Predicting success or failure of brace treatment for adolescents with idiopathic scoliosis.

Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity. Brace treatment is a common non-surgical treatment, intended to prevent progression (worsening) of the condition during adolescence. Estimating a braced patient's risk of progression is an essential part of planning treatment, so method for predicting this risk would be a useful decision support tool for practitioners. This work attempts to discover whether failure of brace treatment (progression) can be predicted at the start of treatment. Records were obtained for 62 AIS patients who had completed brace treatment. Subjects were labeled as "progressive" if their condition had progressed despite brace treatment and "non-progressive" otherwise. Wrapper-based feature selection selected two useful predictor variables from a list of 14 clinical measurements taken from the records. A logistic regression model was trained to classify patients as "progressive" or "non-progressive" using these two variables. The logistic regression model's simplicity and interpretability should facilitate its clinical acceptance. The model was tested on data from an additional 28 patients and found to be 75 % accurate. This accuracy is sufficient to make the predictions clinically useful. It can be used online: http://www.ece.ualberta.ca/~dchalmer/SimpleBracePredictor.html .

Development of a pressure control system for brace treatment of scoliosis.

Bracing is a common nonsurgical treatment for scoliosis, but its effectiveness has been debated. Some clinical studies have shown efficacy of brace treatment is correlated to how the brace has been worn. The more often the patients wear their braces to the prescribed tightness as well as the prescribed length of wear each day, the better the treatment outcome. A system of four wireless pressure control devices was developed to understand brace wear-time and regulate a target pressure range at the brace-body interface. Each pressure control device could function independently and be embedded in the brace at key pressure areas. Such a system could improve the quality of brace wear-making the treatment more effective and refining our understanding of the three-pressure-point brace treatment concept during daily activities. This paper reports the system development and validation. The system was tested on four healthy subjects for 2 h without pressure regulation and 2 h with regulation. The results show that the pressure regulation doubled the time spent in a desired pressure range on average (from 31% to 62%). Brace-wear time was logged correctly. The system was also validated through a seven-day continuous test, and a fully charged battery could run for 30 days without requiring recharge.