2,363 results match your criteria Spinal Orthotics


A simple method for estimating the intervertebral disc compressive force based on the posture analysis of community-dwelling older adults.

J Phys Ther Sci 2021 May 15;33(5):423-428. Epub 2021 May 15.

Department of Medical Research and Management for Musculoskeletal Pain, 22nd Century Medical and Research Center, Faculty of Medicine, The University of Tokyo Hospital, Japan.

[Purpose] The purpose of this study was to develop a simpler method to estimate the intervertebral disc compressive force in healthy older adults. We also examined the validity of a simpler estimation formula for patients with spinal diseases. [Participants and Methods] Fifty-two older adults participated in the study. Read More

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Vertebral fracture during one repetition maximum testing in a breast cancer survivor: A case report.

Medicine (Baltimore) 2021 May;100(20):e25705

Working Group Exercise Oncology, Department of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg, Heidelberg University Hospital.

Rationale: One repetition maximum (1-RM) testing is a standard strength assessment procedure in clinical exercise intervention trials. Because no adverse events (AEs) are published, expert panels usually consider it safe for patient populations. However, we here report a vertebral fracture during 1-RM testing. Read More

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[Nonfusion procedures in pediatric scoliosis].

Orthopade 2021 Jun 5;50(6):497-508. Epub 2021 May 5.

Klinik für Orthopädie (Friedrichsheim), Universitätsklinikum Frankfurt, Marienburgstr. 2, 60528, Frankfurt am Main, Deutschland.

The treatment of early onset scoliosis (EOS) in children is a complex and demanding challenge in the treatment of spinal deformities. Conservative treatment with physiotherapy is indicated in mild forms with a Cobb angle from 10° and additionally a corset treatment with a Cobb angle of more than 20°. After exhaustion of the conservative measures or a progression of spinal scoliosis of 10° or deformities of more than 35°, a surgical approach should be considered in order to prevent respiratory insufficiency as well as severe postural and thoracic deformities. Read More

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Open fetal surgery for myelomeningocele repair in France.

J Gynecol Obstet Hum Reprod 2021 Apr 26;50(9):102155. Epub 2021 Apr 26.

Sorbonne University, AP-HP, Trousseau Hospital, DMU ORIGYNE, Department of Fetal Medicine, 26 Avenue du Dr Arnold Netter, 75012 Paris, France; National Reference Center for Rare Disease: Vertebral and Spinal Cord Anomalies (MAVEM Center), AP-HP, Trousseau Hospital, 26 Avenue du Dr Arnold Netter, 75012 Paris, France.

Introduction: Open fetal myelomeningocele (MMC) surgery is currently the standard of care option for prenatal MMC repair. We described the population referred to our center and reviewed outcome after open fetal MMC repair.

Material And Methods: All patients referred to our center for MMC were reviewed from July 2014 to June 2020. Read More

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Achieving Value in Spine Surgery: 10 Major Cost Contributors.

Global Spine J 2021 Apr;11(1_suppl):14S-22S

Department of Neurological Surgery, 6559Thomas Jefferson University, Philadelphia, PA, USA.

Study Design: Narrative Review.

Objectives: The increasing cost of healthcare overall and for spine surgery, coupled with the growing burden of spine-related disease and rising demand have necessitated a shift in practice standards with a new emphasis on value-based care. Despite multiple attempts to reconcile the discrepancy between national recommendations for appropriate use and the patterns of use employed in clinical practice, resources continue to be overused-often in the absence of any demonstrable clinical benefit. Read More

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The effectiveness of two different exercise approaches in adolescent idiopathic scoliosis: A single-blind, randomized-controlled trial.

PLoS One 2021 15;16(4):e0249492. Epub 2021 Apr 15.

School of Physical Therapy and Rehabilitation, Ahi Evran University, Kırşehir, Turkey.

Objectives: The purpose of this study was to compare the efficacy of two different types of exercise methods in patients with adolescent idiopathic scoliosis.

