Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences , Tehran, Iran.
Skull Base Research Center, Loghman Hakim Hospital , Tehran, Iran.
Assist Technol. 2020 Sep 2;32(5):260-267. doi: 10.1080/10400435.2018.1539419. Epub 2019 Jan 2.
Spinal bracing is one form of conservative treatment used in the treatment of adolescent idiopathic scoliosis (AIS).
The aim of this review was therefore to evaluate the effect of brace treatment on balance in subjects with AIS.
The search strategy was based on the Population Intervention Comparison Outcome (PICO). PubMed, Scopus, ISI web of knowledge, Ovid, the Cochrane library (CENTRAL) and Google scholar databases and also the reference lists of relevant articles were searched for articles of clinical trials with level of evidence of three or more of AIS that underwent spinal bracing treatment.
Ten studies, investigating a total of 282 subjects with AIS, met the inclusion criteria. AIS subjects were characterized by a significant increase in the excursion of their center of pressure position compared with healthy subjects. AIS subjects are able to control their quiet standing balance via muscle co-contraction and proprioceptive stimulation, but following a short period of brace wear, no further improvement in balance parameters has been observed.
There is a requirement to follow up the use and wear of orthoses and also studies with high quality in subjects with AIS.
脊柱支具是青少年特发性脊柱侧凸（AIS）治疗中使用的一种保守治疗形式。
本综述的目的是评估支具治疗对 AIS 患者平衡的影响。
搜索策略基于人群、干预、比较、结局（PICO）。检索了 PubMed、Scopus、ISI web of knowledge、Ovid、Cochrane 图书馆（CENTRAL）和 Google Scholar 数据库，以及相关文章的参考文献，以寻找接受脊柱支具治疗的 AIS 临床研究的文章，证据水平为 3 级或以上。
符合纳入标准的有 10 项研究，共纳入 282 名 AIS 患者。AIS 患者的压力中心位置移动幅度明显大于健康受试者。AIS 患者可以通过肌肉协同收缩和本体感觉刺激来控制其静立平衡，但在短时间佩戴支具后，平衡参数没有进一步改善。
需要对 AIS 患者的支具使用和佩戴情况进行随访，并开展高质量的研究。
