Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial

Randomized controlled trial. To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS). Noncompliance is a barrier to brace treatment of AIS. Studies have demonstrated that monitoring improves medication compliance; however, this has not b...

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Bibliographic Details
Published inSpine (Philadelphia, Pa. 1976) Vol. 37; no. 9; p. 717
Main Authors Miller, Daniel J, Franzone, Jeanne M, Matsumoto, Hiroko, Gomez, Jaime A, Avendaño, Javier, Hyman, Joshua E, Roye, Jr, David P, Vitale, Michael G
Format Journal Article
LanguageEnglish
Published United States 20.04.2012
Subjects
Adolescent
Adolescent Behavior
Age Factors
Braces
Child
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Monitoring, Ambulatory - instrumentation
Monitoring, Ambulatory - methods
New York City
Patient Compliance
Scoliosis - diagnosis
Scoliosis - psychology
Scoliosis - therapy
Thermometers
Time Factors
Treatment Outcome
New York City
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Summary:Randomized controlled trial. To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS). Noncompliance is a barrier to brace treatment of AIS. Studies have demonstrated that monitoring improves medication compliance; however, this has not been investigated in spinal braces. Twenty-one patients (mean age = 12.4 ± 2.0 years) with AIS were prescribed treatment with a custom-made Thoraco-Lumbo-Sacral-Orthosis for 18 hours a day using a standardized script. Before beginning treatment, 10 patients were randomized to be informed that their compliance was monitored, whereas 11 patients were unaware. Compliance was measured via a temperature probe embedded within the Thoraco-Lumbo-Sacral-Orthosis hidden from view. Patients who were notified that they had a monitor in their brace demonstrated significantly increased compliance during the first 14 weeks of treatment compared with those who were uninformed (85.7% vs. 56.5%, P = 0.029), corresponding to a mean difference of 5.24 hours of daily brace wear. Electronic monitoring can improve compliance with orthoses in patients with spinal deformity during a short observation period.
ISSN:1528-1159
DOI:10.1097/BRS.0b013e31822f4306