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Evolution of Experience and Practise in Two Nations
Published in Alaaeldin (Alaa) Azmi Ahmad, Aakash Agarwal, Early-Onset Scoliosis, 2021
India-born Dr Mehta had the pioneering idea of casting babies with progressive curves and introduced rib-vertebral angle deformity (RVAD) [5,6]. I was trained to apply casting on these children followed by bracing. Children with proximal thoracic curves required the use of a Milwaukee Brace, which is usually not well-tolerated (Figure 9f.1) [7–9]. My conscious effort to find a solution for those children with infantile or juvenile scoliosis started building. I scripted the first monograph on scoliosis in India, Scoliosis – Facts, Figures & Follow-Up for Clinical Research [7]. This book included contributions from Dr John Hall, Dr Alf Nachemson, Dr John Kostuik, Dr Robert Winter, and Dr Yves Cotrel
Orthopaedics and musculoskeletal system
Published in Jagdish M. Gupta, John Beveridge, MCQs in Paediatrics, 2020
Jagdish M. Gupta, John Beveridge
14.29. Which of the following statements is/are true of Duchenne type muscular dystrophy (DMD)?Fewer than 50% of affected people live more than 25 years.Cardiomyopathy is a recognized feature.There is an increased incidence of intellectual handicap.The preferred treatment for scoliosis complicating DMD is a Milwaukee brace.Investigations can confirm or refute the diagnosis at 1 month of age in babies at risk.
The Back
Published in Louis Solomon, David Warwick, Selvadurai Nayagam, Apley and Solomon's Concise System of Orthopaedics and Trauma, 2014
Louis Solomon, David Warwick, Selvadurai Nayagam
Bracing has been used for many years in treating progressive curves of 20–30 degrees. The Milwaukee brace consists of a pelvic corset connected by adjustable steel supports to a cervical ring carrying occipital and chin pads; its purpose is to reduce the lumbar lordosis and encourage active stretching and straightening of the thoracic spine. The Boston brace is a snug-fitting underarm brace that provides lumbar or low thoracolumbar support. Corrective pads may be added to these devices to apply pressure at a particular site. A wellmade brace does not preclude full daily activities, including sport and exercises.
Evaluation of the efficiency of Boston brace on scoliotic curve control: A review of literature
Published in The Journal of Spinal Cord Medicine, 2020
Mohammad Taghi Karimi, Timon Rabczuk
The results of studies evaluated in this review showed that the effect of Boston brace on scoliotic curve correction is more than other commonly used braces. This may be due to the structure of the brace (close fitting) and also the force of its strap. The straps of this brace apply forces in upward and also a transverse load which seems to be more effective than Milwaukee brace. However, it should be emphasized that the best correction achieved with Boston brace is in lower thoracic and upper lumbar area. Therefore, although this brace is more efficient to control scoliotic curve, it can be used only for the curves between T6 and L2. It is recommended that the force configuration used in this brace will be put in high profile braces to increase the efficiency of scoliotic brace also for the subjects with a curve in upper thoracic area.
Persian adaptation of the Bad Sobernheim stress questionnaire for adolescent with idiopathic scoliosis
Published in Disability and Rehabilitation, 2020
Fazel Rezaei Motlagh, Hamid Pezham, Taher Babaee, Hassan Saeedi, Zahra Hedayati, Mohammad Kamali
Idiopathic scoliosis places adolescents in an ill-defined position between illness and health. It involves deviation from the spine’s natural alignment and often causes the patient to consider his or her situation abnormal [19]. Adolescent idiopathic scoliosis is one of the most prevalent diseases (approximately 2–3%) affecting teenagers [20,21]. Most treatments aim to prevent progression of the deformity; however, these interventions may negatively affect the health-related quality of life among adolescents with spinal deformities [22]. Although the Milwaukee brace has the greatest biomechanical effectiveness for applying the corrective forces, and it is, therefore, able to provide greater stability for the spine [23], it was reported that it may deteriorate mental health, restrict function and daily activities, reduce self-image, and totally diminish the quality of life [14,24]. Moreover, some studies have mentioned that the stress related to the brace is the most important issue in conservative treatment of adolescent with idiopathic scoliosis. Adolescent boys or girls should wear a rigid brace 23 h daily for more than a year. This factor causes an increase in the stress level and a decrease in the rate of compliance [25]. The Bad Sobernheim Stress Questionnaire-Deformity and the Bad Sobernheim Stress Questionnaire-Brace were developed by German investigators to focus on the stress level induced by scoliosis and bracing [4,14]. This study has tested the translated Persian Bad Sobernheim Stress Questionnaire-Deformity and the Persian Bad Sobernheim Stress Questionnaire-Brace, due its socio-cultural incompatibility in different countries and cultures, based on the International Quality of Life Association project [12]. The maximum answering time for both the Bad Sobernheim Stress Questionnaire-Deformity/Brace was 2 min. Fifty-three adolescent idiopathic scoliosis patients were recruited in this study, because the minimum required is 50 patients to have the effective statistical analysis according to the guidelines [12]. Among similar studies, only the German [14], Chinese [10], this study met these criteria.