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

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.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Miller DJ,Franzone JM,Matsumoto H,Gomez JA,Avendaño J,Hyman JE,Roye DP Jr,Vitale MG

doi

10.1097/BRS.0b013e31822f4306

subject

Has Abstract

pub_date

2012-04-20 00:00:00

pages

717-21

issue

9

eissn

0362-2436

issn

1528-1159

pii

00007632-201204200-00002

journal_volume

37

pub_type

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