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A cognitive behavioral approach allows improving brace wearing compliance: an observational controlled retrospective study with thermobrace

2014; BioMed Central; Volume: 9; Issue: S1 Linguagem: Inglês

10.1186/1748-7161-9-s1-o79

1748-7161

Alessandra Negrini, Sabrina Donzelli, Monia Lusini, Salvatore Minnella, Fabio Zaina, Stefano Négrini,

Spinal Fractures and Fixation Techniques

Methods Setting. Outpatient tertiary referral clinic. Population. Out of 778 patients, 246 fulfilled the inclusion criteria: Idiopathic Scoliosis; first brace prescription; regular use of Thermobrace heat sensor; two evaluations after bracing; age 36; European Risser 0-3. Evaluations. T0 (start of bracing), T1 (4 months), T2 (10 months). Measurements. Brace wearing compliance (BWC) T0 to T1 (T0-T1) and T1 to T2 (T1-T2). Treatment. CBA adjunctive sessions dispensed during PSSE (CBA-PSSE), after the standard CBA provided to all patients including: at prescription, 20’ by Medical Doctor (MD) and 30-45’ by Physiotherapist; at brace check, 10-15’ by MD and Orthopaedic Technician; at T1, 10-15’ by MD. Groups. According to CBA-PSSE in T0-T1 period: CBA1 (143 patients) 32 sessions; Poor-Adherence (PA1, 52) 1 session; Control (CON1, 51) 0 sessions . Similarly, according to CBA-PSSE in T1-T2 period: CBA2 (97), PA2 (78), CON2 (71). Combinations among the 6 groups in the two periods were checked. Statistics. ANOVA for group comparisons.