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Mohammad Saleh Ganjavian - One of the best experts on this subject based on the ideXlab platform.
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the intra and inter observer reliability of interface pressure measurements of the Milwaukee Brace in adolescents with hyperkyphosis
Journal of Back and Musculoskeletal Rehabilitation, 2019Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:BACKGROUND There is a lack of evidence in reliability of the modified sphygmomanometer to measure the Brace-interface pad pressure in adolescents with Scheuermann's kyphosis (SK). OBJECTIVES To evaluate the intra- and inter-observer reliability of modified sphygmomanometer for measuring interface pad pressure in the Milwaukee Brace. METHODS Two observers measured the pressure of the shoulder and kyphosis pads in Milwaukee Brace on 33 adolescents with SK with an average age of 14.67 ± 1.72 years and Cobb angle 64.48∘± 7.53∘. All measurements were obtained in one day. The measurements were done in the inhalation and exhalation of tidal breathing during standing and sitting positions. The intraclass correlation coefficient (ICC), 95% confidence interval (CI), and linear mixed model ANOVA effects were calculated. RESULTS The intra-observer reliability varied from a good ICC of 0.81 (0.66-0.90) to an excellent of 0.97 (0.95-0.98). The inter-observer reliability also varied from a good ICC of 0.82 (0.67-0.91) to an excellent of 0.96 (0.93-0.98). The linear mixed model ANOVA analysis showed that the rater, position, and breathing had a significant effect on the pad pressure measurements. CONCLUSIONS The modified sphygmomanometer is a reliable tool to measure the pad pressure of the Milwaukee Brace for adolescents with SK.
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measurement of Milwaukee Brace pad pressure in adolescent round back deformity treatment
Asian Spine Journal, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:STUDY DESIGN In this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment. PURPOSE We evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace. OVERVIEW OF LITERATURE A fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction. METHODS Interface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10-18]; mean initial Cobb angle,67.70°±9.23° [range, 50°-86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation. RESULTS The mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p<0.05). In a comparison of corrective forces with bracing for less or more than 6 months, corrective force was larger with bracing for less than 6 months (p=0.02). In the standing position, there were no statistically significant correlations between pad pressures and kyphosis curve correction. CONCLUSIONS In the sitting position, there was a trend toward lower forces at the skin-Brace interface; therefore, Brace adjustment in the standing position may be useful and more effective. There was no significant correlation between the magnitude of the pad pressures and the degree of in-Brace curve correction.
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Measurement of Milwaukee Brace Pad Pressure in Adolescent Round Back Deformity Treatment
Korean Spine Society, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:Study DesignIn this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment.PurposeWe evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace.Overview of LiteratureA fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction.MethodsInterface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10–18]; mean initial Cobb angle,67.70°±9.23° [range, 50°–86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation.ResultsThe mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p
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orthotic treatment of idiopathic hyperkyphosis with Milwaukee Brace
Journal of Back and Musculoskeletal Rehabilitation, 2016Co-Authors: Mohammad Saleh Ganjavian, Mahboobeh Mehdikhani, Hamid Behtash, Nafiseh KhalajAbstract:BACKGROUND: Hyperkyphosis with unknown reason is common in teenagers and can be corrected by orthotic management. OBJECTIVES: Investigation of orthotic outcomes by Milwaukee Brace. METHODS: Sixty-one patients with idiopathic hyperkyphosis (> 45 degrees) were given Milwaukee Brace before skeletal maturity. Hyperkyphosis was measured during the first visit without Brace, in-Brace, at the end of full-time and part time duration of treatment. After treatment completion, participants were categorized in two groups: with hyperkyphosis of 45 degrees and less (Group I) and more than 45 degrees (Group II). These groups were compared to interpret the treatment outcomes. RESULTS: The mean kyphotic curve was 60.1 (SD ± 7.7) and 71 (SD = 10.1) degrees in Group I and II, respectively. The mean kyphotic curve at the time of full time and part time duration of treatment showed no significant difference in patients successfully completed the treatment (P = 0.10) while there was a significant difference between mean kyphotic curve in full time and part time treatment duration for patients with hyperkyphosis of more than 45 degrees (P < 0.05). CONCLUSIONS: Hyperkyphosis of less than 70 degrees can be treated if the in-Brace correction is saved in part-time duration.
