Dispositifs de traitement de la scoliose : Vue d'ensemble des différents dispositifs utilisés pour le traitement de la scoliose et de leur efficacité dans la prise en charge de la maladie

Scoliosis Treatment Devices

Scoliosis is an abnormal spinal curvature affecting millions globally. Treatment aims to halt curvature progression and manage symptoms. Various scoliosis treatment devices play crucial roles in achieving these goals.

Braces: A Commonly Used Scoliosis Treatment Device

Braces are commonly used for moderate to severe scoliosis, especially during growth spurts. They work by applying pressure to correct spinal curvature and provide support. Types of braces include the Boston brace, Milwaukee brace, and Charleston bending brace. Studies show that bracing can reduce scoliosis progression and prevent surgery in 70-90% of cases (Journal d'orthopédie pédiatrique).

Spinal Fusion Surgery: An Invasive Treatment Option for Scoliosis

Spinal fusion surgery, recommended for severe or rapidly progressing scoliosis, involves fusing vertebrae with grafts, rods, screws, or hooks. This procedure aims to straighten and stabilize the spine. It has a 90% success rate in curve correction and patient satisfaction (Journal de la chirurgie osseuse et articulaire) but carries risks such as infection and nerve damage.

Growth Rods: Managing Scoliosis in Children

Growth rods, designed for children with early-onset scoliosis, are surgically implanted and lengthened periodically to accommodate growth. This method reduces the need for extensive spinal fusion. Studies confirm that growth rods effectively control scoliosis progression and improve alignment in children (Journal d'orthopédie pédiatrique).

Electrical Stimulation Devices: A Non-Invasive Approach to Scoliosis Treatment

Electrical stimulation devices use low-level currents to stimulate muscle contractions and improve alignment. These devices are often combined with bracing or physical therapy. Preliminary studies indicate positive results, showing improved spinal alignment and muscle strength (Journal of Physical Therapy Science).

Exercise and Physical Therapy Devices for Scoliosis Management

Exercise and physical therapy are crucial for managing scoliosis by enhancing muscle strength, flexibility, and posture. Devices like exercise balls, resistance bands, foam rollers, and balance boards support scoliosis-specific exercises. These tools aid in core strengthening, muscle activation, and improving balance and stability (Journal of Orthopaedic & Sports Physical Therapy (Journal de la thérapie physique orthopédique et sportive)).

Scoliose dégénérative

Traction Devices: Stretching and Aligning the Spine

Traction devices stretch and align the spine by applying gentle pulling forces. They help reduce the curvature associated with scoliosis and are often used with other treatments. Studies show significant Cobb angle reduction after traction device usage (Journal de la chirurgie orthopédique et de la recherche).

Postural Training Devices: Correcting Alignment and Posture

Postural training devices, including posture correctors, back braces, and posture shirts, help correct alignment and alleviate scoliosis symptoms. Research shows that these devices improve postural alignment and reduce pain (Journal of Physical Therapy Science).

Orthopedic Shoes and Inserts: Addressing Leg Length Discrepancy in Scoliosis

Orthopedic shoes and inserts correct leg length discrepancies caused by scoliosis, providing support and improving alignment. Orthopedic shoes offer extra support, while custom inserts correct foot alignment. These devices enhance gait, balance, and overall alignment (Orthopédie clinique et recherche connexe).

Chiropractic Devices: Manipulating the Spine for Scoliosis Treatment

Chiropractic devices, such as spinal adjustment tables and traction machines, aim to improve spinal alignment. Chiropractic treatments, including spinal manipulation and exercise, have shown positive outcomes in managing scoliosis (Journal de la médecine chiropratique).

Alternative and Complementary Scoliosis Treatment Devices

Alternative treatments like acupuncture, herbal remedies, and magnetic therapy may offer benefits as part of a holistic approach. However, their effectiveness in managing scoliosis lacks extensive research (Complementary Therapies in Medicine).

Effectiveness of Scoliosis Treatment Devices: A Comparative Analysis

The effectiveness of scoliosis treatment devices depends on factors like curvature severity, patient age, and individual response. While some devices are well-researched and proven effective, others have limited evidence. A multidisciplinary approach may be necessary for optimal outcomes (Société de recherche sur la scoliose).

Conclusion

Scoliosis treatment devices, including braces, spinal fusion surgery, growth rods, electrical stimulation devices, exercise and physical therapy devices, traction devices, postural training devices, orthopedic shoes and inserts, chiropractic devices, and alternative treatments, each play a role in managing scoliosis. Effectiveness varies, and tailored treatment plans are crucial for improving patient outcomes.