Methods: In total, 28 subjects with adolescent idiopathic scoliosis with a mild curve magnitude (10°-26°) were randomly divided into two groups: the Schroth group (n = 14) and the core group (n = 14). The patients in the Schroth group were treated with supervised Schroth exercises, and the patients in the core group were treated with supervised core stabilization exercises; both groups performed the exercises for three days per week for a total of 10 weeks, and both were given additional traditional exercises to perform. Read More

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Conservative treatment and outcome of upper cervical spine fractures in young children: A STROBE-compliant case series.

Medicine (Baltimore) 2021 Apr;100(13):e25334

Department of Pediatric Surgery, University Children's Hospital Basel, University of Basel, Switzerland.

Abstract: Cervical spine (C-spine) fractures in young children are very rare, and little information on treatment modalities and functional, radiographic, and patient-reported outcome exists. In this 2-center, retrospective case series, we assessed subjective and functional mid-term outcomes in children aged ≤5 years whose C-spine fractures were treated nonoperatively.Between 2000 and 2018, 6 children (median age at injury: 23. Read More

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Bracing adults with chronic low back pain secondary to severe scoliosis: six months results of a prospective pilot study.

Eur Spine J 2021 Mar 17. Epub 2021 Mar 17.

Department of Biomedical, Surgical and Dental Sciences, University of Milan La Statale, Milan, Italy.

Purpose: 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. Read More

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Use and evaluation of assistive technologies for upper limb function in tetraplegia.

J Spinal Cord Med 2021 Feb 19:1-12. Epub 2021 Feb 19.

School of Engineering, University of Aberdeen, Aberdeen, UK.

Context: More than half of all spinal cord injuries (SCI) occur at the cervical level leading to loss of upper limb function, restricted activity and reduced independence. Several technologies have been developed to assist with upper limb functions in the SCI population.

Objective: There is no clear clinical consensus on the effectiveness of the current assistive technologies for the cervical SCI population, hence this study reviews the literature in the years between 1999 and 2019. Read More

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February 2021

Orthosis versus no orthosis for the treatment of thoracolumbar burst fractures: A systematic review.

J Clin Neurosci 2021 Mar 8;85:49-56. Epub 2021 Jan 8.

Australian School of Advanced Medicine, Macquarie University, 2 Technology Place, NSW 2109, Australia.

Management of patients with thoracolumbar burst fractures who do not have a neurologic injury has historically been controversial. Whilst management with an orthosis has gained popularity over surgical management, more recent evidence has suggested that even an orthosis may be unnecessary. A systematic review of the literature comparing orthosis with no orthosis in the management of thoracolumbar burst fractures in patients without neurological deficit was conducted. Read More

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Assessment of the Shank-to-Vertical Angle While Changing Heel Heights Using a Single Inertial Measurement Unit in Individuals with Incomplete Spinal Cord Injury Wearing an Ankle-Foot-Orthosis.

Sensors (Basel) 2021 Feb 2;21(3). Epub 2021 Feb 2.

Department of Research, Sint Maartenskliniek, 6500 GM Nijmegen, The Netherlands.

Previous research showed that an Inertial Measurement Unit (IMU) on the anterior side of the shank can accurately measure the Shank-to-Vertical Angle (SVA), which is a clinically-used parameter to guide tuning of ankle-foot orthoses (AFOs). However, in this context it is specifically important that differences in the SVA are detected during the tuning process, i.e. Read More

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February 2021

Management of acute lesser toe pain.

Postgrad Med 2021 Apr 18;133(3):320-329. Epub 2021 Jan 18.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Patients with foot pain commonly present to their primary care physicians for their initial management and treatment. These patients and their respective foot or lesser toe pain can present the physician with a complex problem with a long differential list. Depending on the timing of the pain and underlying pathology, these differentials can be divided into acute and acute exacerbation of chronic conditions. Read More

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External devices among individuals with spinal cord injury from a developing country.

