universita degli studi magna graecia di catanzaro

Received: ApAccepted: JPublished: July 20, 2022Ĭopyright: © 2022 Li et al. PLoS ONE 17(7):Įditor: Alessandro de Sire, University of Catanzaro: Universita degli Studi Magna Graecia di Catanzaro, ITALY (2022) Which interventions may improve bracing compliance in adolescent idiopathic scoliosis? A systematic review and meta-analysis. Future well-designed RCTs are required to confirm the actual benefit of compliance-improving interventions in clinical practice.Ĭitation: Li X, Huo Z, Hu Z, Lam TP, Cheng JCY, Chung VC-h, et al. In conclusion, although the results of this study suggested that sensor monitoring may be the most promising approach, limited high-quality evidence precludes reliable conclusions. Compliance-enhancing interventions may be favorable in preventing curve progression and promoting quality of life, but the improvements cannot be clarified according to limited evidence. In subgroup analysis, sensor monitoring significantly improved bracing wearing quantity compared to usual care (3.47 hours/day, 95%CI, P = 0.001), while other aforementioned interventions did not show a significant superiority. A meta-analysis of 215 patients from the three RCTs suggested that the compliance-enhancing intervention group had 2.92 more bracing hours per day than the usual care control (95%CI, P = 0.001). Four types of interventions were identified, including sensor monitoring (n = 2, RCTs), auto-adjusted brace (n = 1, RCT), more intensive or collaborated medical care (n = 2), and psychosocial intervention (n = 1). All studies were evaluated as low or very low quality with a high risk of bias. Six eligible studies involving 523 participants were included. The primary outcome was bracing compliance and secondary outcomes included Cobb Angle and measurements for quality of life. Quality appraisal of included studies was performed using GRADE (overall assessment), and the risk of bias was assessed with Cochrane RoB Tool 2 for randomized controlled trials (RCT) and ROBINS-I for non-RCT studies. Two researchers independently screened articles and extracted data based on the PICO (participant, intervention, comparator, and outcome) framework. The eligibility criteria included controlled studies that used any type of intervention to enhance bracing compliance in braced AIS patients. Eight databases were searched from their inception to April 2022. This review aimed to systematically review and meta-analyze the effects of interventions in improving bracing compliance among adolescent idiopathic scoliosis (AIS) patients.

Universita degli studi magna graecia di catanzaro