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In the first part, we focus on indecomposable involutive solutions of the Yang-Baxter equation whose permutation group forces them to be uniconnected. Indecomposable involutive solutions with a permutation group isomorphic to a dihedral group or a minimal non-cyclic group are studied in detail. In the last part, we study the Dehornoy class of involutive solutions (not necessarily indecomposable) and its link with left braces. As an application, we give an upper bound for several families of indecomposable involutive solutions and we compute the precise value in some other cases. [ABSTRACT FROM AUTHOR]

This study aims to investigate the influence of a new semi-rigid knee joint braces on kinematics using the Opti-knee knee joint kinematic analysis system at various exercise speeds. Twenty-four healthy young male adults were recruited for this study. Participants were randomly assessed while wearing and not wearing knee brace at four different speeds on a treadmill: normal walking (3.6 km/h), brisk walking (5.4 km/h), jogging (9 km/h), and moderate intensity running (10.8 km/h). Six degrees of freedom kinematic data from the knee joint were collected. Paired t-tests were conducted to calculate the kinematic differences. At speeds of 3.6 km/h and 5.4 km/h, wearing the knee brace led to reduced knee joint mobility in anterior-posterior translation, superior-inferior translation, internal-external rotation, and flexion-extension angles during the stance phase (P < 0.05). At 9 km/h, wearing the brace reduced knee joint internal-external rotation and flexion-extension mobility during the stance phase (P < 0.05). At 10.8 km/h, wearing the brace reduced knee joint flexion-extension mobility during the stance phase (P < 0.05). Wearing brace has significant influence on knee kinematics at four speeds, and the effect of brace varies with the speed of movement. [ABSTRACT FROM AUTHOR]

Background: Brace therapy's influence on adolescent idiopathic scoliosis's (AIS) natural course is inconclusive. Methods: Brace-treated AIS patients from 2016 to 2020 were examined regarding four endpoints at brace weaning: surgery need, curve progress ≥ 6° and > 45°, and curve improvement ≥ 6°. Prediction variables' influence was computed for the all-patients group and three subgroups (Subgroup 1: fulfilling the Scoliosis Research Society's [SRS] criteria, Subgroup 2: initial Cobb angle < 25°, Subgroup 3: initial Cobb angle > 40°). According to the data characteristics, parametric and non-parametric tests and binary logistic regression were performed. Results: The research included 69 patients. Overall, after brace weaning surgery was recommended for 20.3% of them, curve progression was ≥ 6° in 23.2%, the Cobb angle was beyond 45° in 11.6%, and the Cobb angle improved by ≥ 6° in 20.3%. Patients needing surgery had a significantly higher initial Cobb angle (38.8° ± 9.8° vs 27.8° ± 7.6°, p < 0.001), lower Risser stages (p = 0.010), and higher Nash and Moe degrees (p = 0.030). Patients with curve progress ≥ 6° were younger at first curve notification (12.4 ± 1.5 vs 13.7 ± 1.7 years, p = 0.011) and older at menarche (13.4 ± 1.1 vs 12.6 ± 1.2 years, p = 0.037). Furthermore, 21.6% of all Risser 3 and 4 patients had still curve progress ≥ 6°. In-brace correction was significantly higher in patients with curve improvement ≥ 6° vs < 6° (54.0% ± 31.2% vs 31.9% ± 30.7%; p = 0.019). Nine patients fulfilled the SRS criteria, 22 had initial Cobb angles < 25°, and 11 had > 40°. Real brace wear (RBW) in all groups had no significant effect on outcome. Two significant subgroup differences were found: Surgery recommendation and curve progression beyond 45° were significantly more frequent in the initial Cobb angle > 40° subgroup. Conclusions: Brace effectiveness can be assumed because curve improvement was achieved in nearly one-fifth with sufficient in-brace correction. However, no significant influence of RBW on the outcome endpoints was demonstrated. To clarify conflicting results, big data management, including untreated patients, must be employed to further research AIS's multifactorial influenced aetiology and course. Meanwhile, it is worth starting bracing in AIS in practice also beyond the SRS's criteria. [ABSTRACT FROM AUTHOR]

Introduction: Traditional thoracolumbosacral orthosis fabrication involves truncal casting (traditionally fabricated [TF] Wilmington brace [WB]), whereas the newer Chêneau-style brace (computer-aided design [CAD]) involves three-dimensional truncal scanning technology. We sought to evaluate how these two brace styles affect the position of the spine in the coronal and sagittal plane. Materials and Methods: Inclusion criteria included adolescent idiopathic scoliosis treated with WB or CAD Chêneau-style brace, major curve Cobb angle 20°–45°, age 10–15 years, Risser 0–3, and radiographs (prebrace and in-brace posteroanterior and lateral). Analysis included 28 CAD Chêneau-style braces and 56 WB patients. Results: There was no difference between groups regarding age, sex, body mass index, major curve location, major curve degree, sagittal plane curvature, and pelvic parameters. In-brace analysis demonstrated decreased sagittal plane curvatures and increased T1 pelvic angle in both groups; both had significantly reduced major curve correction. Coronal plane major curve correction ratio of the two groups was similar (P = 0.236). In the CAD Chêneau-style brace group, the thoracolumbar junction became more kyphotic (P = 0.03). In the WB group, both coronal balance and thoracic trunk shift were leftward (P = 0.001). Both groups had a significant increase in T1 pelvic angle, but this increase was higher in the CAD Chêneau-style brace group (P = 0.045). Conclusions: Both braces exert a flattening effect on the spine and positive global sagittal balance. Coronal plane major curve correction was similar for both groups. Coronal plane trunk shift and C7 coronal balance were significantly changed leftward after WB application. Kyphotic thoracolumbar transition and forward tilt of the spine (T1 pelvic angle) were significantly greater in CAD Chêneau-style brace than WB. Clinical Relevance: A Chêneau-style brace fabricated with CAD/computer-aided manufacturing technology can produce a brace comparable to one fabricated by traditional methods using cast molding. [ABSTRACT FROM AUTHOR]

Purpose: To determine whether postoperative neck pain in the first 4 weeks following multi-level posterior cervical fusion (PCF) with orthosis is equivalent to multi-level PCF without orthosis. Methods: Patients were randomly assigned in a 1:1 ratio to postoperative orthosis (CO) for 6 weeks or no orthosis (NO). Randomization was stratified by indication (traumatic vs. degenerative), and preoperative opioid use. A model of longitudinal regression for repeated measures was used. The two-sided 95% confidence interval (CI) was used to test equivalence. If the CI lay between the pre-determined margin of equivalence (−2.0 to + 2.0 pain score) the two groups were considered equivalent. A multiple imputation procedure was used to replace missing data. Results: Thirty-one patients were enrolled in each group. At baseline, the CO group had more neck pain (5.3 vs. 3.2, p = 0.013). The Four week post-operative neck pain intensity score was 4.6 ± 0.3 for the CO group vs. 4.9 ± 0.3 for the NO group. The 95% confidence interval (−1.2 to 0.6) was within the pre-determined equivalence margin. Neck Disability Index, quality-of-life scores, and arm pain were similar. Eleven patients in the CO group and 12 patients in the NO group had an adverse event. The CO group had reduced range of motion at 6 weeks. Conclusion: Pain scores over the first 4 weeks after surgery were equivalent for patients undergoing multi-level PCF treated with or without a cervical orthosis. Our findings do not support the routine use of a postoperative cervical orthosis for postoperative pain control. Clinical Trials Registration Number NCT04308122, April 22, 2020. [ABSTRACT FROM AUTHOR]

AbstractThis article focuses on indecomposable involutive non-degenerate set-theoretical solutions to the Yang–Baxter equation. More specifically, we give a full classification of those solutions which are of size p2, for p a prime. We do this through a thorough analysis of their associated permutation braces and using the language of cycle sets. [ABSTRACT FROM AUTHOR]

