Plewka Barbara, Sibiński Marcin, Synder Marek, Witoński Dariusz, Kołodziejczyk-Klimek Katarzyna, Plewka Michał
Pediatric Rehabilitation Department, Voivodship Centre for Orthopedics and Rehabilitation of Motor Organs, Łódź, Poland.
Pol Orthop Traumatol. 2013 Mar 26;78:85-9.
The objective of the study was to perform a clinical, comparative assessment of the degree of postural deformities before and after the treatment of idiopathic scoliosis in patients treated with SpineCor brace compared to the control group.
A group of 90 children with idiopathic scoliosis (including 74 girls) at the average age of 12.2 was subject to prospective observation. Average pre-treatment Cobb angle was 24.9° in the thoracic spine and 25.8° in the lumbar spine. The group actively treated with the SpineCor brace consisted of 45 children, while the control group consisted of the remaining 45 children with the natural course of the disease.
Both groups did not differ significantly in terms of age, gender, height, body weight, Risser sign of skeletal maturity and baseline clinical and radiological parameters of scoliosis. Significant reduction of rib hump was observed upon 2-year SpineCor brace treatment (P=0.04) compared to the group treated by physiotherapy only (P=0.91). Similarly, improvement in lumbar prominence was observed in the actively treated group (P=0.009), with a trend towards worse results in the control group (P=0.07) In the group treated with the SpineCor brace, significant reduction in pectoral and hamstring muscle contractures as well as reduction in shoulder asymmetry and reduction in anterior and posterior vertical deviation were observed.
Treatment using the SpineCor dynamic brace leads to a clinical improvement in posture, particularly to reduction in rib hump, lumbar prominence and muscular contractures.
本研究的目的是对特发性脊柱侧凸患者使用SpineCor支具治疗前后的姿势畸形程度进行临床比较评估，并与对照组进行对比。
对一组90例平均年龄为12.2岁的特发性脊柱侧凸儿童（包括74名女孩）进行前瞻性观察。治疗前胸椎平均Cobb角为24.9°，腰椎平均Cobb角为25.8°。积极使用SpineCor支具治疗的组有45名儿童，而对照组由其余45名病情自然发展的儿童组成。
两组在年龄、性别、身高、体重、骨骼成熟度的Risser征以及脊柱侧凸的基线临床和放射学参数方面无显著差异。与仅接受物理治疗的组相比（P = 0.91），经两年SpineCor支具治疗后观察到肋骨隆起明显降低（P = 0.04）。同样，积极治疗组的腰椎突出有所改善（P = 0.009），而对照组有恶化趋势（P = 0.07）。在使用SpineCor支具治疗的组中，观察到胸肌和腘绳肌挛缩明显减轻，肩部不对称以及前后垂直偏差减小。
使用SpineCor动态支具进行治疗可使姿势得到临床改善，尤其是肋骨隆起、腰椎突出和肌肉挛缩的减轻。
