The Future is Flexible: The Impact of improved Comfort and Aesthetics on Patient Compliance in Spinal Bracing

Main Article Content

Dr. Matthew Potts M A. http://orcid.org/0000-0002-7175-1579

Abstract

The evolution of scoliosis bracing has transformed dramatically, from the primitive scamnum of Hippocrates to the cutting-edge 3D-printed braces of today. This paper traces this journey, spotlighting pivotal advancements such as the Milwaukee and Boston braces that redefined non-surgical treatment in the 20th century. As we moved into the 21st century, customisation and three-dimensional correction became the new frontiers, exemplified by the Cheneau brace and its modern derivatives like the ScoliBrace.


Now, with the advent of 3D printing, the possibilities for scoliosis bracing are expanding further, offering unprecedented levels of customisation and patient comfort. This technology introduces the potential for variable density zones, optimising both support and flexibility in a single brace. However, this innovation is still in its infancy, with much of its potential yet to be fully harnessed on a global scale.


As we look to the future, the field of scoliosis bracing remains ripe for further innovation. Future research must focus on leveraging 3D printing technology to its fullest, refining brace designs, and exploring new methodologies to enhance patient outcomes and quality of life. The evolution of scoliosis bracing is not just a story of technological advancement, but also of improved patient-centred care, where the goal is not merely correction, but comfort, compliance, and an enhanced quality of life.

Keywords: Scoliosis bracing, 3D printing, Milwaukee brace, Boston brace, Cheneau brace, ScoliBrace, Additive manufacturing, Variable density zones, Patient-centred care

Article Details

How to Cite
M A., Dr. Matthew Potts. The Future is Flexible: The Impact of improved Comfort and Aesthetics on Patient Compliance in Spinal Bracing. Medical Research Archives, [S.l.], v. 12, n. 9, sep. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5724>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.18103/mra.v12i9.5724.
Section
Review Articles

References

1. Hippocrates. The Genuine Works of Hippocrates [translated by Adams F]. New York, NY: Wm Wood; 1849.

2. Yagci G, Bek N, A Historical Perspective of the Management of Scoliosis. ERCIYES MEDICAL JOURNAL. 2022 44(4) 439-446.

3. Khan MJ, Srinivasan VM, Jea AH. The History of Bracing for Scoliosis. Clinical Pediatrics. 2016; 55(4):320-325.

4. Moen, KY, Nachemson, AL. Treatment of Scoliosis: An Historical Perspective. Spine 1999; 24(24): 2570

5. Marketos SG, Skiadas PK. Galen: a pioneer of spine research. Spine. 1999; 24:2358–2362.

6. Fayssoux RS, Cho RH, Herman MJ. A history of bracing for idiopathic scoliosis in North America. Clin Orthop Relat Res. 2010 468(3):654-64.

7. Paré A. The Works of that Famous Churugion Ambrose Paré [translated by Johnson T, Cotes T, Young R]. London, UK: Clark J; 1634.

8. Jun J, Qui Y, Mao S, Zhao Q, Qian B, Zhu F. The influence of elastic orthotic belt on sagittal profile in adolescent idiopathic thoracic scoliosis: A comparative radiographic study with Milwaukee brace. BMC musculoskeletal disorders. 2010;11( 219): 10.1186 1471-2474-11-219.

9. Blount WP, Schmidt AC. The Milwaukee brace for the correction of scoliotic deformities. J Bone Joint Surg Am. 1958;40(3):511-525.

10. Emans JB, Kaelin A, Bancel P, Hall JE, Miller ME. The Boston bracing system for idiopathic scoliosis. Follow-up results in 295 patients. Spine. 1986 Oct;11(8):792-801

11. Wynne JH, Houle LR. Short-Term Outcomes of the Boston Brace 3D Program Based on SRS and SOSORT Criteria: A Retrospective Study. Children. 2022; 9(6):842.

12. Katsaris G, Loukos A, Valavanis J, Vassiliou M, Behrakis PK. The immediate effect of a Boston brace on lung volumes and pulmonary compliance in mild adolescent idiopathic scoliosis. Eur Spine J. 1999;8(1):2-7.

