Chêneau

Abstract

Objective: Assess effective treatment of idiopathic scoliosis by corset for correction Boston – Chêneau. Survey related factors to treated results.

Methods: Clinical trials. Performed on 126 cases idiopathic scoliosis treated by brace for correction Boston Chêneau from 01 Mars 2006 to 01 September 2016 in Hospital for Rehabilitation and Professional diseases.

Results: There were 126 cases including:108 females(85,7%),18 males (14,3%) with the mean age of 14,86, mean Risser grade at beginning treatment 2,52, mean Cobb degree at beginning treatment 30,9, positive Bending test, menarche age most common 11. The majority of scoliosis are new detected (53,2%). Adapted time to wearing the brace is 2 weeks (65,1%). Majority of cases wore the braces over 20 hours a day (72,2%). 93,7% cases had pain when wearing the braces. 85,7% cases had shortness of breath, 9,5% had blisters on the skin, 13,5% had skin infection, 14,3% had ROM limitation. The average duration of treatment is 4 years. The achieved age to have Riser 5 grade is 18,53. Treatment outcomes: improvement and ameliorate 78,6%. Achieved result 78,6%. In group had achieved result, the rotation also be corrected(96%). In group who wore the braces over 20 hours a day, had achieved results 100% (p< 0,001). There was no relationship between achieved results and gender, Riser grade, Cobb angle, age of beginning treatment and menarche age.

Conclusions: There is a clear correlation between treated results and time that scoliosis patients wore the braces a day. Scoliosis patients wore the braces over 20 hours a day had achieved results 100%.

References

Trịnh Quang Dũng (2015) “Nghiên cứu hiệu quả can thiệp cho bệnh nhi vẹo cột sống không rõ nguyên nhân bằng áo nẹp chỉnh hình TLSO”. Luận án tiến sĩ y học, tr. 57-80.

Nguyễn Thế Luyến (2005) “Bài giảng bệnh học chấn thương chỉnh hình- phục hồi chức năng” Bộ môn Chấn thương chỉnh hình, 3, tr.14- 21.

Adam CJ, Askin GN (2006). “Automatic measurement of vertebral rotation in idiopathic scoliosis”. SPINE; 31(3), pp. 80-83.

Aulisa AG, Guzzanti V (2009) “Treatment of thoraco-lumbar curves in adolescent females affected by idiopathic scoliosis with a progressive action short brace (pasb): assessment of results according to the srs committee on bracing and nonoperative management standardization criteria”, Biomed central.

Aulisa AG, Giordano M (2014) “Correlation between compliance and brace treatment in juvenile and adolescent idiopathic scoliosis: Sosort 2014 award winner”, Biomed Central.

Delisa JA (2010) “Physical medicine and rehabilitation” Lippincott Wiliams & Wilkins 34, pp. 883-907.

Tidswell M (1998) “Orthopaedic physiotherapy”, Mosby, Spinal Deformities 13, pp. 173-185

Lusardi MM, Nielsen CC (2019) “Orthotics and prosthetics in rehabilitation”, Saunders Elsevier, 13, pp. 381-387.

De Giorgi S, Piazzolla A, Tafuri S, Borracci C, Martucci A, De Giorgi G (2013) “Chêneau brace for adolescent idiopathic scoliosis: Long-term results. can it prevent surgery?” 22(6), pp. 815-822.

Taft E, Frances R (2003) “Evaluation and management of scoliosis”. pediatric health care; 17, pp. 42-44.

Warner WC (2001) “Juvenile idiopathic scoliosis”. Lippincott Wiliams and Wilkins; pp. 329-345.

Weinstein SL, Ponseti (1983) “Curve progression in idiopathic scoliosis”, J Bone Joint Surg, 4: pp. 447-455

Normelli WUH, Aaro s, et al,(1993) “Long term results of the boston brace treatment on veterbral rotation in idiopathic scoliosis”, SPINE, 4, pp. 432-435.

Winter C, Müller C, Fuchs K, Rosenbaum D, Schmidt C, Bullmann V, Schulte Tl.(2011) “Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment”. EUR SPINE J. 20(7), pp. 1127–1136. DOI: 10.1007/S00586- 011-1791-9.

Yaman O, Dalbayrak S (2014) “Idiopathic Scoliosis”. İdiopatik Skolyoz. 24 (1), pp. 38-52.