Background: Positive effects of brace treatments in adolescent idiopathic scoliosis patients on gait were proven. Aim: Therefore, this study examined whether the influence of brace therapy in combination with Schroth therapy influencing the plantar pressure distribution, pre and post intensive rehabilitative inpatient treatment. Design: Prospective cohort study, longitudinal. Setting: Scoliosis rehabilitation clinic "Asklepios Katharina-Schroth-Klinik" (Bad Sobernheim, Germany). Population: Twenty (14f/6m) patients (12–16 years) had a medically diagnosed moderate idiopathic scoliosis (Cobb angle 20–50°, Median 30°) and an indication for combined brace and Schroth therapy with an inpatient stay (4 weeks) at the Asklepios Katharina Schroth Clinic (Germany). Methods: At the beginning (T1) and at the end of the stay (T2), the plantar pressure distribution with (A) and without wearing a brace (B) was recorded (walking distance 10 m). Results: No significant differences between the left and right foot were found at baseline (T1). The T1 - T2 comparison of one foot revealed significant differences (p ≤ 0.05 − 0.001, respectively) for (A): mean pressure right midfoot, loaded area total left foot, left midfoot, left inner ball of foot, right midfoot, impulse total right foot, right midfoot and for (B): mean pressure right midfoot, right outer ball of foot, loaded area total right foot, right heel, right midfoot, impulse right heel, right midfoot, right outer ball of foot. Conclusions: A combined brace and Schroth therapy maintains the initial symmetrical plantar pressure distribution over the duration of four weeks since the significant differences fall within the range of measurement error. Clinical rehabilitation impact: The insole measuring system can be used to objectively support therapeutic gait training as part of rehabilitation and to assess insole fitting based on foot shape. Due to its convenient handling and rapid data acquisition, it may be a suitable method for interim or follow-up diagnostics in the treatment of idiopathic scoliosis. [ABSTRACT FROM AUTHOR]

Abstract Background Brace therapy’s influence on adolescent idiopathic scoliosis’s (AIS) natural course is inconclusive. Methods Brace-treated AIS patients from 2016 to 2020 were examined regarding four endpoints at brace weaning: surgery need, curve progress ≥ 6° and > 45°, and curve improvement ≥ 6°. Prediction variables’ influence was computed for the all-patients group and three subgroups (Subgroup 1: fulfilling the Scoliosis Research Society’s [SRS] criteria, Subgroup 2: initial Cobb angle 40°). According to the data characteristics, parametric and non-parametric tests and binary logistic regression were performed. Results The research included 69 patients. Overall, after brace weaning surgery was recommended for 20.3% of them, curve progression was ≥ 6° in 23.2%, the Cobb angle was beyond 45° in 11.6%, and the Cobb angle improved by ≥ 6° in 20.3%. Patients needing surgery had a significantly higher initial Cobb angle (38.8° ± 9.8° vs 27.8° ± 7.6°, p 40°. Real brace wear (RBW) in all groups had no significant effect on outcome. Two significant subgroup differences were found: Surgery recommendation and curve progression beyond 45° were significantly more frequent in the initial Cobb angle > 40° subgroup. Conclusions Brace effectiveness can be assumed because curve improvement was achieved in nearly one-fifth with sufficient in-brace correction. However, no significant influence of RBW on the outcome endpoints was demonstrated. To clarify conflicting results, big data management, including untreated patients, must be employed to further research AIS’s multifactorial influenced aetiology and course. Meanwhile, it is worth starting bracing in AIS in practice also beyond the SRS’s criteria.

Abstract Background Positive effects of brace treatments in adolescent idiopathic scoliosis patients on gait were proven. Aim Therefore, this study examined whether the influence of brace therapy in combination with Schroth therapy influencing the plantar pressure distribution, pre and post intensive rehabilitative inpatient treatment. Design Prospective cohort study, longitudinal. Setting Scoliosis rehabilitation clinic “Asklepios Katharina-Schroth-Klinik” (Bad Sobernheim, Germany). Population Twenty (14f/6m) patients (12–16 years) had a medically diagnosed moderate idiopathic scoliosis (Cobb angle 20–50°, Median 30°) and an indication for combined brace and Schroth therapy with an inpatient stay (4 weeks) at the Asklepios Katharina Schroth Clinic (Germany). Methods At the beginning (T1) and at the end of the stay (T2), the plantar pressure distribution with (A) and without wearing a brace (B) was recorded (walking distance 10 m). Results No significant differences between the left and right foot were found at baseline (T1). The T1 - T2 comparison of one foot revealed significant differences (p ≤ 0.05 − 0.001, respectively) for (A): mean pressure right midfoot, loaded area total left foot, left midfoot, left inner ball of foot, right midfoot, impulse total right foot, right midfoot and for (B): mean pressure right midfoot, right outer ball of foot, loaded area total right foot, right heel, right midfoot, impulse right heel, right midfoot, right outer ball of foot. Conclusions A combined brace and Schroth therapy maintains the initial symmetrical plantar pressure distribution over the duration of four weeks since the significant differences fall within the range of measurement error. Clinical rehabilitation impact The insole measuring system can be used to objectively support therapeutic gait training as part of rehabilitation and to assess insole fitting based on foot shape. Due to its convenient handling and rapid data acquisition, it may be a suitable method for interim or follow-up diagnostics in the treatment of idiopathic scoliosis.

We classify nilpotent pre-Lie rings of cardinality p 4 and thereby braces of the same cardinality, for a sufficiently large prime p. It has been shown that nilpotent pre-Lie rings of cardinality p n correspond to strongly nilpotent braces of the same cardinality, for sufficiently large p. These braces are explicitly obtained from the corresponding pre-Lie rings by the construction of the group of flows. Braces of cardinality p 4 that are not right nilpotent have already been classified. Consequently, our results complete the classification of braces with such cardinality. [ABSTRACT FROM AUTHOR]

Abstract Introduction Adolescent idiopathic scoliosis (AIS), a prevalent condition among teenagers, is often accompanied by osteopenia. However, the impact of brace treatment on bone density in AIS patients remains a matter of debate. The Vertebral bone quality (VBQ) score, derived from MRI signal intensity, has been shown to correlate with bone mineral density (BMD). Yet, no studies to date have drawn comparisons between VBQ scores in preoperative AIS patients who had brace treatment history and those who have not received brace treatment. Objective This study aims to elucidate the influence of brace treatment on bone density in AIS patients using VBQ score. Methods A retrospective analysis was conducted on 243 AIS patients, each with Cobb angles ranging from 50–70°, who had undergone preoperative MRI scans. The patients were segregated into two cohorts: those who received brace treatment (n = 174) and those who did not (n = 69). Through propensity score matching, a total of 53 matched pairs were selected for further analysis. VBQ scores were extracted from T1-weighted MRI scans. Results Post-matching, no significant baseline discrepancies were observed between the two groups. Interestingly, brace-treated patients exhibited lower average VBQ scores than their non-brace-treated counterparts (2.43 ± 0.11 vs. 2.55 ± 0.12, p

Objective Although the advantages of postoperative braces have been verified in many fields, it is not clear whether postoperative braces can help reduce patients' adverse psychological emotions such as kinesiophobia, anxiety, and depression. This study aims to analyze whether the use of a postoperative brace helps reduce adverse psychological emotions in adolescent idiopathic scoliosis (AIS) patients undergoing spinal deformity surgeries. Methods All consecutive patients who underwent spinal corrective surgeries at our institution between April 2023 and July 2023 formed the prospective cohort. Outcome measures were collected in the preoperative period, 3 months after surgery, and 6 months after surgery. All patients were assessed using the Tampa scale for kinesiophobia (TSK), the hospital anxiety and depression scale (HADS), and the numerical rating scale (NRS). A statistical model of propensity score matching was used to eliminate potential selection bias and maintain comparability. Multivariate linear regression models were used to determine the relationship between postoperative brace and adverse psychological emotions. Results After propensity score matching, this study ultimately enrolled 150 patients. There were no significant differences between the two groups in terms of demographic and perioperative variables. The fully adjusted model showed that the TSK scores of the non‐brace group at the 3‐month (ꞵ = 2.50, 95% CI 0.80–4.20, p = 0.005) and 6‐month follow‐up (ꞵ = 2.75, 95% CI 0.75–4.74, p = 0.007) were significantly higher than those of the brace group. The HADS score of the non‐brace group at the 3‐month follow‐up was significantly higher than that of the brace group (ꞵ = 1.75, 95% CI 0.28–3.22, p = 0.019). The NRS score of the non‐brace group at the 3‐month follow‐up was significantly higher than that of the brace group (ꞵ = 0.69, 95% CI 0.05–1.33, p = 0.034). At the 6‐month follow‐up, there were no significant difference for HADS score or NRS score between the two groups. Conclusion In the early postoperative period, the postoperative brace could provide AIS patients with psychological supports and help them reduce the frequency of adverse psychological emotions. The postoperative brace could continuously improve the fear of movement within 6 months after surgery, and help reduce anxiety, depression, and pain within 3 months after surgery.