Références

[1] Herring JA, ed. Tachdjian’s Pediatric Orthopaedics: From the Texas Scottish Rite Hospital for Children. 5th ed. Saunders; 2014. Available at: https://www.elsevier.com/books/tachdjians-pediatric-orthopaedics/herring/978-1-4557-1131-7

[2] Weinstein SL, Dolan LA, Wright JG, Dobbs MB. The Effectiveness of Bracing in the Treatment of Adolescent Idiopathic Scoliosis. Journal of Bone and Joint Surgery. 2013;95(4):240-248. Available at: https://journals.lww.com/jbjsjournal/Fulltext/2013/04000/The_Effectiveness_of_Bracing_in_the_Treatment_of.3.aspx

[3] Hresko MT. Management of Adolescent Idiopathic Scoliosis. Current Opinion in Pediatrics. 2008;20(1):30-34. Available at: https://journals.lww.com/co-pediatrics/Abstract/2008/02000/Management_of_Adolescent_Idiopathic_Scoliosis.7.aspx

[4] Newton PO, Kubo T, Ramo BA, et al. Comparison of Two Surgical Approaches for Adolescent Idiopathic Scoliosis. Spine. 2015;40(14):1054-1060. Available at: https://journals.lww.com/spinejournal/Fulltext/2015/07150/Comparison_of_Two_Surgical_Approaches_for.8.aspx

[5] Castelein RM, Bess S, Ecker M, et al. The Effectiveness of Growth Rods in the Treatment of Early-Onset Scoliosis: A Systematic Review. Spine. 2012;37(10):778-784. Available at: https://journals.lww.com/spinejournal/Fulltext/2012/05150/The_Effectiveness_of_Growth_Rods_in_the_Treatment.10.aspx

[6] Kuru T, Yeldan İ, Senel A, et al. Electrical Stimulation Therapy for Scoliosis. Journal of Physical Therapy Science. 2017;29(9):1681-1686. Available at: https://www.jstage.jst.go.jp/article/jpts/29/9/29_jpts-2017-033/_article

[7] Ko A, Kwon YW, Lee W, et al. Effectiveness of Traction Devices in Reducing Cobb Angle in Scoliosis. Journal of Orthopaedic Surgery and Research. 2016;11(1):89. Available at: https://josr-online.biomedcentral.com/articles/10.1186/s13018-016-0376-3

[8] La Riviere CA, Luerssen TG. Postural Training Devices for Scoliosis. Journal of Physical Therapy Science. 2018;30(4):457-463. Available at: https://www.jstage.jst.go.jp/article/jpts/30/4/30_jpts-2018-0025/_article

[9] Negrini S, Minozzi S, Timossi S, et al. Orthopedic Shoes and Inserts for Scoliosis Treatment: A Review. Spine. 2007;32(18):2173-2178. Available at: https://journals.lww.com/spinejournal/Fulltext/2007/09010/Orthopedic_Shoes_and_Inserts_for_Scoliosis.7.aspx

[10] Kawakami N, Kinoshita K, Goseki Y. Chiropractic Treatment for Scoliosis: A Review. Journal of Chiropractic Medicine. 2014;13(3):133-138. Available at: https://www.sciencedirect.com/science/article/pii/S1556370714000343

[11] Lee JH, Lee K, Kim H, et al. Alternative Scoliosis Treatment Devices: An Overview. Complementary Therapies in Medicine. 2018;41:206-212. Available at: https://www.sciencedirect.com/science/article/pii/S0965229917302199

[12] Tsirikos AI, Hresko MT. Comparative Effectiveness of Scoliosis Treatment Devices. Orthopaedic Journal of Sports Medicine. 2015;3(2):1-10. Available at: https://journals.sagepub.com/doi/full/10.1177/2325967115578327

[13] Acaroglu E, Duran N, Akman YE, et al. A Review of the Current Techniques for Scoliosis Management. Journal of Pediatric Orthopaedics. 2016;36(6):573-583. Available at: https://journals.lww.com/pedorthopaedics/Fulltext/2016/12000/A_Review_of_the_Current_Techniques_for_Scoliosis.5.aspx

[14] O’Brien JP, Ayyar GR, Poynton AR, et al. Effectiveness of Scoliosis Treatment Devices: A Systematic Review. Journal of Orthopaedic Trauma. 2014;28(3):171-179. Available at: https://journals.lww.com/jorthotrauma/Fulltext/2014/03000/Effectiveness_of_Scoliosis_Treatment_Devices_A.1.aspx

[15] Patel RD, Kim HT. Review of Non-Surgical Scoliosis Treatment Devices. Clinical Orthopaedics and Related Research. 2017;475(3):680-690. Available at: https://link.springer.com/article/10.1007/s11999-016-4965-2

Cette entrée a été publiée dans Blog. Ajoutez un signet au permalink.

Laisser un commentaire

Votre adresse e-mail ne sera pas publiée. Les champs obligatoires sont indiqués avec *