Negrini Stefano, Donzelli Sabrina, Negrini Francesco, Romano Michele, Zaina Fabio
Physical and Rehabilitation Medicine, University of Brescia, Italy.
Stud Health Technol Inform. 2012;176:437-40.
In our Institute for many years we have asked patients to perform sport activities freely while in treatment, wearing braces or not, because of the physical and psychological advantages. Our aim was to verify whether it is really possible for patients to perform sport with the brace on, and if they complied with this proposal.
Retrospective cohort study nested in a prospective clinical database.
Adolescent Idiopathic Scoliosis (AIS), start of brace treatment, never treated before, Risser 0-3, age 10-16 years.
607 patients, 13.0±2.1 of age, 33.1°±12.0° Cobb. The sport practice in the first six months of bracing was evaluated, searching for changes in the number of patients performing sport activities and in the average sport activity in the considered subgroups. Groups considered included type of brace (Lyon, LSO, Sforzesco, Sibilla, others) and hours of bracing: 22-24 (sport in brace), 19-21, 18 (sport without the brace).
Patients with worst curves (and more hours of bracing prescribed) at the baseline practiced less sport then the others. Sport behaviour did not change with treatment: number of patients performing sport were 51.3% at start, 49.9% at the end. The hours of sport per week had a slightly but statistically significant reduction from 1.3±1.6 to 1.2±1.5 (P<0.05), mainly due to the decreased number of patients performing two sports (22.4% before, 18.1% after). General results were confirmed in the different subgroups, with no difference between groups performing in-brace or out-of-brace sport. CONCLUSION; It is possible to undergo brace treatment and continue normally practicing sport, if this is explained to patients and parents and if braces are designed in a way to allow it.
多年来，在我们研究所，由于身体和心理方面的益处，我们一直要求患者在接受治疗期间自由进行体育活动，无论是否佩戴支具。我们的目的是验证患者佩戴支具进行运动是否真的可行，以及他们是否遵守这一建议。
嵌套于前瞻性临床数据库的回顾性队列研究。
青少年特发性脊柱侧凸（AIS），开始支具治疗，此前未接受过治疗，Risser 0 - 3级，年龄10 - 16岁。
607例患者，年龄13.0±2.1岁，Cobb角33.1°±12.0°。评估了佩戴支具前六个月的运动情况，寻找进行体育活动的患者数量以及所考虑亚组中平均体育活动量的变化。所考虑的组包括支具类型（Lyon、腰骶椎矫形器、Sforzesco、Sibilla、其他）和佩戴支具的时长：22 - 24小时（佩戴支具时运动）、19 - 21小时、18小时（不佩戴支具时运动）。
基线时侧弯最严重（且规定佩戴支具时长更多）的患者运动比其他患者少。运动行为在治疗过程中未改变：开始时进行运动的患者比例为51.3%，结束时为49.9%。每周运动时长略有但具有统计学意义的减少，从1.3±1.6小时降至1.2±1.5小时（P<0.05），主要是由于进行两项运动的患者数量减少（之前为22.4%，之后为18.1%）。不同亚组的总体结果得到证实，佩戴支具运动和不佩戴支具运动的组之间没有差异。结论：如果向患者及其家长解释清楚，并且支具设计合理允许，那么患者可以接受支具治疗并继续正常进行体育活动。
