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Related Experiment Video

Updated: Jul 11, 2025

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
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Outcomes From a Nurse Practitioner Led Dynamic Compression System Bracing Program for Pectus Carinatum.

Stephen Trinidad1, Emily McKenna1, Todd Jenkins1

  • 1Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Journal of Pediatric Surgery
|November 16, 2023
PubMed
Summary

Dynamic compression system (DCS) bracing effectively treats pectus carinatum (PC). Higher initial pressure changes (deltaPC1) predict success, while higher initial pressures (PIC) may hinder it.

Keywords:
Chest wall defectsDynamic compression system bracingPectus carinatum

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Area of Science:

  • Thoracic surgery
  • Pediatric surgery
  • Orthopedics

Background:

  • Dynamic compression system (DCS) bracing is a common treatment for pectus carinatum (PC).
  • Treatment failure occurs in some patients, necessitating identification of predictive factors.
  • This study evaluates outcomes of a nurse practitioner-led DCS bracing program.

Purpose of the Study:

  • To report outcomes of a nurse practitioner-led DCS bracing program for pectus carinatum.
  • To identify factors predictive of successful DCS bracing therapy.

Main Methods:

  • Retrospective cohort study of 283 patients treated with DCS bracing (February 2018 - February 2022).
  • Included patients with at least three visits; primary outcome was achieving a neutral chest.
  • Analyzed patient age, sex, initial pressure of correction (PIC), and change in pressure (deltaPC1) using Cox proportional hazards models.

Main Results:

  • 117 out of 283 patients achieved correction, with a median time of 7.5 months.
  • Greater deltaPC1 was associated with increased likelihood of correction (HR: 2.46).
  • Increased PIC was associated with decreased risk of correction up to one year (HR: 0.62).

Conclusions:

  • DCS bracing, managed by advanced care providers and surgeons, effectively treats PC.
  • The change in pressure between the first two visits (deltaPC1) and initial pressure (PIC) are key predictors of treatment success.