脊柱侧弯支具佩戴依从性的电子监测
Electronic monitoring of scoliosis brace wear compliance.
作者信息
Rahman Tariq, Borkhuu Battugs, Littleton Aaron G, Sample Whitney, Moran Ed, Campbell Stephen, Rogers Kenneth, Bowen J Richard
出版信息
J Child Orthop. 2010 Aug;4(4):343-7. doi: 10.1007/s11832-010-0266-6. Epub 2010 Jun 3.
PURPOSE
Accurate evaluation of patient compliance with scoliosis brace usage has been a challenge for physicians treating patients with adolescent idiopathic scoliosis. This inability to accurately measure compliance has resulted in difficulty in determining brace treatment efficacy. This prospective study was performed to demonstrate the efficacy of using a new electronic brace compliance monitor, the Cricket.
METHODS
The Cricket is a small encased circuit that can be attached to the brace and, by means of a temperature sensor, can record brace wear times. This study included ten subjects with adolescent idiopathic scoliosis who were prescribed the Wilmington scoliosis brace (thoraco-lumbo-sacral orthosis) into which the Cricket sensor was incorporated. Subjects kept a diary of brace wear times.
RESULTS
Comparisons of data for the Cricket, subject diaries, and prescribed brace wear were evaluated. The mean error between the diary times and Cricket recording was 2%. Patient compliance was 78%.
CONCLUSIONS
The Cricket is a reliable, accurate, and sensitive device to determine patient compliance with scoliosis brace usage.
目的
准确评估患者对脊柱侧弯矫形器使用的依从性，一直是治疗青少年特发性脊柱侧弯患者的医生所面临的一项挑战。无法准确测量依从性导致难以确定矫形器治疗效果。进行这项前瞻性研究是为了证明使用一种新型电子矫形器依从性监测器——“蟋蟀”的有效性。
方法
“蟋蟀”是一个小型封装电路，可附着在矫形器上，并通过温度传感器记录矫形器佩戴时间。本研究纳入了10名青少年特发性脊柱侧弯患者，他们被开具了威尔明顿脊柱侧弯矫形器（胸腰骶矫形器），并在其中安装了“蟋蟀”传感器。受试者记录矫形器佩戴时间的日记。
结果
对“蟋蟀”、受试者日记和规定的矫形器佩戴时间的数据进行了比较评估。日记时间与“蟋蟀”记录之间的平均误差为2%。患者依从性为78%。
结论
“蟋蟀”是一种可靠、准确且灵敏的装置，可用于确定患者对脊柱侧弯矫形器使用的依从性。
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