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Related Experiment Video

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Milwaukee brace.

Toru Maruyama1, Katsushi Takesita, Tomoaki Kitagawa

  • 1Department of Orthopaedic Surgery, Saitama Medical Centre, Saitama Medical University, Kawagoe, Saitama, Japan. tmaruyama17@yahoo.co.jp

Physiotherapy Theory and Practice
|January 7, 2011
PubMed
Summary

Part-time Milwaukee brace treatment for adolescent idiopathic scoliosis is effective and improves patient quality of life. This approach balances treatment efficacy with reduced physical and psychological burden.

Area of Science:

  • Orthopedics
  • Spinal Surgery
  • Pediatric Orthopedics

Background:

  • The Milwaukee brace has been a standard nonsurgical scoliosis treatment since 1954.
  • A 23-hour wearing protocol was most effective for adolescent idiopathic scoliosis but impacted psychosocial functioning.
  • Thoraco-lumbo-sacral orthosis (TLSO) also showed psychosocial effects with 23-hour wear.

Purpose of the Study:

  • To investigate a part-time wearing protocol for the Milwaukee brace.
  • To maintain treatment effectiveness while reducing patient burden.
  • To assess the impact of part-time brace wear on quality of life in idiopathic scoliosis patients.

Main Methods:

  • Implementation of a modified, part-time wearing protocol for the Milwaukee brace.
  • Evaluation of treatment effectiveness in patients with idiopathic scoliosis.

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  • Assessment of patient quality of life and psychosocial functioning.

    • Main Results:

    • Part-time Milwaukee brace treatment demonstrated effectiveness in managing idiopathic scoliosis.
    • The modified protocol did not negatively affect patients' quality of life.
    • Reduced physical and psychological burden was observed compared to full-time wear.

    Conclusions:

    • Part-time Milwaukee brace wear is a viable alternative for idiopathic scoliosis treatment.
    • This approach effectively manages scoliosis while preserving patient well-being and quality of life.
    • Further research could explore optimal part-time protocols for various spinal conditions.