Maruyama Toru, Takeshita Katsushi, Kitagawa Tomoaki
Department of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical University.
Disabil Rehabil Assist Technol. 2008 May;3(3):136-8. doi: 10.1080/17483100801904036.
The purpose of this paper is to investigate the efficacy of the Milwaukee brace and its psychological impact and to define whether its use is still acceptable today by a review of literature.
A bibliographic search on PubMed and Medline database using keywords, 'scoliosis and brace' was performed.
Milwaukee brace 23-hours wearing protocol was most effective for the treatment of adolescent idiopathic scoliosis. However, 23-hours wearing protocol has some drawbacks, and even the patients using thoraco-lumbo-sacral orthosis wore their brace only for around 60% of the time prescribed as their wearing protocol. Our Milwaukee brace part-time wearing treatment was effective, and by its use combined with physical therapy, better results than the natural history were obtained.
With part-time wearing protocol, the Milwaukee brace can survive today as a treatment option for idiopathic scoliosis with thoracic curve or double curve.
本文旨在通过文献综述研究密尔沃基支具的疗效及其心理影响，并确定如今其使用是否仍可接受。
在PubMed和Medline数据库中使用关键词“脊柱侧弯与支具”进行文献检索。
密尔沃基支具23小时佩戴方案对青少年特发性脊柱侧弯的治疗最为有效。然而，23小时佩戴方案存在一些缺点，甚至使用胸腰骶矫形器的患者也仅在规定佩戴时间的约60%佩戴支具。我们的密尔沃基支具部分时间佩戴治疗是有效的，通过其与物理治疗相结合的使用，获得了比自然病程更好的结果。
采用部分时间佩戴方案，密尔沃基支具如今仍可作为治疗胸弯或双弯特发性脊柱侧弯的一种选择。