Am J Phys Med Rehabil 2020 Dec 29;Publish Ahead of Print. Epub 2020 Dec 29.

School of Physical Therapy, Faculty of Associated Medical Sciences, and Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand. School of Physical Therapy, Faculty of Associated Medical Sciences, and Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand. Department of Rehabilitation Medicine, Faculty of Medicine, and Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand. Department of Mechanical Engineering, Faculty of Engineering and Architecture, Rajamangala University of Technology Isan, and Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Nakhon Ratchasima, Thailand. School of Physical Therapy, Faculty of Associated Medical Sciences, and Improvement of Physical Performance and Quality of Life (IPQ) Research Group, Khon Kaen University, Khon Kaen, Thailand.

Objective: To explore the proportion, number, and type of external devices (including mobility devices, ambulatory aides, and orthotics) possessed and used by individuals with spinal cord injury (SCI) from a developing country.

Design: Cross-sectional study.

Participants: A total of 163 participants with SCI from several rural communities in a developing country participated in the study from June 2018 to August 2019. Read More

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December 2020

Rare cause of unilateral upper limb weakness in a young adolescent.

BMJ Case Rep 2020 Dec 21;13(12). Epub 2020 Dec 21.

Paediatric Neurology, Case Western Reserve University Hospital, Cleveland, Ohio, USA.

Slowly progressing unilateral upper limb weakness in a previously healthy child can occur due to number of causes which requires a thorough history, physical examination followed by radiological examination, electromyography and so on. Among the various aetiologies, a rare condition such as Hirayama disease is one of the differentials to be considered. There has been a wealth of literature reported on this disease and our case is a learning lesson for all paediatricians to be aware of Hirayama disease and its current concepts. Read More

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December 2020

The effects of bracing on sagittal spinopelvic parameters and Cobb angle in adolescents with idiopathic scoliosis: A before-after clinical study.

Turk J Phys Med Rehabil 2020 Dec 9;66(4):452-458. Epub 2020 Nov 9.

Department of Orthopaedic Surgery, Iran University of Medical Sciences, Shafa Yahyaiian Hospital, Tehran, Iran.

Objectives: This study aims to evaluate the effects of bracing on the Cobb angle and sagittal spinopelvic parameters in adolescent idiopathic scoliosis (AIS) patients.

Patients And Methods: A total of 25 adolescents (2 males, 23 females; mean age 12.7±1. Read More

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December 2020

Functional Resistance Training to Improve Knee Strength and Function After Acute Anterior Cruciate Ligament Reconstruction: A Case Study.

Sports Health 2021 Mar 18;13(2):136-144. Epub 2020 Dec 18.

Neuromuscular and Rehabilitation Robotics Laboratory (NeuRRo Lab), Department of Physical Medicine and Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.

Background: Thigh muscle weakness after anterior cruciate ligament reconstruction (ACLR) can persist after returning to activity. While resistance training can improve muscle function, "nonfunctional" training methods are not optimal for inducing transfer of benefits to activities such as walking. Here, we tested the feasibility of a novel functional resistance training (FRT) approach to restore strength and function in an individual with ACLR. Read More

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An Analysis of Eating Disorders in Adolescent Idiopathic Scoliosis: A Prospective Cross-sectional Study in a Female Population.

Spine (Phila Pa 1976) 2021 04;46(7):440-446

Physical Medicine and Rehabilitation School, University of Padua, Padova, Italy.

Study Design: Prospective cross-sectional study.

Objective: We designed this study to investigate whether adolescent girls with idiopathic scoliosis show a predisposition for eating disorders (EDs) and alterations of the quality of life and body image self-perception, compared to same-age healthy females.

Summary Of Background Data: Idiopathic scoliosis is the most common spinal deformity of adolescence. Read More

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Infantile Idiopathic Scoliosis: Outcomes of Brace Treatment until Skeletal Maturity or Spinal Fusion.

