Abstract
Background: Adult scoliosis is sometimes associated with back pain. Recently, the Peak™ Scoliosis Brace was designed to alleviate pain in adult patients with scoliosis. Objectives: To test the efficacy of the Peak Scoliosis Brace in reducing pain in adult scoliosis patients. Study design: Prospective experimental cohort study. Methods: A total of 20 adult females with back pain secondary to idiopathic scoliosis were included. Patients were evaluated at baseline immediately before starting bracing and after 1 month. The brace had to be worn for at least 2 h per day. The outcome measures used were Graphical Rating Scale, Roland-Morris Questionnaire, Core Outcome Measurement Index, and Oswestry Disability Index. Results: Worst pain, back pain, and leg pain significantly improved from 7.15 to 5.85, from 6.55 to 5.25, and from 5.65 to 3.55, respectively (p < 0.05). A total of 75% of patients reported improved worst and leg pain, 65% improved back pain, 30% of patients achieved the minimal clinically significant difference of 2 points for worst pain, 60% for leg pain, and 25% for back pain. Roland-Morris Questionnaire and Core Outcome Measurement Index improved (p < 0.05) and no differences were observed for Oswestry Disability Index. Conclusion: The Peak Scoliosis Brace led to some improvement of pain at 1 month in a group of adult women with scoliosis and chronic low back pain. The quality of life did not change significantly. Clinical relevance: According to our data, the Peak Brace is helpful to quickly improve pain in patients with chronic low back pain secondary to scoliosis. To achieve this goal, it should be applied for at least 2 h per day.
| Original language | English |
|---|---|
| Journal | Prosthetics and Orthotics International |
| Early online date | Feb 2018 |
| DOIs | |
| Publication status | E-pub ahead of print - Feb 2018 |
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Keywords
- chronic pain
- conservative treatment
- disability
- low back pain
- pain research
- Scoliosis
- spinal orthotics
ASJC Scopus subject areas
- Health Professions (miscellaneous)
- Rehabilitation
Cite this
Can bracing help adults with chronic back pain and scoliosis? Short-term results from a pilot study. / Zaina, Fabio; Poggio, Martina; Donzelli, Sabrina; Negrini, Stefano.
In: Prosthetics and Orthotics International, 02.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Can bracing help adults with chronic back pain and scoliosis? Short-term results from a pilot study
AU - Zaina, Fabio
AU - Poggio, Martina
AU - Donzelli, Sabrina
AU - Negrini, Stefano
PY - 2018/2
Y1 - 2018/2
N2 - Background: Adult scoliosis is sometimes associated with back pain. Recently, the Peak™ Scoliosis Brace was designed to alleviate pain in adult patients with scoliosis. Objectives: To test the efficacy of the Peak Scoliosis Brace in reducing pain in adult scoliosis patients. Study design: Prospective experimental cohort study. Methods: A total of 20 adult females with back pain secondary to idiopathic scoliosis were included. Patients were evaluated at baseline immediately before starting bracing and after 1 month. The brace had to be worn for at least 2 h per day. The outcome measures used were Graphical Rating Scale, Roland-Morris Questionnaire, Core Outcome Measurement Index, and Oswestry Disability Index. Results: Worst pain, back pain, and leg pain significantly improved from 7.15 to 5.85, from 6.55 to 5.25, and from 5.65 to 3.55, respectively (p < 0.05). A total of 75% of patients reported improved worst and leg pain, 65% improved back pain, 30% of patients achieved the minimal clinically significant difference of 2 points for worst pain, 60% for leg pain, and 25% for back pain. Roland-Morris Questionnaire and Core Outcome Measurement Index improved (p < 0.05) and no differences were observed for Oswestry Disability Index. Conclusion: The Peak Scoliosis Brace led to some improvement of pain at 1 month in a group of adult women with scoliosis and chronic low back pain. The quality of life did not change significantly. Clinical relevance: According to our data, the Peak Brace is helpful to quickly improve pain in patients with chronic low back pain secondary to scoliosis. To achieve this goal, it should be applied for at least 2 h per day.
AB - Background: Adult scoliosis is sometimes associated with back pain. Recently, the Peak™ Scoliosis Brace was designed to alleviate pain in adult patients with scoliosis. Objectives: To test the efficacy of the Peak Scoliosis Brace in reducing pain in adult scoliosis patients. Study design: Prospective experimental cohort study. Methods: A total of 20 adult females with back pain secondary to idiopathic scoliosis were included. Patients were evaluated at baseline immediately before starting bracing and after 1 month. The brace had to be worn for at least 2 h per day. The outcome measures used were Graphical Rating Scale, Roland-Morris Questionnaire, Core Outcome Measurement Index, and Oswestry Disability Index. Results: Worst pain, back pain, and leg pain significantly improved from 7.15 to 5.85, from 6.55 to 5.25, and from 5.65 to 3.55, respectively (p < 0.05). A total of 75% of patients reported improved worst and leg pain, 65% improved back pain, 30% of patients achieved the minimal clinically significant difference of 2 points for worst pain, 60% for leg pain, and 25% for back pain. Roland-Morris Questionnaire and Core Outcome Measurement Index improved (p < 0.05) and no differences were observed for Oswestry Disability Index. Conclusion: The Peak Scoliosis Brace led to some improvement of pain at 1 month in a group of adult women with scoliosis and chronic low back pain. The quality of life did not change significantly. Clinical relevance: According to our data, the Peak Brace is helpful to quickly improve pain in patients with chronic low back pain secondary to scoliosis. To achieve this goal, it should be applied for at least 2 h per day.
KW - chronic pain
KW - conservative treatment
KW - disability
KW - low back pain
KW - pain research
KW - Scoliosis
KW - spinal orthotics
UR - http://www.scopus.com/inward/record.url?scp=85042063091&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042063091&partnerID=8YFLogxK
U2 - 10.1177/0309364618757769
DO - 10.1177/0309364618757769
M3 - Article
AN - SCOPUS:85042063091
JO - Prosthetics and Orthotics International
JF - Prosthetics and Orthotics International
SN - 0309-3646
ER -