13. Weiss HR, Weiss GM. Brace treatment during pubertal growth spurt in girls with idiopathic scoliosis (IS): a prospective trial comparing two different concepts. Pediatr Rehabil. 2005; 8(3):199-206.

14. Li K, Ma G, Zhao H, Han Y, Zuo J, Miao J, Zhang J, Wang X. Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study. Medicine. 2022; 101.

15. Ovadia D, Eylon S, Mashiah A, Wientroub S, Lebel ED. Factors associated with the success of the Rigo System Chêneau brace in treating mild to moderate adolescent idiopathic scoliosis. Journal of Children’s Orthopaedics. 2012;6(4):327-331.

16. Lim KBL, Mak HKW, Abdul Rahaman SH, Ong LL, Ooi SYJ, Lee NKL. A pilot study on the "ScoliBrace" in the treatment of adolescent idiopathic scoliosis. Eur J Orthop Surg Traumatol. 2024 34 (4):1803-1809.

17. Li J, Zhou G, Xu N, Sun P, Chang S, Zhang Y, Du C, Li W, Zeng Y, Yu M. Patientspecific 3D-printed Brace for Adolescent Idiopathic Scoliosis: A Prospective Cohort Study. World Neurosurg. 2024 4:S1878-8750 (24) 00928-8.

18. Weinstein SL, Dolan LA, Wright JG, Dobbs MB. Effects of bracing in adolescents with idiopathic scoliosis N Engl J Med 2013; 369: 1512-1521.

19. Sanders JO, Newton PO, Browne RH, Katz DE, Birch JG, Herring JA. Bracing for idiopathic scoliosis: how many patients require treatment to prevent one surgery? J Bone Joint Surg Am. 2014; 96: 649-653.

20. Aulisa AG, Giordano M, Falciglia F, Marzetti E, Poscia A, Guzzanti V. Correlation between compliance and brace treatment in juvenile and adolescent idiopathic scoliosis: SOSORT 2014 award winner Scoliosis. 2014; 9:6.

21. Brox JI, Lange JE, Gunderson RB, Steen H. Good brace compliance reduced curve progression and surgical rates in patients with idiopathic scoliosis Eur Spine J, 2012; 21:1957-1963,

22. Piantoni L, Tello CA, Remondino RG. Quality of life and patient satisfaction in bracing treatment of adolescent idiopathic scoliosis. Scoliosis 2018; 13(26)

23. Lou EHM, Hill DL, Raso V, Moreau JM, Hedden D. How quantity and quality of brace wear affect the brace treatment outcomes for AIS. Eur Spine J, 2016; 25:495-499,

24. Kuroki, H, Nomata N, Hamanaka H, Higa K, Chosa E, Tajima N. Efficacy of the Osaka Medical College (OMC) brace in the treatment of adolescent idiopathic scoliosis following Scoliosis Research Society brace studies criteria. Scoliosis, 2015; 10:12.

25. Konieczny MR, Hieronymus P, Krauspe R. Time in brace: where are the limits and how can we improve compliance and reduce negative psychosocial impact in patients with scoliosis? A retrospective analysis Spine J 2017.

26. Goodbody CM, Asztalos IB, Sankar WN, Flynn JM. It's not just the big kids: both high and low BMI impact bracing success for adolescent idiopathic scoliosis. J Child Orthop, 2016; 10:395-404.

27. Zhang Y, Liang J, Xu N. 3D-printed brace in the treatment of adolescent idiopathic scoliosis: a study protocol of a prospective randomised controlled trial BMJ Open 2020;10:e038373.

28. Ngo TD, Kashani A, Imbalzano G, Nguyen KTQ, Hui D. Additive manufacturing (3D printing): A review of materials, methods, applications and challenges, Composites Part B: Engineering. 2018; 143:172-196.

29. Desbiens-Blais F, Clin J, Parent S, Labelle H, Aubin CE. New brace design combining CAD/CAM and biomechanical simulation for the treatment of adolescent idiopathic scoliosis. Clinical Biomechanics 2012; 27(10): 999-1005.

30. Law D, Cheung M, Yip J, Yick KL, Wong C. Scoliosis brace design: influence of visual aesthetics on user acceptance and compliance. Ergonomics. 2016; 60(6): 876–886.