Article

OBJECTIVE: To systematically review the evidence of effectiveness of spinal
orthoses for adults with vertebral osteoporosis. DATA SOURCES: We conducted a
systematic literature search using the databases of PubMed, MEDLINE, EMBASE, AMED, CINAHL, PEDro, and the Cochrane Library from January 1995 to October 2014.
STUDY SELECTION: Two reviewers evaluated eligibility. Randomized controlled
trials (RCTs), pilot RCTs, and prospective nonrandomized controlled studies of
spinal orthoses for people with vertebral osteoporosis or osteopenia with and
without osteoporotic vertebral fracture (OVF) that examined outcomes related to
fracture consolidation, pain, strength, posture, balance, physical function,
quality of life, and complications were eligible. DATA EXTRACTION: Two reviewers
independently extracted data and evaluated methodological quality using a
domain-based risk-of-bias approach. DATA SYNTHESIS: Twelve studies were included:
8 RCTs or pilot RCTs and 4 nonrandomized studies involving 626 participants.
Three studies (n=153) evaluated orthoses after acute OVF; none were of high
quality. Complications were highest with rigid orthoses. Evidence that orthoses
could affect vertebral deformity was lacking. Nine studies (n=473) of varying
quality considered orthoses in subacute and longer rehabilitation. Three
suggested a semirigid backpack thoracolumbar orthosis (TLO) could benefit
strength, pain, posture, and quality of life. One found a weighted kypho-orthosis
(WKO) improved balance. CONCLUSIONS: The limited evidence about orthoses after
acute OVF is inconclusive; better evidence of efficacy is needed, particularly
when considering complications. The promising evidence regarding the backpack TLO
and WKO needs to be explored further in studies of sufficient size and quality
that include men.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS