The main issue that may be encountered during brace treatment of idiopathic scoliosis is the patient's compliance. While compliance with full-time brace treatment has been well documented, compliance with night-time brace treatment has not. The main feature of night-time braces is their ability to overcorrect the scoliotic curvature, which could decrease compliance. The primary aim of this study was to evaluate objectively the compliance of patients with idiopathic scoliosis when undergoing treatment by means of a night-time overcorrection brace. Twenty patients with adolescent idiopathic scoliosis were prescribed treatment with an overcorrection brace for 8 h per night. Compliance was determined by the percentage of actual hours the brace was worn relative to the prescribed regimen. Compliance was measured during 1 year via a hidden temperature monitor embedded within the brace. Patients were informed that their compliance was monitored. The brace acceptance period and the full acceptance period were analysed, and correlations were measured. The average compliance (% wearing hours/prescribed regimen) was 90.7%; 45% of the participants met or exceeded the prescribed brace time. Three girls were lost to follow-up. The mean acceptance period was 22,8 days, and half of the patients succeeded in achieving the acceptance period in less than 7 days. The mean full acceptance period was 26,9 days. The acceptance period was significantly and negatively correlated with the mean wearing time (r = -0,61, P = 0,004). There was no correlation between the in-brace overcorrection and the wearing time. These results suggest that patients with an overcorrection night-time brace had good compliance. The overcorrection did not seem to influence compliance. The first weeks of treatment seemed to be crucial for treatment compliance.

中文翻译：

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青少年特发性脊柱侧弯夜间过度矫正支架的依从性：队列随访的结果。

在特发性脊柱侧弯的支架治疗期间可能遇到的主要问题是患者的依从性。尽管已经有充分的证据证明对全时支撑治疗的依从性，但对夜间支撑治疗的依从性却没有。夜间矫正器的主要特征是其矫正脊柱侧弯的能力，这可能会降低顺应性。这项研究的主要目的是通过夜间过度矫正支架来客观地评估特发性脊柱侧凸患者在接受治疗时的依从性。二十名青少年特发性脊柱侧弯患者被要求使用矫正矫正器每晚治疗8小时。顺应性由支架实际穿戴的小时数相对于规定的方案所决定。通过嵌入在支架内的隐藏式温度监控器在1年内测量了符合性。患者被告知他们的依从性受到监测。分析了支架接受期和整个接受期，并测量了相关性。平均依从性（佩戴时间百分比/处方方案）为90.7％；45％的参与者达到或超过了规定的准备时间。三个女孩失踪了。平均接受期为22.8天，一半患者在不到7天的时间内成功达到接受期。平均完全接受期限为26.9天。接受时间与平均佩戴时间显着负相关（r = -0.61，P = 0,004）。支架内过度矫正与佩戴时间之间没有相关性。这些结果表明夜间矫正过度的患者具有良好的依从性。过度校正似乎并未影响依从性。治疗的第一周对于治疗依从性至关重要。