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Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial.

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Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial.

Spine (Phila Pa 1976). 2012 Apr 20;37(9):717-21

Authors: Miller DJ, Franzone JM, Matsumoto H, Gomez JA, Avenda�±o J, Hyman JE, Roye DP, Vitale MG

Abstract
STUDY DESIGN: Randomized controlled trial.
OBJECTIVE: To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS).
SUMMARY OF BACKGROUND DATA: Noncompliance is a barrier to brace treatment of AIS. Studies have demonstrated that monitoring improves medication compliance; however, this has not been investigated in spinal braces.
METHODS: Twenty-one patients (mean age = 12.4 �± 2.0 years) with AIS were prescribed treatment with a custom-made Thoraco-Lumbo-Sacral-Orthosis for 18 hours a day using a standardized script. Before beginning treatment, 10 patients were randomized to be informed that their compliance was monitored, whereas 11 patients were unaware. Compliance was measured via a temperature probe embedded within the Thoraco-Lumbo-Sacral-Orthosis hidden from view.
RESULTS: Patients who were notified that they had a monitor in their brace demonstrated significantly increased compliance during the first 14 weeks of treatment compared with those who were uninformed (85.7% vs. 56.5%, P = 0.029), corresponding to a mean difference of 5.24 hours of daily brace wear.
CONCLUSION: Electronic monitoring can improve compliance with orthoses in patients with spinal deformity during a short observation period.

PMID: 22517480 [PubMed – in process]

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