Introduction: Adolescent idiopathic scoliosis (AIS), a prevalent condition among teenagers, is often accompanied by osteopenia. However, the impact of brace treatment on bone density in AIS patients remains a matter of debate. The Vertebral bone quality (VBQ) score, derived from MRI signal intensity, has been shown to correlate with bone mineral density (BMD). Yet, no studies to date have drawn comparisons between VBQ scores in preoperative AIS patients who had brace treatment history and those who have not received brace treatment. Objective: This study aims to elucidate the influence of brace treatment on bone density in AIS patients using VBQ score. Methods: A retrospective analysis was conducted on 243 AIS patients, each with Cobb angles ranging from 50–70°, who had undergone preoperative MRI scans. The patients were segregated into two cohorts: those who received brace treatment (n = 174) and those who did not (n = 69). Through propensity score matching, a total of 53 matched pairs were selected for further analysis. VBQ scores were extracted from T1-weighted MRI scans. Results: Post-matching, no significant baseline discrepancies were observed between the two groups. Interestingly, brace-treated patients exhibited lower average VBQ scores than their non-brace-treated counterparts (2.43 ± 0.11 vs. 2.55 ± 0.12, p < 0.01), suggesting a higher bone density. Furthermore, a negative correlation was observed between VBQ scores and the duration of brace usage (R2 = 0.3853, p < 0.01). Conclusion: Brace treatment may potentially enhance bone density in AIS patients by mitigating vertebral fat infiltration. The utilization of VBQ scores presents an alternative, potentially robust approach to assessing bone quality. [ABSTRACT FROM AUTHOR]

Background: Clubfoot management according to the Ponseti method, including 4–5 years of bilateral foot abduction bracing to prevent relapse, is widely accepted as gold standard. Adherence to bracing is often low, despite non-adherence being associated with poor outcomes. Objectives: This systematic scoping review aimed to identify and synthesize factors associated with brace adherence and non-adherence in the Ponseti method, to identify strategies shown to improve adherence, and to provide a clinically meaningful synthesis of available evidence. Methods: This scoping review utilized systematic search and formal guidance on conduct and reporting. Medline, SCOPUS, Informit, EmCare, CINAHL, and PEDro databases were searched for peer-reviewed primary research reporting factors associated with brace adherence or non-adherence during Ponseti management. Factors were identified, then grouped using inductive then deductive methods and reported in a narrative synthesis. Results: A total of 413 studies were identified and 42 were included in the review: 31 quantitative and 11 qualitative, generally of low quality. Meta-analysis was not feasible. Factors associated with non-adherence were identified more often than with adherence, and findings for both were inconsistent. Fifty-three factors were investigated, with conflicting findings common. No studies evaluating strategies to improve brace adherence were identified. Conclusions: Available evidence does not indicate that any one factor or set of factors is consistently associated with adherence or non-adherence to bracing in Ponseti clubfoot management, and so clinically meaningful factors are proposed. Adequately powered longitudinal studies of adherence to bracing are required. Mixed methods approaches would help to inform and evaluate strategies to improve adherence, particularly those routinely recommended in clinical practice. [ABSTRACT FROM AUTHOR]

Objective: Although the advantages of postoperative braces have been verified in many fields, it is not clear whether postoperative braces can help reduce patients' adverse psychological emotions such as kinesiophobia, anxiety, and depression. This study aims to analyze whether the use of a postoperative brace helps reduce adverse psychological emotions in adolescent idiopathic scoliosis (AIS) patients undergoing spinal deformity surgeries. Methods: All consecutive patients who underwent spinal corrective surgeries at our institution between April 2023 and July 2023 formed the prospective cohort. Outcome measures were collected in the preoperative period, 3 months after surgery, and 6 months after surgery. All patients were assessed using the Tampa scale for kinesiophobia (TSK), the hospital anxiety and depression scale (HADS), and the numerical rating scale (NRS). A statistical model of propensity score matching was used to eliminate potential selection bias and maintain comparability. Multivariate linear regression models were used to determine the relationship between postoperative brace and adverse psychological emotions. Results: After propensity score matching, this study ultimately enrolled 150 patients. There were no significant differences between the two groups in terms of demographic and perioperative variables. The fully adjusted model showed that the TSK scores of the non‐brace group at the 3‐month (ꞵ = 2.50, 95% CI 0.80–4.20, p = 0.005) and 6‐month follow‐up (ꞵ = 2.75, 95% CI 0.75–4.74, p = 0.007) were significantly higher than those of the brace group. The HADS score of the non‐brace group at the 3‐month follow‐up was significantly higher than that of the brace group (ꞵ = 1.75, 95% CI 0.28–3.22, p = 0.019). The NRS score of the non‐brace group at the 3‐month follow‐up was significantly higher than that of the brace group (ꞵ = 0.69, 95% CI 0.05–1.33, p = 0.034). At the 6‐month follow‐up, there were no significant difference for HADS score or NRS score between the two groups. Conclusion: In the early postoperative period, the postoperative brace could provide AIS patients with psychological supports and help them reduce the frequency of adverse psychological emotions. The postoperative brace could continuously improve the fear of movement within 6 months after surgery, and help reduce anxiety, depression, and pain within 3 months after surgery. [ABSTRACT FROM AUTHOR]

In recent years, square hollow section (SHS) joints with concrete-filled square hollow section (CFSHS) chords have increasingly been used in truss bridges where the fatigue life reliability is a critical issue. In this paper, a finite element analysis was performed to investigate the SCFs in SHS-CFSHS T-joints under in-plane bending in the brace, axial force in the chord and in-plane bending in the chord. The finite element models were developed and validated with experimental results. Then a parametric study was conducted with a reasonable range of three key non-dimensional parameters, i.e., β (width ratio between brace and chord), 2γ (width–to–wall thickness ratio of the chord) and τ (wall thickness ratio between brace and chord). Consequently, the stress concentration factor formulae for the fatigue design of SHS-CFSHS T-joints were proposed through multiple regression analysis. For in-plane bending in the brace, the maximum stress concentration factors were found at lines B and C for thick-walled chords (2γ = 25.0), while the stress concentration factors at all the lines need to be checked for thin-walled chords (2γ < 16.0). Under axial force in the chord and in-plane bending in the chord, only stress concentration factors at lines C and D needed to be considered. A comparison of stress concentration factors between SHS-SHS and SHS-CFSHS joints showed reductions of 10~26% and 14~31% in stress concentration factors in SHS-CFSHS joints under axial force in the brace and in-plane bending in the brace, respectively. In addition, it showed a general increase in stress concentration factors in SHS-CFSHS joints under axial force and in-plane bending in the chord. This reduction is attributed to the reduction in chord face deformation benefiting from the in-filled concrete. Meanwhile, the stress concentration factors caused by loads in the chord are much lower than those caused by loads in the brace. This work complements earlier studies on SHS-CFSHS T-joints under axial force. [ABSTRACT FROM AUTHOR]

