Priority 7 from the Scoliosis PSP

UNCERTAINTY: Which type of brace (e.g. rigid or dynamic) is most effective in the treatment of (a) early onset scoliosis and (b) adolescent idiopathic scoliosis? (JLA PSP Priority 7)
Overall ranking	7
JLA question ID	0059/7
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. Cobetto N, Aubin CE, Parent S, Clin J, Barchi S, Turgeon I, Labelle H. Eur Spine J. 2016 Oct;25(10):3056-3064. Effectiveness of braces designed using computer-aided design and manufacturing (CAD/CAM) and finite element simulation compared to CAD/CAM only for the conservative treatment of adolescent idiopathic scoliosis: a prospective randomized controlled trial.
Health Research Classification System category	Musculoskeletal

Extra information provided by this PSP
Original uncertainty examples	As more and more specialists do not seem to advocate adolescent bracing these days, will this soon be a thing of the past or is there research to say that in some cases it is successful enough to be carried on ~ What conditions influencing scoliosis would benefit from lycra scoliosis suit? ~ I've never been offered a brace. How does a brace help and is it suitable for all ages. ~ Bracing has been proven to work following the 2013 research done in the USA. Why are some doctors still not recommending it given the evidence and why are there no independent trials being done to prove which type of bracing is more effective?

Extra information provided by this PSP

Original uncertainty examples

As more and more specialists do not seem to advocate adolescent bracing these days, will this soon be a thing of the past or is there research to say that in some cases it is successful enough to be carried on ~ What conditions influencing scoliosis would benefit from lycra scoliosis suit? ~ I've never been offered a brace. How does a brace help and is it suitable for all ages. ~ Bracing has been proven to work following the 2013 research done in the USA. Why are some doctors still not recommending it given the evidence and why are there no independent trials being done to prove which type of bracing is more effective?

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