Wickers F C, Bunch W H, Barnett P M
Clin Orthop Relat Res. 1977 Jul-Aug(126):62-6.
Youngsters who fail to successfully adapt to a Milwaukee Brace displayed measurable psychological differences from those who do adapt satisfactorily to this treatment approach. The study did not encompass all conceivable variables which might affect orthotic wearing, however, use of logical and empirical approach to further delineate important variables seems feasible and desirable. In fact, one can hypothesize a predictive test battery which will detect high risk patients and thus afford the physician the option of alternative treatment modes, or intensified psychological intervention if the orthosis is preferred. The nature of such a psychological test battery, as well as the actions which would constitute effective intervention, will depend on future research. Based on our data, adolescent idiopathic scoliosis patients can be considered high risks for compliance with a Milwaukee Brace program if they display the following psychological characteristics: lower overall intelligence uith relative deficits in general information, reading recognition and reading comprehension skills; greater potential for acting-out/rebellious behavior; relatively lower sense of personal power or "potency", less tension associated with doctors; self reports of very active personal and family life styles.
未能成功适应密尔沃基支具的青少年与那些能令人满意地适应这种治疗方法的青少年相比，在心理方面存在可测量的差异。然而，该研究并未涵盖所有可能影响支具佩戴的变量，不过，采用逻辑和实证方法进一步界定重要变量似乎是可行且可取的。事实上，人们可以设想一套预测性测试组合，它将检测出高风险患者，从而为医生提供选择其他治疗模式的选项，或者如果更倾向于使用支具，则进行强化心理干预。这样一套心理测试组合的性质以及构成有效干预的行动将取决于未来的研究。根据我们的数据，如果青少年特发性脊柱侧凸患者表现出以下心理特征，那么他们可被视为遵守密尔沃基支具治疗方案的高风险人群：总体智力较低，在一般信息、阅读识别和阅读理解技能方面相对不足；有更大的冲动/叛逆行为潜力；个人力量感或“效能感”相对较低，与医生相处时的紧张感较少；自我报告个人和家庭生活方式非常活跃。