BACKGROUND: Orthosis is a common and effective treatment for mild to moderate scoliosis, which can delay and inhibit the progression of scoliosis and reduce the incidence of severe deformity. Different types of orthoses have different indications, application characteristics, and efficacies. In recent years, the application of new technology like digital and intelligent has promoted the improvement and development of new orthoses. OBJECTIVE: To classify and compare the commonly used scoliosis orthoses, and describe the application progress of new technologies such as digital and intelligent technology in recent years, so as to provide a reference for the clinical selection of orthoses and the improvement of new orthoses. METHODS: PubMed, Embase, IEEE, CNKI and WanFang databases were searched for relevant literature. Chinese and English search terms were “scoliosis, orthosis, brace, progress, artificial intelligence, digitization”. The search time limit was from 2012 to 2022. Finally, 56 articles were included for review and analysis. RESULTS AND CONCLUSION: (1) Scoliosis orthosis has a good effect on mild to moderate adolescent idiopathic scoliosis. Through the Hueter-Volkmann law, it can accelerate the growth of the concave spine with a high success rate and has been widely used in this field. (2) The indications, application characteristics and efficacy of different types of orthoses are different, and the clinical selection is targeted. (3) Scoliosis orthosis has been developed in the direction of more humanity, paying attention to the comfort of patients, and the manufacturing process has been transformed from plaster casting to computer-aided manufacturing. It is simple and hygienic, with higher correction accuracy, and patients’ compliance has been significantly improved. (4) Scoliosis orthosis is developing in the direction of digitalization and intelligence and has been widely integrated with artificial intelligence, Internet of things and other technologies to monitor the patient’s orthopedic force, body temperature, and compliance in real time, so as to provide patients with more accurate treatment. (5) At present, there are still many defects in scoliosis orthosis that cannot be ignored, such as affecting development, decreased muscle strength, and body stiffness, which need further exploration and improvement. [ABSTRACT FROM AUTHOR]

Introduction: Detailed postoperative rehabilitation protocols after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) are still a matter of debate. Adjunctive hip bracing represents a promising tool to improve early patients' mobilization. To present, the effect of hip brace therapy on postoperative functional outcomes and specific patient individual psychologic factors remains controversially discussed. Consequently, we aimed to report postoperative outcomes focusing on hip function, pain and kinesiophobia between braced and unbraced patients. Materials and methods: A prospective, randomized-controlled trial was conducted, including patients undergoing hip arthroscopy for FAIS. After exclusion, a final study cohort of 36 patients in the intervention group (postoperative hip brace) and 36 patients in the control group (no hip brace) were compared for kinesiophobia (Tampa Scale of Kinesiophobia), pain (Visual analog scale) and joint function (International Hip Outcome Tool-12) within the first six postoperative months. Results: Hip arthroscopy significantly improved all patient-reported outcomes in both groups. Intergroup analysis revealed significantly lower levels of kinesiophobia in braced patients at 6-months follow up (30.7 vs. 34.1, p = 0.04) while not negatively affecting pain and joint function. No intra- and postoperative complications occurred within both groups. Conclusions: This study could demonstrate that bracing after hip arthroscopy can positively influence kinesiophobia, while the brace did not negatively impact postoperative pain and quality of life. Thus, hip bracing could be a viable assistive therapy in the postoperative rehabilitation phase after hip arthroscopy. [ABSTRACT FROM AUTHOR]

Braces are ring-like structures equivalent to groups G with a G -module structure such that the identity map is a 1-cocycle. By comparison, crystallographic groups give rise to 1-cocycles into the Euclidean space on which they act. Associated with every torsion-free crystallographic group is a closed connected flat Riemannian manifold. The Calabi construction for these manifolds is reinterpreted and extended to cofinite integral braces, which can be conceived as analogues and refinements of crystallographic groups. It is shown that all three-dimensional Bieberbach groups and most of the two-dimensional crystallographic groups are adjoint groups of cofinite integral braces. For arbitrary cofinite (e.g., finite) braces, the transfer map from the adjoint group into the socle is shown to be a brace morphism, which leads to surprising connections between group-theoretic and brace-theoretic invariants. [ABSTRACT FROM AUTHOR]

Background: Adolescent idiopathic scoliosis (AIS) patients have been found to exhibit cortical asymmetry. Although asymmetries in cortical structures have been found in patients with AIS, there has been no research on how conservative treatments affect cerebellar functional organization. Aims: This study aimed to examine the impact of conservative treatments on perceptual and cognitive asymmetry in the auditory system assessed by dichotic listening in AIS patients with thoracic major curves. Method: This study involved 30 AIS patients and 21 healthy subjects. The intervention group used a Cheneau brace and performed 18 Schroth Best Practice (SBP) exercise sessions. Auditory lateralization was assessed using the Dichotic Listening Paradigm (DLP) in both groups before and after the intervention. Results: The 6-week intervention resulted in a significant increase in left ear responses in the force-left condition in the AIS (p < 0.05). Left ear responses were lower in AIS at baseline (p < 0.05). The results at week 6 were similar in all conditions (p > 0.05). Conclusion: The results of this study demonstrated that SBP exercises and Cheneau brace treatment can improve perceptual and cognitive asymmetry in the auditory system in AIS patients with thoracic major curve. Scoliosis-associated changes in the spine and postural control may affect auditory perception by causing adaptations in sensory and motor networks. Future studies are needed to examine the connectivity in brain regions related to motor control and auditory processing after conservative treatment. Trial registration: Clinical trials number: NCT06141759. [ABSTRACT FROM AUTHOR]

This study aims to examine whether the COVID-19 pandemic affected the adherence to conservative AIS treatment. Adolescent Idiopathic Scoliosis (AIS) is characterized by a lateral curvature of the spine of at least 10 degrees. Compliance rates in conservative treatments are influenced by various factors. From a database of AIS patients, we selected 30 AIS patients who were assessed before, during, and after the COVID-19 pandemic. Data regarding Cobb’s angle, brace prescription, prescribed brace wear time, brace wear compliance, and time dedicated to sports activities were collected over a six-year period from January 2018 to December 2023, divided into three 2-year time periods (before, during, and after COVID-19). There was an increased percentage of AIS patients prescribed with a brace during the pandemic. However, no significant differences in Cobb’s angle were observed. Additionally, the prescribed wear time showed a significant decrease from the pre-COVID period to the post-COVID period (p-value = 0.03). Wear compliance exhibited a decreasing trend from pre- to during- and post-COVID-19 periods without reaching statistically significant differences, and the time dedicated to sports statistically significantly decreased. These differences were statistically significant when comparing the pre- vs. post- and pre- vs. during-COVID-19 periods (p-values 0.01, 0.04, respectively). Our study highlights changes in AIS conservative treatment during and after the COVID-19 pandemic. The increase in the number of patients prescribed with a brace during the pandemic, although not supported by an increase in Cobb’s angle, may be attributed to the concerns about regular monitoring during the reduction of rehabilitation services. The observed decreases in brace compliance and involvement in sport activities, which persisted even in the post-pandemic period, emphasizes the lasting impact of the pandemic on AIS management, necessitating innovative approaches to address these ongoing concerns.

Aims: Fractures of the humeral shaft represent 3% to 5% of all fractures. The most common treatment for isolated humeral diaphysis fractures in the UK is non-operative using functional bracing, which carries a low risk of complications, but is associated with a longer healing time and a greater risk of nonunion than surgery. There is an increasing trend to surgical treatment, which may lead to quicker functional recovery and lower rates of fracture nonunion than functional bracing. However, surgery carries inherent risk, including infection, bleeding, and nerve damage. The aim of this trial is to evaluate the clinical and cost-effectiveness of functional bracing compared to surgical fixation for the treatment of humeral shaft fractures. Methods: The HUmeral SHaft (HUSH) fracture study is a multicentre, prospective randomized superiority trial of surgical versus non-surgical interventions for humeral shaft fractures in adult patients. Participants will be randomized to receive either functional bracing or surgery. With 334 participants, the trial will have 90% power to detect a clinically important difference for the Disabilities of the Arm, Shoulder and Hand questionnaire score, assuming 20% loss to follow-up. Secondary outcomes will include function, pain, quality of life, complications, cost-effectiveness, time off work, and ability to drive. Discussion: The results of this trial will provide evidence regarding clinical and cost-effectiveness between surgical and non-surgical treatment of humeral shaft fractures. Ethical approval has been obtained from East of England – Cambridge Central Research Ethics Committee. Publication is anticipated to occur in 2024. Cite this article: Bone Jt Open 2024;5(4):343–349.

