PURPOSE: Studies have shown that bracing is an effective treatment for patients with idiopathic scoliosis. According to the current classification, almost all braces fall in the thoracolumbosacral orthosis (TLSO) category. Consequently, the generalization of scientific results is either impossible or misleading. This study aims to produce a classification of the brace types. METHODS: Four scientific societies (SOSORT, SRS, ISPO, and POSNA) invited all their members to be part of the study. Six level 1 experts developed the initial classifications. At a consensus meeting with 26 other experts and societies' officials, thematic analysis and general discussion allowed to define the classification (minimum 80% agreement). The classification was applied to the braces published in the literature and officially approved by the 4 scientific societies and by ESPRM. RESULTS: The classification is based on the following classificatory items: anatomy (CTLSO, TLSO, LSO), rigidity (very rigid, rigid, elastic), primary corrective plane (frontal, sagittal, transverse, frontal & sagittal, frontal & transverse, sagittal & transverse, three-dimensional), construction-valves (monocot, bivalve, multisegmented), construction-closure (dorsal, lateral, ventral), and primary action (bending, detorsion, elongation, movement, push-up, three points). The experts developed a definition for each item and were able to classify the 15 published braces into nine groups. CONCLUSION: The classification is based on the best current expertise (the lowest level of evidence). Experts recognize that this is the first edition and will change with future understanding and research. The broad application of this classification could have value for brace research, education, clinical practice, and growth in this field.

Align Clinic LLC and Align Technologies LLC San Mateo CA USA

Boston Children Hospital Harvard Medical School Boston MA USA

Boston Orthotics and Prosthetics Boston MA USA

Children's Mercy Hospital Kansas City MO USA

Department of Biomedical Engineering The Hong Kong Polytechnic University Hong Kong China

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

Department of Orthopedic Surgery Columbia University Irving Medical Center New York NY USA

Department of Orthopedics and Traumatology Acibadem Mehmet Ali Aydinlar University School of Medicine Istanbul Turkey

Department of Orthopedics and Traumatology Tzaneio General Hospital of Piraeus Piraeus Greece

Department of Physical Therapy Faculty of Rehabilitation Medicine University of Alberta Edmonton AB Canada

Division of Orthopaedics Children's Hospital of Philadelphia Philadelphia PA USA

Division of Orthopedics University of Montreal CHU Sainte Justine Montréal QC Canada

DM Orthotics Ltd Redruth UK

H Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery Saint Petersburg Russia

Independent Researcher Lyon France

IRCCS Bambino Gesù Children's Hospital Rome Italy

IRCCS Istituto Ortopedico Galeazzi Milan Italy

ISICO Milan Italy

Kuća Zdravlja D O O Poljička 31 10 000 Zagreb Croatia

National Scoliosis Center Fairfax VA USA

OrthoChiro Montréal QC Canada

Rady Children's Hospital University of California San Diego USA

Rigo Quera Salvá SLP Vía Augusta 185 08021 Barcelona Spain

Rosalind Franklin University of Medicine and Science North Chicago IL USA

School of Health Professions Faculty of Health University of Plymouth Plymouth UK

ScoliCare Kogarah NSW Australia

Scoliosis and Spinal Disease Center Hesperia Hospital GHC SPA Modena Italy

Scoliosis Physiotherapy and Posture Centre Ottawa Ottawa ON Canada

Sheffield Children's NHS Foundation Trust Sheffield Children's Hospital Sheffield UK

SOSORT Boston MA USA

Spine Disorders and Pediatric Orthopedics Department University of Medical Sciences Poznan Poland

Texas Children's Hospital Professor of Orthopaedics Baylor College of Medicine Houston TX USA

West Bohemia University Pilsen Czechia

000      

00000naa a2200000 a 4500

001      

bmc22018958

003      

CZ-PrNML

005      

20220804135221.0

007      

ta

008      

220720s2022 gw f 000 0|eng||

009      

AR

024    7_

$a 10.1007/s00586-022-07131-z $2 doi

035    __

$a (PubMed)35190896

040    __

$a ABA008 $b cze $d ABA008 $e AACR2

041    0_

$a eng

044    __

$a gw

100    1_

$a Negrini, Stefano $u Department of Biomedical, Surgical and Dental Sciences, University "La Statale", Milan, Italy. Stefano.negrini@unimi.it $u IRCCS Istituto Ortopedico Galeazzi, Milan, Italy. Stefano.negrini@unimi.it $1 https://orcid.org/0000000218782747

245    14

$a The classification of scoliosis braces developed by SOSORT with SRS, ISPO, and POSNA and approved by ESPRM / $c S. Negrini, AG. Aulisa, P. Cerny, JC. de Mauroy, J. McAviney, A. Mills, S. Donzelli, TB. Grivas, MT. Hresko, T. Kotwicki, H. Labelle, L. Marcotte, M. Matthews, J. O'Brien, EC. Parent, N. Price, R. Manuel, L. Stikeleather, MG. Vitale, MS. Wong, G. Wood, J. Wynne, F. Zaina, MB. Bruno, SB. Würsching, C. Yilgor, P. Cahill, E. Dema, P. Knott, A. Lebel, G. Lein, PO. Newton, BG. Smith

