Merkelbach Niels, Pauw Alix De, Van Campenhout Anja
KU Leuven, Leuven, Belgium.
UZ Leuven Department of Pediatric Orthopaedics, KU Leuven Department of Development and Regeneration, Leuven, Belgium.
J Child Orthop. 2025 Aug 27:18632521251361320. doi: 10.1177/18632521251361320.
Scoliosis is a prevalent condition among individuals with cerebral palsy, characterized by an inability to maintain spinal alignment due to diminished muscle tone. This progressive curvature becomes structural over time, resulting in physical impairment and challenges in daily activities. Consequently, therapeutic intervention is essential. Historically, brace therapy has been extensively utilized, but its efficacy remains uncertain.
A systematic review was conducted across four databases to compile all relevant studies and reviews pertaining to brace therapy in cerebral palsy patients. Each article was independently assessed by two researchers and evaluated using the SIGN tool.
Eight studies were included, comprising six retrospective and two prospective studies, all rated as "acceptable" or "high quality." Brace therapy demonstrated a temporary positive effect, with improved Cobb angles observed during brace usage, particularly in patients under 15 years of age, due to incomplete spinal maturation. However, this improvement is transient, as Cobb angles tend to increase once the brace is removed, diminishing its effectiveness. In addition, brace therapy positively impacts quality of life by enhancing posture and reducing pain, although these benefits also diminish over time, potentially leading to a decline in quality of life.
Brace therapy offers temporary relief for physical and daily life challenges associated with cerebral palsy. However, its effects are not sustained, necessitating operative techniques for long-term management. This was a systematic review of Level-II studies or Level-I studies with inconsistent results.
脊柱侧弯在脑瘫患者中很常见，其特征是由于肌张力降低而无法维持脊柱 alignment。这种渐进性弯曲随着时间的推移会变成结构性的，导致身体损伤和日常活动中的挑战。因此，治疗干预至关重要。从历史上看，支具治疗已被广泛使用，但其疗效仍不确定。
对四个数据库进行了系统评价，以汇编所有与脑瘫患者支具治疗相关的研究和综述。每篇文章由两名研究人员独立评估，并使用 SIGN 工具进行评价。
纳入了八项研究，包括六项回顾性研究和两项前瞻性研究，所有研究均被评为“可接受”或“高质量”。支具治疗显示出暂时的积极效果，在使用支具期间观察到 Cobb 角有所改善，特别是在 15 岁以下的患者中，这是由于脊柱发育不完全成熟。然而，这种改善是短暂的，因为一旦去除支具，Cobb 角往往会增加，从而降低其有效性。此外，支具治疗通过改善姿势和减轻疼痛对生活质量产生积极影响，尽管这些益处也会随着时间的推移而减少，可能导致生活质量下降。
支具治疗为与脑瘫相关的身体和日常生活挑战提供了暂时的缓解。然而，其效果不能持久，需要手术技术进行长期管理。这是一项对结果不一致的二级研究或一级研究的系统评价。