Objective Various lower limb abnormalities can adversely affect human movement mechanics, such as walking, and induce symptoms of joint instability. Structural deviations, particularly in the knees and ankles, elevate the risk of injury and may impede individuals from engaging in activities. Consequently, alongside exercise protocols, individuals may require supportive tools to address these deformities. Thus, the present study aims to investigate the efficacy of Traband and braces in diverse training protocols for individuals with genu varum and genu valgum. Methods This study adopted a review approach, scouring Persian articles from 2018 to 2024 across databases including Wos, Science Direct, Sid, Magiran, Civilica, Isc, PubMed, Scopus, and Google Scholar. Ultimately, 10 articles pertaining to the impact of various training protocols utilizing Traband and braces on cruciate knee genu varum and genu valgum were scrutinized. Results Three studies revealed that Traband usage enhances and sustains balance in genu valgum deformities, with two articles indicating its effectiveness in rectifying genu varum abnormalities. Additionally, three studies demonstrated braces' effectiveness in ameliorating genu valgum deformities, while two articles suggested their role in genu varum recovery. Conclusion The findings indicate that performing distinct exercises with braces and Trabands yields positive effects on knee brace and crossed knee deformities. However, Traband, due to its non-restrictive nature and cost-effectiveness, emerges as a favorable option compared to braces.

Purpose: Bracing for adolescents with idiopathic scoliosis (AIS) is a treatment option to prevent curve progression to surgical level. This study aimed to assess the efficacy of a 3D fully customized over corrective brace, "ScoliBrace," an orthosis treatment for AIS. Methods: This was a prospective pilot study of AIS female patients with inclusion criteria followed recommended Scoliosis Research Society (SRS) Guidelines. Cobb angles measured at: baseline (T0), 21 months (T5-2), skeletal maturity (T6), 6 months post-brace (T7), along with hours of brace wear using a thermal sensor and health-related quality of life (HRQoL) using the SRS-22r questionnaire. Results: A total of 30 female AIS patients with mean age 11.85 ± 0.68 years, predominantly Risser 0 (70%), and median Cobb angle 29° were recruited; 21 patients were included for the final analysis. Results showed significant difference in Cobb angle between T0 and T5-2 (median = 22.5° vs. 28.5°, p = 0.0082). 57.14% had reduction in Cobb angle by ≥ 5° at skeletal maturity. Cobb angle reduced 0.794° for each additional hour of dosage (p = 0.036, 95% CI = − 1.532°, − 0.056°). Although pain level was increased at T6 (4.37 ± 0.51vs.4.70 ± 0.41, p = 0.014), patients reported significantly greater satisfaction with management of their condition (3.90 ± 0.90vs.3.29 ± 0.88, p = 0.020). Conclusion: Results show similar findings to the BRAIST study, whereby curves remained under surgical threshold and showed improvement. More than half had curve reduction of ≥ 5° at skeletal maturity. Increased dose was also associated with improved outcomes. Using "ScoliBrace" as a non-surgical treatment, maintained curves below surgical threshold and showed curve reduction, improving patient satisfaction with management. [ABSTRACT FROM AUTHOR]

Background: The Sforzesco brace is a very rigid push-up brace effective in adolescent idiopathic scoliosis (AIS). We recently developed a new Sforzesco brace based on modularity (the Modular Italian brace—MI brace) that could allow standardization, facilitating global expertise diffusion, increased modifiability and adaptability, and cost savings due to longer brace life. We aimed to compare the short-term results of the two braces. Methods: The retrospective study included 231 consecutive AIS treated with a MI brace (N = 53) or Sforzesco brace (N = 178). The main outcome was the first 6-month follow-up out-of-brace radiograph Cobb angle change. Secondary outcomes included the in-brace Cobb degrees and aesthetics (TRACE), prominence (angle of trunk rotation and mm), kyphosis, and lordosis changes. Results: The two groups were similar at baseline, apart from more immature patients in MI brace. Both braces reduced the Cobb angle (−6° out-of-brace; −16° in-brace) without differences between groups. All secondary outcomes improved, apart from a statistically and clinically insignificant 3° kyphosis reduction. The MI brace participants were 4.9 times more likely to improve the Cobb angle than the Sforzesco brace (OR = 4.92; 95%CI 1.91–12.64; p = 0.001). Conclusions: These findings suggest that the MI-brace can be safely used instead of the classical Sforzesco brace. However, further studies of different designs and longer follow-ups are needed to confirm these findings. [ABSTRACT FROM AUTHOR]

Improving proprioception can reduce the risk of injuries, while its disruption may lead to injuries and recurrent or persistent symptoms. This study aimed to evaluate the immediate effects of elbow orthoses on elbow proprioception in asymptomatic individuals. This was a randomized, controlled, single-blinded study with a sham application. Sixty participants were equally distributed into three orthosis groups (counterforce, sleeve, and sham). Proprioception was assessed using active joint position sense error (JPSE) at 70° and 110° of elbow flexion at three time points: baseline (BS), immediately after (IA) wearing the orthosis, and 30 minutes after (30MA) wearing the orthosis. Between groups: No significant difference in JPSE was observed at 70° (p = 0.095); however, there was a significant difference at 110° (p = 0.005). Between time points: At 70°, JPSE did not exhibit a significant difference (p = 0.055), whereas a significant difference was observed at 110° (p = 0.020). Interaction of time points×groups: No significant interaction was observed either at 70° (p = 0.476) or at 110° (p = 0.346). At 70°, within the sleeve group, significant differences were identified between BS-30MA (p = 0.001) and IA-30MA (p = 0.009). At 110°, in the sleeve group, significant differences were observed between BS-30MA (p = 0.007) and IA-30MA (p = 0.007). In the counterforce group, significant differences were identified between BS-30MA time points (p = 0.001). At 70°, no difference was observed within the overall evaluation in the counterforce group (p > 0.05), whereas at 110°, a significant difference was noted (p = 0.026). At both 70° and 110°, no differences were identified within the overall evaluation in the sleeve and sham groups (p > 0.05). In asymptomatic individuals, sleeve orthosis improved elbow proprioception at 70°, whereas both counterforce and sleeve orthoses were effective at 110°. • Counterforce orthosis may improve elbow proprioception. • Sleeve orthosis may improve elbow proprioception. • A 30-minute usage may be insufficient to improve proprioception significantly. • These orthoses can be employed without suppressing elbow proprioception. [ABSTRACT FROM AUTHOR]

Braces are one of the methods for kyphosis treatment, but they can relocate the center of gravity of the trunk, affecting the ground reaction force (GRF) during running. Therefore, this study aimed to investigate the effects of two types of thoracolumbosacral braces on running GRF components in individuals with kyphosis. Participants were 15 males diagnosed with kyphosis who volunteered in this quasi-experimental study. Each subject performed the barefoot running trials on the force plate with one simple brace, with a sensor brace, and without the brace condition. The ground reaction forces components were calculated in the stance phase. Statistical analysis was done with repeated measures test with a significant level of 0.05. Peak medial ground reaction force when running with a sensor brace was lower than running with a simple brace (p = 0.017). Free moments were similar during three running conditions (p > 0.05). Lower maximum medial ground reaction force while using a sensor brace may possibly demonstrate the beneficial effects of a sensor brace in individuals with kyphosis. [ABSTRACT FROM AUTHOR]

This study investigated the seismic performance of reinforced concrete columns retrofitted with Replaceable Steel Links (RSLs), focusing on the effects of varying sliding slot lengths and torsional loads. The RSL system, known for its simple construction and effective seismic performance, was analyzed to assess the feasibility of substituting damaged steel links post-earthquake, using the system as a structural fuse. The experimental results highlighted the role of sliding slot lengths in delaying the initiation of shear cracks, especially under eccentric lateral loads. The RSL system exhibited notable torsional resistance, showing only a 10% decrease in maximum load capacity, even with a two-fold increase in the eccentric distance. Furthermore, with an increase in sliding slot length, the difference in cumulative energy dissipation attributable to augmented eccentric distances reached approximately 50%, indicating a notable impact of sliding slot length on the system's ability to resist torsion. Consequently, it is recommended that the length of the sliding slot be based on the specific seismic design objectives when employing the RSL system as a structural fuse. The post-experiment inspection revealed no deformation in the steel plates, and the buckled steel links could be effortlessly replaced by loosening the high-tensile bolts in the slots. These findings demonstrate the RSL system's efficiency as a structural fuse. [ABSTRACT FROM AUTHOR]

