Spine
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Multicenter Study Comparative Study
Body appearance and quality of life in adult patients with adolescent idiopathic scoliosis treated with a brace or under observation alone during adolescence.
The Scoliosis Research Society (SRS) brace study (published in the JBJS-A, 1995) was comprised of patients with adolescent idiopathic scoliosis with moderate curve sizes (25°-35°). Forty observed and 37 braced patients (77% of the original group) attended a follow-up, a mean of 16 years after onset of maturity. ⋯ Patients who experienced less body asymmetry were more satisfied with treatment and had a better quality of life. In spite of similar curve sizes and trunk rotation in both groups, the nonbraced patients felt that their body appearance was less distorted than that of the braced patients.
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Prospective cohort study. ⋯ Contrary to previous reports, there was no evidence of consistent posterior osteophyte resorption during 5 years of follow-up.
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Prospective cohort study. ⋯ Awkward postures were associated with chronic LBP in the general population. Exposure to awkward postures at 2 measurements with 5 years in between did increase the risk for incident chronic LBP, but not for persistence of chronic LBP.
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Randomized Controlled Trial
Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial.
Randomized controlled trial. ⋯ Electronic monitoring can improve compliance with orthoses in patients with spinal deformity during a short observation period.
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Retrospective cohort study. ⋯ There was a lower risk of subsequent medical service usage among patients who received PT early after an episode of acute low back pain relative to those who received PT at later times. Medical specialty variations exist regarding early use of PT, with potential underutilization among generalist specialties.