Arch Bone Jt Surg 2020 Nov;8(6):696-702

Department of Orthopaedic Surgery, Shafa Yahyaiian ospital, Iran University of Medical Sciences, Tehran, Iran.

Background: Serial casting under general anesthesia, which is considered as a gold standard of treatment for patients with infantile idiopathic scoliosis (IIS), can lead to significant negative neurodevelopmental effects. Therefore, the appropriateness of this type of treatment is controversial. Brace treatment is one alternative method of treatment for IIS patients. Read More

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November 2020

3D-printed brace in the treatment of adolescent idiopathic scoliosis: a study protocol of a prospective randomised controlled trial.

BMJ Open 2020 11 27;10(11):e038373. Epub 2020 Nov 27.

Department of Orthopedics, Peking University Third Hospital, Beijing, China.

Introduction: Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine. Brace treatment is effective for eligible patients with AIS and the effectiveness is significantly correlated with the average brace-wear time per day. Three-dimensional (3D) printing technology is a recent advancement that offers unique opportunities for biomedical applications, and customisation of scoliosis braces might lead to greater patient satisfaction and improved compliance. Read More

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November 2020

Iliopsoas muscle thickness and pelvic alignment in pronated and normal foot postures.

J Bodyw Mov Ther 2020 Oct 12;24(4):20-23. Epub 2020 May 12.

Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

It is hypothesized that the subtalar hyperpronation may provoke the development of a biomechanical chain of events in lower extremity alignment. Several studies have shown that pelvic alignment may alter in the presence of immediate foot hyperpronation induced by external forces. It is unknown whether these alterations are presented in chronic foot hyperpronation or not. Read More

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October 2020

Short-term effect of kinesiology taping on pain, functional disability and lumbar proprioception in individuals with nonspecific chronic low back pain: a double-blinded, randomized trial.

Chiropr Man Therap 2020 11 20;28(1):63. Epub 2020 Nov 20.

Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Background: This study aimed to evaluate the effect of kinesiology taping (KT) on lumbar proprioception, pain, and functional disability in individuals with nonspecific chronic low back pain (CLBP).

Methods: Thirty individuals with nonspecific CLBP participated in this double-blinded, randomized clinical trial from July 2017 to September 2018. The participants were randomized into two groups: KT (n = 15) and placebo group (n = 15). Read More

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November 2020

Use and Cost of Orthosis in Conservative Treatment of Acute Thoracolumbar Fractures: A Survey of European and North American Experts.

Spine (Phila Pa 1976) 2021 May;46(9):E534-E541

Ortopedia e Traumatologia - Centro Hospitalar São João, Porto, Portugal.

Study Design: Survey study.

Objective: Assess practices and opinions of spine specialists from Europe and North America on orthosis use in adult patients with acute thoracolumbar (TL) fractures. Evaluate cost of the devices. Read More

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Experiences of using an activating spinal orthosis in women with osteoporosis and back pain in primary care.

Arch Osteoporos 2020 10 29;15(1):171. Epub 2020 Oct 29.

Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Solna, Sweden.

Women with osteoporosis and back pain took part in focus group interviews and described their experiences of using and handling an activating spinal orthosis. The women described the back orthosis as being like a "close friend", a support in everyday life and a reminder to maintain a good posture.

Purpose: The purpose of this study was to describe and gain a deeper understanding of the views of older women with osteoporosis and back pain seeking primary care regarding their use and handling of an activating spinal orthosis. Read More

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October 2020

Role of Body Cast Application for Scoliosis Associated With Prader-Willi Syndrome.

J Pediatr Orthop 2021 Apr;41(4):e321-e327

Shriners Hospital for Children, Philadelphia, PA.