• Patients with congenital or juvenile idiopathic scoliosis had similar health-related quality of life in adulthood compared with a national cohort of normative data on most SF-36 domains. • However, patients with congenital or juvenile idiopathic scoliosis had lower SF-36 scores on the vitality and mental health domain compared with age-matched national norm scores. • Differences between conservatively and surgically treated patients in both scoliosis cohorts were minimal. However, surgically treated juvenile idiopathic scoliosis patients had a significantly lower score on the SRS-22r pain domain and conservatively treated congenital scoliosis patients had a significantly lower score on the SRS-22r mental health domain. Congenital and juvenile scoliosis are both early-onset deformities that develop before the age of 10. Children are treated to prevent curve progression and problems in adulthood such as back pain and a decreased quality of life but literature on long-term outcomes remains scarce. To evaluate the health-related quality of life (HRQoL) and potential disability of children with congenital scoliosis (CS) or juvenile idiopathic scoliosis (JIS) after a minimum of 20 years follow-up. Comparative cohort study. A consecutive cohort of CS and JIS patients were retrospectively identified from a single-center scoliosis database. Patients born between 1968 and 1981 and treated during skeletal growth were eligible for participation. HRQoL (SF-36, SRS-22r, ODI). The primary aim was to evaluate the HRQoL of CS and JIS patients using the general SF-36 questionnaire. Both patient cohorts were compared with age-matched national norms. The secondary aim was to analyze the differences between conservatively and surgically treated patients using the scoliosis-specific Scoliosis Research Society-22r questionnaire (SRS-22r) and the Oswestry Disability Index (ODI). T-tests were used for statistical comparison. In total, 114 patients (67% of the eligible patients) completed the questionnaire, with a mean follow-up of 25.5±5.5 years after their final clinical follow-up. Twenty-nine patients with CS were included with a mean age of 44.4±3.8 years (79.3% female), and 85 patients with JIS with a mean age of 43.7±4.2 years (89.4% female). Of the SF-36 domains, only the vitality score (60.6±18.0 for CS and 58.1±17.6 for JIS cohort) and mental health score (70.0±18.4 for CS and 72.1±18.1 for JIS cohort) were significantly lower compared with the general population (68.6±19.3 for vitality, and 76.8±17.4 for mental health). These decreased scores were larger than the determined minimum clinically important difference threshold of 4.37. Surgically treated JIS patients had a significantly lower score on the SRS-22r pain domain than their nonsurgically treated peers (3.6±0.9 vs 4.1±0.7l p=.019). Surgically treated CS patients had a significantly higher score on the SRS-22r mental health domain than their nonsurgically treated peers (4.3±0.5 vs 3.5±1.0; p=.023). No significant differences were found in the other domains. Except for vitality and mental health domains, congenital and juvenile idiopathic scoliosis patients treated during skeletal growth had similar HRQoL on most SF-36 domains in adulthood compared with national norms. Surgical treated JIS patients experienced more pain compared with brace treated patients, while braced CS patients had a significantly lower mental scores compared with surgical treated patients. These long-term outcomes are essential to inform patients and can guide shared decision-making between clinicians and patients. [ABSTRACT FROM AUTHOR]

We prove that any set-theoretic solution of the Yang–Baxter equation associated with a dual weak brace is a strong semilattice of non-degenerate bijective solutions. This fact makes use of the description of any dual weak brace S we provide in terms of strong semilattice Y of skew braces B α , with α ∈ Y . Additionally, we describe the ideals of S and study its nilpotency by correlating it to that of each skew brace B α . [ABSTRACT FROM AUTHOR]

INTRODUCTION: Orthosis and physical therapy are two conservativemanagements for knee osteoarthritis (OA), but the question is which is better for alleviating pain and improving function? The aim of this study was to compare two interventions of orthosis and physical therapy on pain and function in patients with knee OA. Methods: In this quasi-experimental study, 31 individuals with medial knee OA were recruited into two groups including orthosis group (combination of insole and brace [n = 14]) and physical therapy group (n = 17). Pain severity was measured by visual analog scale (VAS) andWestern Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire. Also, daily activity was measured by the WOMAC questionnaire at baseline and after 6-week follow-up. Wilcoxon signed rank and Mann-Whitney U tests were used to determine significant difference for intragroup and intergroup comparisons, respectively. Results: The orthosis group (using both knee brace and LWLs) had a better result for pain score related to VAS than the physical therapy group immediately after and 6 weeks of using the intervention, with a significant difference between the two groups (P = 0.006). Regarding the WOMAC items including pain and daily activity, both groups had significant differences after the 6-week period of using the intervention, with no significant difference between the groups. Conclusions: Based on the findings, pain and daily activity related to the WOMAC questionnaire were improved in both orthosis and physical therapy groups, with no differences between the two interventions. The orthosis group had better results in pain related to VAS. Clinical Relevance: The aim of this study was to find whether physical therapy or orthosis best improves pain and function of knee OA patients. [ABSTRACT FROM AUTHOR]

Ulnar-sided wrist pain might be caused by a lesion of the triangular fibrocartilage complex (TFCC). Patients with TFCC lesion may show an instability of the distal radioulnar joint (DRUJ). Before arthroscopic assessment, conservative therapy using a brace or splint may result in alleviation of symptoms. The results of our previous study showed that patients with a traumatic TFCC lesion and instability of the DRUJ had the smallest weight-bearing capacity and had the largest increase in application of the wrist brace (WristWidget). In this prospective study, we wanted to test if the weight-bearing capacity with and without the wrist brace can be used as a diagnostic tool to differentiate between patients with traumatic TFCC lesion and instability of the DRUJ. We tested if patients with traumatic TFCC lesion and instability of the DRUJ (1) have a lower weight-bearing capacity and (2) show a higher increase of weight-bearing capacity after application of a wrist brace compared to all other types of injury. This was a prospective cohort study. Forty-eight patients presented to an outpatient clinic with suspected TFCC lesion. We measured the dynamic weight-bearing capacity of both hands with and without the wrist brace (WristWidget) by letting the patients lean on an analog scale with extended arm and wrist. The stability of the DRUJ was assessed by clinical examination by a hand surgeon preoperatively and intraoperatively. Forty-five patients received an arthroscopy and were included in the analysis. During arthroscopy, the surgeon determined if there was a traumatic TFCC lesion and DRUJ instability. Patients with a traumatic lesion of the TFCC and DRUJ instability were compared to all other cases. We used the t -test for normally distributed values, Mann-Whitney U test for nonnormally distributed values, and the Chi-square test for categorical variables, respectively Fisher's exact if the expected cell count was less than five. Patients with a traumatic TFCC lesion and DRUJ instability had a higher weight-bearing capacity (22.8 kg) than all other cases (13.8 kg; p < 0.01). This is in contrast to our previous study, in which patients with a traumatic lesion of the TFCC had the tendency to show lower values of weight-bearing capacity than those with a degenerative lesion. While the wrist brace was worn, the relative gain was not significantly lower in patients with traumatic TFCC lesions and DRUJ instability compared to all other cases (21% vs 54%, p = 0.16). All included cases showed the same absolute increase of about 4 kg in weight-bearing capacity with the wrist brace (p = 0.93) The weight-bearing test cannot be used to identify patients with traumatic TFCC lesion and DRUJ instability among those with suspected TFCC lesion. The results of our previous study could be confirmed that the weight-bearing capacity on the injured side was higher with brace than without. • The wrist widget increases the weight-bearing capacity by around 4 kg. • The effect is similar for cases with traumatic and degenerative lesions of the TFCC. • Weight-bearing capacity cannot identify traumatic TFCC lesions with DRUJ instability. [ABSTRACT FROM AUTHOR]

In this paper we present a characterization of finite simple involutive non-degenerate set-theoretic solutions of the Yang-Baxter equation by means of left braces and we provide some significant examples. [ABSTRACT FROM AUTHOR]

In this paper, we define a class of braces that we call module braces or R-braces, which are braces for which the additive group has also a module structure over a ring R, and for which the values of the gamma functions are automorphisms of R-modules. This class of braces has already been considered in the literature in the case where the ring R is a field; we generalise the definition to any ring R, reinterpreting it in terms of the so-called gamma function associated with the brace, and prove that this class of braces enjoys all the natural properties one can require. We exhibit explicit example of R-braces, and we study the splitting of a module braces in relation to the splitting of the ring R, generalising thereby Byott's result on the splitting of a brace with nilpotent multiplicative group as a sum of its Sylow subgroups. The core of the paper is in the last two sections, in which, using methods from commutative algebra and number theory, we study the relations between the additive and the multiplicative groups of an R-brace showing that if a certain decomposition of the additive group is small (in some sense which depends on R), then the additive and the multiplicative groups have the same number of elements of each order. In some cases, this result considerably broadens the range of applications of the results already known on this issue. [ABSTRACT FROM AUTHOR]

