Electronic Monitoring Improves Brace-Wearing Compliance in Patients With Adolescent Idiopathic Scoliosis
- 1 April 2012
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Spine
- Vol. 37 (9), 717-721
- https://doi.org/10.1097/brs.0b013e31822f4306
Abstract
Randomized controlled trial. To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS). 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. 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. 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. Electronic monitoring can improve compliance with orthoses in patients with spinal deformity during a short observation period.Keywords
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