Priority 14 from the Scoliosis PSP

UNCERTAINTY: What are the long-term effects of bracing for children and adolescents (physically and emotionally)? (JLA PSP Priority 14)
Overall ranking	14
JLA question ID	0059/14
Explanatory note	Not available for this PSP
Evidence	Previous related research studies - Stefano Negrini, Silvia Minozzi, Josette Bettany-Saltikov, Nachiappan Chockalingam, Theodoros B. Grivas, Tomasz Kotwicki, Toru Maruyama, Michele Romano & Fabio Zaina (2015) Braces for idiopathic scoliosis in adolescents. Cochrane Back and Neck Group, The Cochrane Library. Danielsson AJ, Hasserius R, Ohlin A, Nachemson AL.(2010) Health-related quality of life in untreated versus brace-treated patients with adolescent idiopathic scoliosis: a long-term follow-up. Spine 15;35(2):199-205. Danielsson AJ1, Nachemson AL. 2003 Back pain and function 22 years after brace treatment for adolescent idiopathic scoliosis: a case-control study-part I. Spine. 28(18):2078-85; discussion 2086. Danielsson AJ, Hasserius R, Ohlin A, Nachemson AL. (2012) Body appearance and quality of life in adult patients with adolescent idiopathic scoliosis treated with a brace or under observation alone during adolescence. Spine 20;37(9):755-62.
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	Having undergone bracing in my teens is there a case for this to be re-assessed due to the psychological effects it can have, especially in respect of low self esteem and overall mental health? ~ What are the complications of bracing (specifically on the loss of strength and flexibility in the trunk and on a child's development - emotionally, physically). ~ What long term data is gathered about idiopathic adolescent scoliosis sufferers that have been braced, and their long term spinal health, pain and mobility as they age.

Extra information provided by this PSP

Original uncertainty examples

Having undergone bracing in my teens is there a case for this to be re-assessed due to the psychological effects it can have, especially in respect of low self esteem and overall mental health? ~ What are the complications of bracing (specifically on the loss of strength and flexibility in the trunk and on a child's development - emotionally, physically). ~ What long term data is gathered about idiopathic adolescent scoliosis sufferers that have been braced, and their long term spinal health, pain and mobility as they age.

PSP information
PSP unique ID	0059
PSP name	Scoliosis
Total number of uncertainties identified by this PSP.	54 (To see a full list of all uncertainties identified, please see the PSP final report held on the JLA website)
Date of priority setting workshop	4 November 2017