Biomechanics of Spinal Orthoses for Adolescent Idiopathic Scoliosis
Author Information
Author(s): Luo Changliang, Wu Huidong, Liu Wei, Luo Yuyan, Jie Yi, Ma Christina Zong-Hao, Wong Mansang
Primary Institution: Department of Prosthetic and Orthotic Engineering, School of Rehabilitation, Kunming Medical University
Hypothesis
This study aims to identify reference values for the controlling forces in adolescent idiopathic scoliosis management.
Conclusion
The findings provide baseline values for designing adjustable straps and strategically distributing pressure in orthoses.
Supporting Evidence
- The mean strap tension was found to be 42.5 N.
- The median interface pressure of the thoracic pads was 8.75 kPa.
- The median pressure of the thoracolumbar/lumbar regions was 7.11 kPa.
- Higher strap tension was correlated with increased interface pressure (r = 0.84).
- Ten studies were included in the final analysis from an initial 10,452 records.
Takeaway
This study looked at how much pressure spinal braces should apply to help kids with scoliosis. It found that the right amount of pressure can help fix their spine better.
Methodology
A comprehensive literature search was performed in five databases, and studies were assessed for methodological quality using the MINORS criteria.
Potential Biases
Potential bias due to the subjective experience of orthotists in applying controlling forces.
Limitations
The review was limited to English-language literature, which may have constrained the number of studies included, and there was heterogeneity among the studies.
Participant Demographics
The studies included participants from various countries, with a total sample size of 292, including both males and females aged 9 to 14.
Digital Object Identifier (DOI)
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