Bracing adults with chronic low back pain secondary to severe scoliosis: six months results of a prospective pilot study.
Adult scoliosis
Chronic pain
Conservative treatment
Low back pain
Spinal orthotics
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
received:
23
03
2020
accepted:
04
03
2021
revised:
13
01
2021
pubmed:
19
3
2021
medline:
25
2
2023
entrez:
18
3
2021
Statut:
ppublish
Résumé
Adult scoliosis is sometimes associated with back pain and severe curves can progress over time. Despite scoliosis has been estimated to affect up to 68% of the population over 60, there is scant literature about conservative treatment for adult scoliosis. Recently, we tested a new brace designed to alleviate pain for adult patients with chronic pain secondary to scoliosis. The study aims to test the efficacy of a prefabricated brace in reducing pain in adult scoliosis patients. Twenty adults (age 67.8 ± 10.5, curve 61.9 ± 12.6° Cobb) with chronic low back pain (cLBP) secondary to Idiopathic Scoliosis (IS) were included. Patients were evaluated at baseline immediately before starting with the brace and after 6 months. Outcome measures were GRS, Oswestry Disability Index (ODI), Roland Morris Questionnaire (RM), COMI. The paired t test, ANOVA and Wilcoxon tests were used for statistical analysis RESULTS: At six months, worst pain, leg pain and back pain were significantly improved: from 7.15 to 5.60, from 5.65 to 4.35 and from 6.55 to 5.25 (p < 0.05). Sixty-five percent of patients achieved the minimal clinically important difference of 2 points for worst pain and leg pain, 55% for back pain. RM and COMI improved (p < 0.05), no differences for ODI. The prefabricated brace showed a significant improvement at 6 months of worst, leg and back pain in most patients in a group of adult women with IS and cLBP. The quality of life didn't change in a clinically significant way even if the patients reported satisfaction with the treatment. Trial registration number and date of registration: ClinicalTrials.gov Identifier: NCT02643290, December 31, 2015.
Identifiants
pubmed: 33733328
doi: 10.1007/s00586-021-06808-1
pii: 10.1007/s00586-021-06808-1
doi:
Banques de données
ClinicalTrials.gov
['NCT02643290']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2962-2966Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Negrini S, Donzelli S, Aulisa AG et al (2018) 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoli Spinal Disord 13:3. https://doi.org/10.1186/s13013-017-0145-8
doi: 10.1186/s13013-017-0145-8
Balagué F, Pellisé F (2016) Adolescent idiopathic scoliosis and back pain. Scoli Spinal Disord 11:27. https://doi.org/10.1186/s13013-016-0086-7
doi: 10.1186/s13013-016-0086-7
Glassman SD, Berven S, Bridwell K et al (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682–688
doi: 10.1097/01.brs.0000155425.04536.f7
Lamartina C, Berjano P (2014) Classification of sagittal imbalance based on spinal alignment and compensatory mechanisms. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 23:1177–1189. https://doi.org/10.1007/s00586-014-3227-9
doi: 10.1007/s00586-014-3227-9
Obeid I, Berjano P, Lamartina C et al (2018) Classification of coronal imbalance in adult scoliosis and spine deformity: a treatment-oriented guideline. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. https://doi.org/10.1007/s00586-018-5826-3
doi: 10.1007/s00586-018-5826-3
Weinstein SL (1999) Natural history. Spine 24:2592–2600
doi: 10.1097/00007632-199912150-00006
Marty-Poumarat C, Scattin L, Marpeau M et al (2007) Natural history of progressive adult scoliosis. Spine 32:1227–1234. https://doi.org/10.1097/01.brs.0000263328.89135.a6 (Discussion 1235)
doi: 10.1097/01.brs.0000263328.89135.a6
pubmed: 17495780
Negrini S, Donzelli S, Aulisa AG et al (2018) 2016 SOSORT Guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoli Spinal Disord. https://doi.org/10.1186/s13013-017-0145-8
doi: 10.1186/s13013-017-0145-8