Milad Piran Hamlabadi , Amir Ali Jafarnezhadgero * Background and Objective: Using lumbar orthoses changes the running mechanics. An essential biomechanical factor in rehabilitation and injury prevention is the co-contraction of the knee and ankle joints. Therefore, this study aimed to investigate the effect of 2 types of thoracolumbosacral braces on ankle and knee joint co-contraction in people with kyphosis during running. Methods: This quasi-experimental study was conducted on 15 men aged 18-25 years suffering from kyphosis greater than 40 degrees in the Biomechanics Laboratory of the University of Mohaghegh Ardabili Health Center during the summer of 2020. Each participant randomly performed 3 running tests in each condition: without a brace, with a sensor brace, and with a simple brace. The test consisted of electromyographic data of the selected lower limb muscles, which also recorded the contraction of the knee and ankle muscles in the right leg when running at a constant speed. Results: The results showed a reduction of the general knee co-contraction while using a sensory brace compared to without the brace by 6% during the loading phase (P

Background: Tennis elbow or lateral epicondylitis is a common complaint involving about a 3-5% cases in a community. Non-surgical treatment is effective in 80% of cases. Recent studies have shown the effect of autologous blood on improving the pain and function of affected patients. The present study aimed to compare the effectiveness of steroid and autologous blood local injection in controlling pain and disability in the short and long term. Methods: The present study was a clinical trial conducted in Shahid Beheshti Hospital of Babol. A total of 60 patients were divided into 3 groups; A group injected at the site of lateral epicondylitis with steroid (methylprednisolone acetate-40mg) and another group with autologous blood (2ml of venous blood), and the other group used a brace for 3 weeks. Patients were followed-up for 15, 30, and 90 days, and the PRTEE assessment questionnaire assessed their pain and disability. Results: On the 15th day, there was no statistically significant difference in pain and function in the three groups, although the injectable groups were relatively more effective. On the 30th day, the local corticosteroid was significantly better than the autologous blood group, while on the 90th day, autologous blood was significantly better than the local corticosteroid. The average day, in which 25% improvement was gained, was lower in the autologous blood transfusion group. Conclusion: Regarding the long-term effect of autologous blood on corticosteroid injections, it was recommended as a lateral epicondylitis treatment.

This article discusses a case of unilateral eosinophilic fasciitis, also known as Shulman syndrome, in a 78-year-old Caucasian male. The patient presented with swelling and hardening of the right arm, along with muscle pain. After a biopsy and blood tests, the diagnosis of unilateral eosinophilic fasciitis was confirmed. The patient initially received glucocorticoid therapy but showed no improvement. Methotrexate therapy and the addition of an elastic compression brace were then implemented, resulting in significant reduction of arm swelling and improved skin texture. The article emphasizes the importance of timely treatment for eosinophilic fasciitis and suggests that the use of a compressive aid can be an effective additional therapy. [Extracted from the article]

In recent years, square hollow section (SHS) joints with concrete-filled square hollow section (CFSHS) chords have increasingly been used in truss bridges where the fatigue life reliability is a critical issue. In this paper, a finite element analysis was performed to investigate the SCFs in SHS-CFSHS T-joints under in-plane bending in the brace, axial force in the chord and in-plane bending in the chord. The finite element models were developed and validated with experimental results. Then a parametric study was conducted with a reasonable range of three key non-dimensional parameters, i.e., β (width ratio between brace and chord), 2γ (width–to–wall thickness ratio of the chord) and τ (wall thickness ratio between brace and chord). Consequently, the stress concentration factor formulae for the fatigue design of SHS-CFSHS T-joints were proposed through multiple regression analysis. For in-plane bending in the brace, the maximum stress concentration factors were found at lines B and C for thick-walled chords (2γ = 25.0), while the stress concentration factors at all the lines need to be checked for thin-walled chords (2γ < 16.0). Under axial force in the chord and in-plane bending in the chord, only stress concentration factors at lines C and D needed to be considered. A comparison of stress concentration factors between SHS-SHS and SHS-CFSHS joints showed reductions of 10~26% and 14~31% in stress concentration factors in SHS-CFSHS joints under axial force in the brace and in-plane bending in the brace, respectively. In addition, it showed a general increase in stress concentration factors in SHS-CFSHS joints under axial force and in-plane bending in the chord. This reduction is attributed to the reduction in chord face deformation benefiting from the in-filled concrete. Meanwhile, the stress concentration factors caused by loads in the chord are much lower than those caused by loads in the brace. This work complements earlier studies on SHS-CFSHS T-joints under axial force.

Background: Management of Rockwood III acromioclavicular joint separations is a matter of ongoing debate, with nonoperative treatment being favored in recent literature. The aim of this study is to compare clinical and radiological outcomes of nonoperative treatment with a brace, which elicits a direct reduction force to the distal clavicle, to a sling. We hypothesized the brace might yield in better acromioclavicular joint (ACJ) reduction and cosmesis. Methods: In this dual center prospective randomized controlled trial, all patients sustaining an acromioclavicular joint separation Rockwood III between July 2017 and August 2020 were included. Patients with previous ipsi- or contralateral ACJ injury or surgery were excluded. Randomization occurred in the emergency department to either the sling or brace group. Patients were followed up at 1, 6, and 12 weeks. Patient-reported outcome measures included subjective shoulder value (SSV) and American Shoulder and Elbow Surgeons (ASES) score at each follow-up and Constant Score at 6 and 12 weeks. Vertical distal clavicle displacement was assessed on bilateral non-weighted panoramic anteroposterior radiographs using coracoclavicular (CC) distance to calculate the CC-index. Results: Thirty-five consecutive patients were included across the 2 sites, 18 (all male) in the brace and 17 (14 male) in the sling group. Baseline characteristics did not differ significantly between groups, the average age was 40 years, and body mass index 25.5 kg/m2. Analysis revealed no statistical difference in CC-index between groups at the time of injury, 6 weeks and 12 weeks postinjury (P = .39, P = .11, and P = .21). SSV improved from 30 and 35 postinjury to 81 and 84 at 12 weeks in the sling and brace group, respectively (P = .59). ASES improved from 48 and 38 to 82 and 83, respectively (P = .84). Similarly, Constant Score improved from 64 and 67 to 82 and 81, respectively (P = .90). One patient in the brace group underwent ACJ stabilization with hamstring autograft at 4 months due to persistent pain. Conclusion: This randomized controlled trial shows no statistically significant difference between the brace and sling group in clinical (SSV, ASES, Constant Score) or radiological (CC-index) outcomes after conservative treatment of Rockwood III injuries.

Background and Aims People suffer from neck pain, headache, kyphosis and back pain while working with the computer for a long time, which seems to increase day by day with the advancement of technology. The present study aims to investigate the effect of two types of thoracolumbosacral braces (with and without sensors) on electromyography activity of selected muscles in people with thoracic kyphosis during typing.Methods In this quasi-experimental study, 15 males with thoracic kyphosis volunteered to participate in the study. Subjects performed typing task for one minute at three conditions (with no brace, with a simple brace, and with a brace having sensors). An 8-channel wireless electromyography system was used to record the activity of selected muscles in the upper limb and shoulder area. Repeated measures analysis of variance was used to compare the electrical activity of muscles between different conditions. The significance level was set at 0.05.Results The median frequency of trapezius muscle was significantly lower while using the brace with sensors compared to that without using brace (P=0.005). In median frequency of other muscles, no significant differences were observed among three conditions (P>0.05).Conclusion The use of thoracolumbosacral brace with sensors can reduce the median frequency of trapezius muscle in people with kyphosis. This reduction in median frequency may be related to the passive support of the brace. Reduction of electrical activity in trapezius muscle while using thoracolumbosacral brace can increase the time to reach fatigue.

We prove a criteria for nilpotency of left braces in terms of the $\star$-central series and also discuss Noetherian braces, obtaining some of their elementary properties. We also show that if a finitely generated brace $A$ is Smoktunowicz-nilpotent, then the additive and multiplicative groups of $A$ are likewise finitely generated.