520    9_

$a PURPOSE: Studies have shown that bracing is an effective treatment for patients with idiopathic scoliosis. According to the current classification, almost all braces fall in the thoracolumbosacral orthosis (TLSO) category. Consequently, the generalization of scientific results is either impossible or misleading. This study aims to produce a classification of the brace types. METHODS: Four scientific societies (SOSORT, SRS, ISPO, and POSNA) invited all their members to be part of the study. Six level 1 experts developed the initial classifications. At a consensus meeting with 26 other experts and societies' officials, thematic analysis and general discussion allowed to define the classification (minimum 80% agreement). The classification was applied to the braces published in the literature and officially approved by the 4 scientific societies and by ESPRM. RESULTS: The classification is based on the following classificatory items: anatomy (CTLSO, TLSO, LSO), rigidity (very rigid, rigid, elastic), primary corrective plane (frontal, sagittal, transverse, frontal & sagittal, frontal & transverse, sagittal & transverse, three-dimensional), construction-valves (monocot, bivalve, multisegmented), construction-closure (dorsal, lateral, ventral), and primary action (bending, detorsion, elongation, movement, push-up, three points). The experts developed a definition for each item and were able to classify the 15 published braces into nine groups. CONCLUSION: The classification is based on the best current expertise (the lowest level of evidence). Experts recognize that this is the first edition and will change with future understanding and research. The broad application of this classification could have value for brace research, education, clinical practice, and growth in this field.

650    12

$a výztuhy $7 D001915

650    _2

$a konsensus $7 D032921

650    _2

$a lidé $7 D006801

650    _2

$a protetické prostředky $7 D009989

650    12

$a skolióza $x terapie $7 D012600

650    _2

$a výsledek terapie $7 D016896

655    _2

$a časopisecké články $7 D016428

655    _2

$a přehledy $7 D016454

700    1_

$a Aulisa, Angelo Gabriele $u IRCCS Bambino Gesù Children's Hospital, Rome, Italy

700    1_

$a Cerny, Pavel $u West Bohemia University, Pilsen, Czechia

700    1_

$a de Mauroy, Jean Claude $u Independent Researcher, Lyon, France

700    1_

$a McAviney, Jeb $u ScoliCare, Kogarah, NSW, Australia

700    1_

$a Mills, Andrew $u Sheffield Children's NHS Foundation Trust, Sheffield Children's Hospital, Sheffield, UK

700    1_

$a Donzelli, Sabrina $u ISICO (Italian Scientific Spine Institute), Milan, Italy

700    1_

$a Grivas, Theodoros B $u Department of Orthopedics and Traumatology, "Tzaneio" General Hospital of Piraeus, Piraeus, Greece

700    1_

$a Hresko, M Timothy $u Boston Children Hospital, Harvard Medical School, Boston, MA, USA

700    1_

$a Kotwicki, Tomasz $u Spine Disorders and Pediatric Orthopedics Department, University of Medical Sciences, Poznan, Poland

700    1_

$a Labelle, Hubert $u Division of Orthopedics, University of Montreal, CHU Sainte-Justine, Montréal, QC, Canada

700    1_

$a Marcotte, Louise $u OrthoChiro, Montréal, QC, Canada

700    1_

$a Matthews, Martin $u DM Orthotics Ltd, Redruth, UK $u School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK

700    1_

$a O'Brien, Joe $u SOSORT, Boston, MA, USA

700    1_

$a Parent, Eric C $u Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada

700    1_

$a Price, Nigel $u Children's Mercy Hospital, Kansas City, MO, USA

700    1_

$a Manuel, Rigo $u Rigo Quera Salvá, SLP Vía Augusta 185, 08021, Barcelona, Spain

700    1_

$a Stikeleather, Luke $u National Scoliosis Center, Fairfax, VA, USA

700    1_

$a Vitale, Michael G $u Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA

700    1_

$a Wong, Man Sang $u Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China

700    1_

$a Wood, Grant $u Align Clinic, LLC and Align Technologies, LLC, San Mateo, CA, USA

700    1_

$a Wynne, James $u Boston Orthotics and Prosthetics, Boston, MA, USA

700    1_

$a Zaina, Fabio $u ISICO (Italian Scientific Spine Institute), Milan, Italy

700    1_

$a Bruno, Marco Brayda $u IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

700    1_

$a Würsching, Suncica Bulat $u Kuća Zdravlja D.O.O, Poljička 31, 10 000, Zagreb, Croatia

700    1_

$a Yilgor, Caglar $u Department of Orthopedics and Traumatology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey

700    1_

$a Cahill, Patrick $u Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, PA, USA

700    1_

$a Dema, Eugenio $u Scoliosis and Spinal Disease Center, Hesperia Hospital GHC SPA, Modena, Italy

700    1_

$a Knott, Patrick $u Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA

700    1_

$a Lebel, Andrea $u Scoliosis Physiotherapy and Posture Centre Ottawa, Ottawa, ON, Canada

700    1_

$a Lein, Grigorii $u H. Turner National Medical Research Center for Children's Orthopedics and Trauma Surgery, Saint-Petersburg, Russia

700    1_

$a Newton, Peter O $u Rady Children's Hospital, University of California, San Diego, USA

700    1_

$a Smith, Brian G $u Texas Children's Hospital, Professor of Orthopaedics, Baylor College of Medicine, Houston, TX, USA

773    0_

$w MED00001666 $t European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society $x 1432-0932 $g Roč. 31, č. 4 (2022), s. 980-989

856    41

$u https://pubmed.ncbi.nlm.nih.gov/35190896 $y Pubmed

910    __

$a ABA008 $b sig $c sign $y p $z 0

990    __

$a 20220720 $b ABA008

991    __

$a 20220804135214 $b ABA008

999    __

$a ok $b bmc $g 1822517 $s 1170201

BAS    __

$a 3

BAS    __

$a PreBMC

BMC    __

$a 2022 $b 31 $c 4 $d 980-989 $e 20220221 $i 1432-0932 $m European spine journal $n Eur Spine J $x MED00001666

LZP    __

$a Pubmed-20220720