Background: Prader-Willi syndrome (PWS) is a rare genetic syndrome, with a prevalence of infantile scoliosis of ~23%. These curves are likely related to severe hypotonia. Approximately 15% of children with PWS will need surgical intervention for their scoliosis. Read More

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Success Rate of Brace Treatment for Juvenile-Onset Idiopathic Scoliosis up to Skeletal Maturity.

Int J Spine Surg 2020 Oct 23;14(5):824-831. Epub 2020 Oct 23.

Division of Orthopaedic Surgery, University of Ottawa, Children's Hospital of Eastern Ontario, Ottawa, Canada.

Background: Natural history studies have reported that the progression rate of juvenile idiopathic scoliosis (JIS) curves larger than 20° is high and tends to progress. The aim of this study was to investigate the outcome of bracing on JIS and to determine the prognostic factors on the success rate of brace treatment.

Methods: From March 1985 to February 2015, the clinical data of all JIS patients with referral age from 4 to 10 years who received brace treatment were reviewed. Read More

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October 2020

Scoliosis in Goldenhar syndrome with curve reversal during brace treatment: a case report.

BMC Musculoskelet Disord 2020 Oct 16;21(1):685. Epub 2020 Oct 16.

Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.

Background: Goldenhar syndrome sometimes displays progressive scoliosis and other spinal deformities that require treatment. However, few reports exist on scoliosis correction in Goldenhar syndrome. We described the rare radiological outcomes of a patient with Goldenhar syndrome who received brace treatment for scoliosis. Read More

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October 2020

Motor-Augmented Wrist-Driven Orthosis: Flexible Grasp Assistance for People with Spinal Cord Injury.

Annu Int Conf IEEE Eng Med Biol Soc 2020 07;2020:4936-4940

This paper presents the design of a motor-augmented wrist-driven orthosis (MWDO) for improved grasp articulation for people with C6-C7 spinal cord injuries. Based on the traditional passive, wrist-driven orthotic (WDO) mechanism, the MWDO allows for both body-powered and motorized actuation of the grasping output thus enabling more flexible and dexterous operation. Here, the associated control scheme enables active decoupling of wrist and finger articulation, which can be useful during certain phases of manipulation tasks. Read More

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The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review.

Global Spine J 2020 Sep 29:2192568220948036. Epub 2020 Sep 29.

National Trauma Research Institute, Melbourne, Victoria, Australia.

Study Design: Systematic review.

Objective: Spinal orthoses have been generally used in the management of osteoporotic vertebral fractures in the elderly population with purported positive biomechanical and functional effects. To our knowledge, this is the first systematic review of the literature examining the role of spinal orthoses in osteoporotic elderly patients who sustain low energy trauma vertebral fractures. Read More

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September 2020

Application of Fabric-Type Spinal Orthosis for Flexible Neuromuscular Scoliosis: A Preliminary Study.

Am J Phys Med Rehabil 2020 10;99(10):887-894

From the Department of Physical Medicine and Rehabilitation, Chung-Ang University College of Medicine, Seoul, South Korea (HIS); and Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea (H-IS).

Objective: This study used a 3-point pressure spinal orthosis made of fabric material in neuromuscular scoliosis patients with flexible spinal curve to evaluate the in-brace correction of the spinal curve and to estimate changes in pulmonary function associated with brace wearing.

Design: Twenty-eight children with neuromuscular scoliosis with spinal curve flexibility of more than 50% were enrolled. A custom-made 3-point pressure spinal orthosis was fitted for each patient. Read More

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October 2020

Taping for conditions of the musculoskeletal system: an evidence map review.

Chiropr Man Therap 2020 09 15;28(1):52. Epub 2020 Sep 15.

Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Background: Taping is a common treatment modality used by many rehabilitation providers. Several types of tapes and taping methods are used in the treatment of musculoskeletal dysfunction and pain.

Purpose: To summarize and map the evidence related to taping methods used for various joints and conditions of the musculoskeletal system, and to provide clinicians and researchers with a user-friendly reference with organized evidence tables. Read More

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September 2020