BackgroundIn recent years, research on the non-surgical treatment of AIS has been increasingly conducted. To the best of our knowledge, this field doesn't yet have a comprehensive and structured pulse combing analysis. In order to provide inspiration and resources for subsequent researchers, we thus reviewed the literature studies on the non-surgical treatment of AIS from the previous thirty years and highlighted the hotspots and frontiers of research in this field.MethodsMain using Citespace 6.1 software, the data from the core dataset of the WOS database pertaining to the non-surgical management of AIS from 1990 to 2022 was gathered, displayed, and analyzed.Results839 papers in all were included in the literature. With 215 papers, the USA came in first place. Chinese Univ Hong Kong ranked first with 32 papers. Research hotspots are adolescent idiopathic spondylitis, Schroth-based physiotherapy-specific exercise efficacy, curve development, Cobb angle, TLSO brace-based clinical efficacy, quality of life, reliability, health-related quality of life questionnaires, finite element biomechanical models, follow-up, and clinical guidelines.ConclusionThere aren't many studies that compare the clinical effectiveness of various non-surgical treatments, and because of variations in inclusion eligibility standards and outcome measures, these studies cannot be directly compared. In addition, the inconsistency of existing growth potential and progression risk assessment systems further affects comparative studies of clinical efficacy; it is recommended to establish primary assessment indicators centered on patient treatment outcomes (including appearance, disability, pain, and quality of life), as well as standardized scoliosis progression risk assessment criteria.

Objective: To compare the outcome of humeral shaft fractures treated by functional cast brace versus "U" slab in terms of union. Study Design: Quasi-experimental study Place and Duration of Study: Department of Orthopaedic Surgery/Traumatology Unit-II, Mayo Hospital, Lahore, Pakistan from Jul to Dec 2018. Methodology: One hundred and four patients fulfilling inclusion criteria were included. Patients were randomised into two groups by random tables. Group-A patients were treated with a "U" slab outdoors, and Group-B patients were treated with a customised functional brace from the Orthopaedic workshop as indoor cases. Results: The mean age of patients was 47.99±14.15 years, with minimum and maximum ages of 16 and 65 years, respectively. According to the operational definition, the union was achieved in 88(84.6%) patients. In Group-A, 38(73.1%) patients and in Group-B, 50(96.2%) patients had union. A significant association between union and study Groups was noted, i.e. Group B had a high union rate when compared to Group A, with a p-value of 0.001. Conclusion: To conclude, in patients with humeral shaft fracture, a functional cast brace is a better choice for achieving union as it reduces the burden of non-union, and patients recover early, assessed by callous formation.

Background: Although skeletal maturity and brace wear time contribute to the success of brace treatment in adolescent idiopathic scoliosis (AIS), the extent of initial in-brace correction for ensuring successful outcomes remains unclear. We hypothesized that the degree of initial in-brace correction correlates with brace success in patients with AIS.Method: The study included 135 AIS patients with a major Cobb angle of 20°-40° treated with a thoracic lumbosacral orthosis for at least one year and followed up for skeletal maturity. The subjects were divided into two groups: the skeletally immature group (group I, n = 72), who met the Bracing in Adolescent Idiopathic Scoliosis Trial study protocol at the start of brace treatment, and the skeletally mature group (group M, n = 63). Treatment success was defined as not needing surgical treatment and a major Cobb angle <40° at the end of brace treatment.Results: In both groups, the mean major Cobb angles before treatment, while wearing the brace, and at the end of brace treatment were 30.6°/31.7°, 22.9°/24.2°, and 38.8°/33.9° (p < 0.05), respectively, and the treatment success rate was 56.9% and 77.8%, respectively (p < 0.05). Univariate regression analysis revealed the following risk factors: Risser grade 0 in group I, major Cobb angles before treatment, initial in-brace major Cobb angle, and in-brace correction rate in both groups. Cutoff values of in-brace major Cobb angle for treatment success calculated by ROC curve in groups I and M were 24° and 29°, respectively.Conclusions: In-brace major scoliosis correction of <25° in patients with immature skeletal status and <30° in patients with mature skeletal structure should be aimed at to achieve significant brace treatment success. [ABSTRACT FROM AUTHOR]

BACKGROUND: Orthotic braces play a key role in the correction of spinal deformities. The effectiveness of these devices depends on the design and distribution of corrective forces transmitted through the corset shell. OBJECTIVE: The present study aimed to reduce the weight of the orthosis and improve its functionality while maintaining its corrective function. METHODS: The distribution of corrective forces transmitted by the orthosis was evaluated using the finite element method (FEM). Areas of the orthosis, which had minimal impact on the overall stiffness, were identified and material from these areas was removed. The modified orthosis shell was subjected to minor adjustments to maintain its corrective stiffness. RESULTS: With the modifications made, a 39% reduction in the weight of the orthosis was achieved, while maintaining its corrective stiffness. This indicates that the corrective function was largely preserved. CONCLUSION: The study provides a novel approach to orthosis design demonstrating that optimizing the structure using the distribution of maximum principal stress trajectories can significantly improve the functionality of the brace. The proposed method offers potential advances in the design of various types of orthoses, contributing to developments in the field. [ABSTRACT FROM AUTHOR]

Rounded shoulder posture (RSP) causes shoulder pain and can lead to shoulder impingement and thoracic outlet syndromes, ultimately resulting in a frozen shoulder. Altered scapular positions in RSP patients affect muscle activity. Many studies have explored methods to correct and prevent RSP, including shoulder braces, muscle strengthening, stretching, and inhibition techniques. Using a shoulder brace reduces RSP and improves shoulder discomfort and function, similar to conventional rehabilitation. However, despite their effectiveness, these braces are bulky and inconvenient, which makes continuous daily wear challenging. This is especially true for women who are sensitive to their appearance. To address this issue, methods have been developed to convert women's underwear bra straps into braces. This study aimed to evaluate the immediate effects of three underwear-mounted rounded shoulder braces and to identify the brace that is most effective in decreasing RSP and upper trapezius (UT) muscle activity and increasing lower trapezius (LT) muscle activity in patients with RSP. The study included 18 patients with an RSP. The RSP amount and UT and LT muscle activities were measured before and after three interventions. The interventions were scapular posterior tilting (SPT) exercises with the X strap, X + 8 strap, and inner brace. Compared with the baseline value, the RSP amount was significantly lower with the three braces. The RSP was significantly lower with the X + 8 strap and the inner brace than with the X strap. The inner brace showed significantly lower UT muscle activity than those with the X strap and X + 8 straps and significantly greater LT muscle activity than that with the X + 8 strap. These results show underwear-mounted braces as a potential RSP solution, but long-term sustainability and improving comfort, especially for those concerned about appearance, require further research and development. [ABSTRACT FROM AUTHOR]

Background and Objective: Using lumbar orthoses changes the running mechanics. An essential biomechanical factor in rehabilitation and injury prevention is the co-contraction of the knee and ankle joints. Therefore, this study aimed to investigate the effect of 2 types of thoracolumbosacral braces on ankle and knee joint co-contraction in people with kyphosis during running. Methods: This quasi-experimental study was conducted on 15 men aged 18-25 years suffering from kyphosis greater than 40 degrees in the Biomechanics Laboratory of the University of Mohaghegh Ardabili Health Center during the summer of 2020. Each participant randomly performed 3 running tests in each condition: without a brace, with a sensor brace, and with a simple brace. The test consisted of electromyographic data of the selected lower limb muscles, which also recorded the contraction of the knee and ankle muscles in the right leg when running at a constant speed. Results: The results showed a reduction of the general knee co-contraction while using a sensory brace compared to without the brace by 6% during the loading phase (P<0.05). Additionally, using a simple brace compared to the condition without a brace, the ankle-directed contraction during the push-off phase decreased by 38% (P<0.05). Directed vastus medialis and lateralis co-contraction while using a sensory brace increased by about 49% compared to without the brace at the loading phase and increased by about 47% at the mid-stance phase without a brace condition compared to the simple brace condition (P<0.05). Conclusion: General knee co-contraction after using a sensory brace was lower than when a simple brace was used. [ABSTRACT FROM AUTHOR]