Donaldson S, Stephens D, Howard A et al (2007) Surgical decision making in adolescent idiopathic scoliosis. Spine 32:1526–1532. https://doi.org/10.1097/BRS.0b013e318067dc75
doi: 10.1097/BRS.0b013e318067dc75
pubmed: 17572623
Acaroğlu RE, Dede Ö, Pellisé F et al (2016) Adult spinal deformity: a very heterogeneous population of patients with different needs. Acta Orthop Traumatol Turc 50:57–62
pubmed: 26854050
Schwab FJ, Blondel B, Bess S et al (2013) Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine 38:E803-812. https://doi.org/10.1097/BRS.0b013e318292b7b9
doi: 10.1097/BRS.0b013e318292b7b9
pubmed: 23722572
Monticone M, Ambrosini E, Cazzaniga D et al (2016) Adults with idiopathic scoliosis improve disability after motor and cognitive rehabilitation: results of a randomised controlled trial. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. https://doi.org/10.1007/s00586-016-4528-y
doi: 10.1007/s00586-016-4528-y
Negrini A, Negrini MG, Donzelli S et al (2015) Scoliosis-Specific exercises can reduce the progression of severe curves in adult idiopathic scoliosis: a long-term cohort study. Scoliosis 10:20. https://doi.org/10.1186/s13013-015-0044-9
doi: 10.1186/s13013-015-0044-9
pubmed: 26279670
pmcid: 4537533
de Mauroy JC, Lecante C, Barral F, Pourret S (2016) Bracing in adult with scoliosis: experience in diagnosis and classification from a 15 year prospective study of 739 patients. Scoli Spinal Disord 11:29. https://doi.org/10.1186/s13013-016-0090-y
doi: 10.1186/s13013-016-0090-y
Palazzo C, Montigny JP, Barbot F et al (2016) Effects of bracing in adult with scoliosis: a retrospective study. Arch Phys Med Rehabil. https://doi.org/10.1016/j.apmr.2016.05.019
doi: 10.1016/j.apmr.2016.05.019
pubmed: 27343345
Gallo D (2014) Case reports: orthotic treatment of adult scoliosis patients with chronic back pain. Scoliosis 9:18. https://doi.org/10.1186/1748-7161-9-18
doi: 10.1186/1748-7161-9-18
pubmed: 25904972
pmcid: 4405907
Zaina F, Poggio M, Donzelli S, Negrini S (2018) Can bracing help adults with chronic back pain and scoliosis? Short-term results from a pilot study. Prosthet Orthot Int. https://doi.org/10.1177/0309364618757769
doi: 10.1177/0309364618757769
pubmed: 29446692
Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP (2011) Validity of four pain intensity rating scales. Pain 152:2399–2404. https://doi.org/10.1016/j.pain.2011.07.005
doi: 10.1016/j.pain.2011.07.005
pubmed: 21856077
Chapman JR, Norvell DC, Hermsmeyer JT et al (2011) Evaluating common outcomes for measuring treatment success for chronic low back pain. Spine 36:S54-68. https://doi.org/10.1097/BRS.0b013e31822ef74d
doi: 10.1097/BRS.0b013e31822ef74d
pubmed: 21952190
Mannion AF, Boneschi M, Teli M et al (2012) Reliability and validity of the cross-culturally adapted Italian version of the core outcome measures index. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc 21(Suppl 6):S737-749. https://doi.org/10.1007/s00586-011-1741-6
doi: 10.1007/s00586-011-1741-6
Fairbank JC, Couper J, Davies JB, O’Brien JP (1980) The Oswestry low back pain disability questionnaire. Physiotherapy 66:271–273
pubmed: 6450426
Zaina F, Atanasio S, Negrini S (2008) Clinical evaluation of scoliosis during growth: description and reliability. Stud Health Technol Inform 135:125–138
pubmed: 18401086
Romano M, Negrini A, Parzini S et al (2015) SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises. Scoliosis 10:3. https://doi.org/10.1186/s13013-014-0027-2
doi: 10.1186/s13013-014-0027-2
pubmed: 25729406
pmcid: 4344739
Papadopoulos D (2013) Adult scoliosis treatment combining brace and exercises. Scoliosis 8:O8. https://doi.org/10.1186/1748-7161-8-S2-O8
doi: 10.1186/1748-7161-8-S2-O8
pmcid: 3848196
de Mauroy JC, Lecante C, Barral F, Pourret S (2016) Prospective study of 158 adult scoliosis treated by a bivalve polyethylene overlapping brace and reviewed at least 5 years after brace fitting. Scoli Spinal Disord 11:28. https://doi.org/10.1186/s13013-016-0091-x
doi: 10.1186/s13013-016-0091-x