Nighttime Bracing or Exercise in Moderate-Grade Adolescent Idiopathic Scoliosis: A Randomized Clinical Trial.

研究概要

One hundred thirty-five patients with moderate-grade adolescent idiopathic scoliosis were randomized to receive nighttime bracing (NB) (n=45), scoliosis-specific exercise (SSE) (n=45), or physical activity alone (PA) as a control (n=45). The primary outcome was treatment success, defined as a Cobb angle progression of 6° or less before skeletal maturity. Secondary outcomes included surgical intervention rates up to 2 years after skeletal maturity. Outcomes were assessed over a median duration of 22.8 months. Overall, the results revealed that NB significantly reduced curve progression compared to PA, while SSE did not show a significant difference. The findings suggest that NB is an effective alternative intervention for patients rejecting full-time bracing.