Dworkin B, Miller N E, Dworkin S, Birbaumer N, Brines M L, Jonas S, Schwentker E P, Graham J J
Proc Natl Acad Sci U S A. 1985 Apr;82(8):2493-7. doi: 10.1073/pnas.82.8.2493.
Idiopathic scoliosis was treated by an automated portable posture-training device that incorporated precise behavioral principles and enabled therapeutic training to be given in the patients' normal environment throughout the entire day. Twenty-one patient-years of training were completed with a group of 12 adolescent girls selected as being imminently likely to require a brace because of the way their spinal curves had been progressing. As an alternative to conventional brace therapy, patients found the posture-training device considerably less physically restraining and more cosmetically acceptable. Most patients wore it 23 hr per day for at least 1 year and adapted well to the constant physical and psychological presence of the instrument. For 10 patients, the outcome was entirely successful; they were discharged from this pilot study as satisfactorily corrected. Progression of the scoliotic curve was arrested; in fact, there was an average slight improvement in the Cobb angle (a measure of spinal curvature) as measured by x-ray radiography.
特发性脊柱侧弯采用一种自动化便携式姿势训练设备进行治疗，该设备融入了精确的行为学原理，能够让患者在其正常生活环境中全天接受治疗性训练。对一组12名青春期女孩进行了为期21个患者年的训练，这些女孩因脊柱侧弯曲线的进展方式，极有可能需要佩戴支具。作为传统支具治疗的替代方法，患者发现姿势训练设备在身体上的限制要小得多，在外观上也更容易接受。大多数患者每天佩戴23小时，至少佩戴1年，并且很好地适应了该器械在身体和心理上的持续存在。对于10名患者，治疗结果完全成功；他们因侧弯得到满意矫正而从这项初步研究中结业。脊柱侧弯曲线的进展得到了遏制；事实上，通过X线摄影测量的Cobb角（一种脊柱弯曲度的测量指标）平均略有改善。
