Bracing During Infantile Scoliosis: Airways Study

NCT ID: NCT01087034

Last Updated: 2012-06-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-02-28

Study Completion Date

2011-06-30

Brief Summary

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Idiopathic juvenile thoracic scoliosis is a tridimensional deformation of the spine which may impact on the intrathoracic organs. Bracing is one of the oldest treatments of spinal deformities. It relies on the indirect manipulation of spinal curvatures in order to prevent curve progression, which may affect respiratory function.

The acoustic reflection method is based on the analysis of the reflection of a single transient planar wave giving the longitudinal cross-sectional area profile of the examined cavity. It is noninvasive and harmless.

The EOS™ device allows a double incidence, full body, and low-dose X-ray acquisition with thoracic 3D reconstruction.

The aim of the study is to evaluate the impact of bracing on the upper airways patency (by means of the acoustic method), on the breathing pattern (noninvasive respiratory muscles assessment), and on the thoracic penetration index (by means of the EOS™)

Detailed Description

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Conditions

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Scoliosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Milwaukee brace

Children with an infantile scoliosis requiring Milwaukee bracing

Acoustic reflection method evaluation

Intervention Type DEVICE

Evaluation of airways by acoustic relection method, with and without the bracing device

EOS™

Intervention Type RADIATION

Scoliosis and thoracic penetration index evaluation by EOS™ acquisition, with and without the bracing device

Non invasive respiratory muscle assessment

Intervention Type OTHER

Non invasive respiratory muscles assessment, with and without the bracing device.

Cheneaux brace

Children with an infantile scoliosis requiring Cheaneaux bracing

Acoustic reflection method evaluation

Intervention Type DEVICE

Evaluation of airways by acoustic relection method, with and without the bracing device

EOS™

Intervention Type RADIATION

Scoliosis and thoracic penetration index evaluation by EOS™ acquisition, with and without the bracing device

Non invasive respiratory muscle assessment

Intervention Type OTHER

Non invasive respiratory muscles assessment, with and without the bracing device.

Interventions

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Acoustic reflection method evaluation

Evaluation of airways by acoustic relection method, with and without the bracing device

Intervention Type DEVICE

EOS™

Scoliosis and thoracic penetration index evaluation by EOS™ acquisition, with and without the bracing device

Intervention Type RADIATION

Non invasive respiratory muscle assessment

Non invasive respiratory muscles assessment, with and without the bracing device.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* children with evolutive juvenile thoracic scoliosis
* with a Cobb angle ≥ 30°
* requiring either a Milwaukee or a Cheneaux brace
* in a stable respiratory state

Exclusion Criteria

* history of spine surgery
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ecole Nationale Supérieure des Arts et Metiers

UNKNOWN

Sponsor Role collaborator

Club d'Anesthésie-Réanimation Pédiatrique Armand Trousseau

OTHER

Sponsor Role lead

Responsible Party

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Dr Nicolas LEBOULANGER

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nicolas LEBOULANGER, MD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Brigitte FAUROUX, MD, PhD

Role: STUDY_DIRECTOR

Assistance Publique - Hôpitaux de Paris

Locations

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Armand Trousseau University Hospital

Paris, , France

Site Status

Ecole Nationale Supérieure des Arts et Metiers

Paris, , France

Site Status

Countries

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France

References

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Donnelly LF, Bisset GS 3rd. Airway compression in children with abnormal thoracic configuration. Radiology. 1998 Feb;206(2):323-6. doi: 10.1148/radiology.206.2.9457181.

Reference Type BACKGROUND
PMID: 9457181 (View on PubMed)

Dubousset J, Charpak G, Skalli W, de Guise J, Kalifa G, Wicart P. [Skeletal and spinal imaging with EOS system]. Arch Pediatr. 2008 Jun;15(5):665-6. doi: 10.1016/S0929-693X(08)71868-2. No abstract available. French.

Reference Type BACKGROUND
PMID: 18582707 (View on PubMed)

Heary RF, Bono CM, Kumar S. Bracing for scoliosis. Neurosurgery. 2008 Sep;63(3 Suppl):125-30. doi: 10.1227/01.NEU.0000320387.93907.97.

Reference Type BACKGROUND
PMID: 18812914 (View on PubMed)

Jones RS, Kennedy JD, Hasham F, Owen R, Taylor JF. Mechanical inefficiency of the thoracic cage in scoliosis. Thorax. 1981 Jun;36(6):456-61. doi: 10.1136/thx.36.6.456.

Reference Type BACKGROUND
PMID: 7314016 (View on PubMed)

Margonato V, Fronte F, Rainero G, Merati G, Veicsteinas A. Effects of short term cast wearing on respiratory and cardiac responses to submaximal and maximal exercise in adolescents with idiopathic scoliosis. Eura Medicophys. 2005 Jun;41(2):135-40.

Reference Type BACKGROUND
PMID: 16200029 (View on PubMed)

Other Identifiers

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MA-SInf

Identifier Type: -

Identifier Source: org_study_id

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