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Effect of Group Exercising and Adjusting the Brace at Shorter Intervals on Cobb Angle and Quality of Life of Patients with Idiopathic Scoliosis
University of Social Welfare and Rehabilitation Sciences, 2016Co-Authors: Zahra Hedayati, Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Zahra Reyhaninejad, Mohammad Saleh GanjavianAbstract:Objective: Bracing along with exercising is the most effective protocol in patients with idiopathic scoliosis which have Cobb angles of 25 to 45 degrees. However, since the psychological aspects of scoliosis treatment may affect the quality of life, and the exact time for adjusting the pads of Milwaukee Brace is unknown; Therefore the aim of this study was evaluating the effect of exercising in a group, with adjusting the Brace in shorter intervals, in compare to routine protocol, in the treatment of idiopathic scoliosis. Matterials & Methods: Thirty-four patients with idiopathic scoliosis which had Cobb angles of 50 to 15 degrees were included in this study and were divided into experimental and control groups. The patients of two groups participated in an eleven-week treatment program, differ between the two groups. Quality of life scores of both groups were evaluated before and after intervention using SRS-22 questionnaire, as well as scoliosis angles before and after the intervention according to the primary and secondary radiographic X-rays. Results: Statistical analysis was performed using Paired T-Test in each group, and Independent T-Test between the two groups before and after treatment. The severity of scoliosis curvature and satisfaction domain of the experimental group was reduced significantly in compared with the control group, after intervention (P=0.04). Moreover in the case of the quality of life in patients with Cobb angles less than 30 degrees, compared with patients with Cobb angles greater than 31 degrees, in the domains of self-image, satisfaction, and total score, the difference was significant (P
Taher Babaee - One of the best experts on this subject based on the ideXlab platform.
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the intra and inter observer reliability of interface pressure measurements of the Milwaukee Brace in adolescents with hyperkyphosis
Journal of Back and Musculoskeletal Rehabilitation, 2019Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:BACKGROUND There is a lack of evidence in reliability of the modified sphygmomanometer to measure the Brace-interface pad pressure in adolescents with Scheuermann's kyphosis (SK). OBJECTIVES To evaluate the intra- and inter-observer reliability of modified sphygmomanometer for measuring interface pad pressure in the Milwaukee Brace. METHODS Two observers measured the pressure of the shoulder and kyphosis pads in Milwaukee Brace on 33 adolescents with SK with an average age of 14.67 ± 1.72 years and Cobb angle 64.48∘± 7.53∘. All measurements were obtained in one day. The measurements were done in the inhalation and exhalation of tidal breathing during standing and sitting positions. The intraclass correlation coefficient (ICC), 95% confidence interval (CI), and linear mixed model ANOVA effects were calculated. RESULTS The intra-observer reliability varied from a good ICC of 0.81 (0.66-0.90) to an excellent of 0.97 (0.95-0.98). The inter-observer reliability also varied from a good ICC of 0.82 (0.67-0.91) to an excellent of 0.96 (0.93-0.98). The linear mixed model ANOVA analysis showed that the rater, position, and breathing had a significant effect on the pad pressure measurements. CONCLUSIONS The modified sphygmomanometer is a reliable tool to measure the pad pressure of the Milwaukee Brace for adolescents with SK.
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measurement of Milwaukee Brace pad pressure in adolescent round back deformity treatment
Asian Spine Journal, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:STUDY DESIGN In this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment. PURPOSE We evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace. OVERVIEW OF LITERATURE A fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction. METHODS Interface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10-18]; mean initial Cobb angle,67.70°±9.23° [range, 50°-86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation. RESULTS The mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p<0.05). In a comparison of corrective forces with bracing for less or more than 6 months, corrective force was larger with bracing for less than 6 months (p=0.02). In the standing position, there were no statistically significant correlations between pad pressures and kyphosis curve correction. CONCLUSIONS In the sitting position, there was a trend toward lower forces at the skin-Brace interface; therefore, Brace adjustment in the standing position may be useful and more effective. There was no significant correlation between the magnitude of the pad pressures and the degree of in-Brace curve correction.
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Measurement of Milwaukee Brace Pad Pressure in Adolescent Round Back Deformity Treatment
Korean Spine Society, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:Study DesignIn this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment.PurposeWe evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace.Overview of LiteratureA fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction.MethodsInterface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10–18]; mean initial Cobb angle,67.70°±9.23° [range, 50°–86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation.ResultsThe mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p
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Effect of Group Exercising and Adjusting the Brace at Shorter Intervals on Cobb Angle and Quality of Life of Patients with Idiopathic Scoliosis
University of Social Welfare and Rehabilitation Sciences, 2016Co-Authors: Zahra Hedayati, Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Zahra Reyhaninejad, Mohammad Saleh GanjavianAbstract:Objective: Bracing along with exercising is the most effective protocol in patients with idiopathic scoliosis which have Cobb angles of 25 to 45 degrees. However, since the psychological aspects of scoliosis treatment may affect the quality of life, and the exact time for adjusting the pads of Milwaukee Brace is unknown; Therefore the aim of this study was evaluating the effect of exercising in a group, with adjusting the Brace in shorter intervals, in compare to routine protocol, in the treatment of idiopathic scoliosis. Matterials & Methods: Thirty-four patients with idiopathic scoliosis which had Cobb angles of 50 to 15 degrees were included in this study and were divided into experimental and control groups. The patients of two groups participated in an eleven-week treatment program, differ between the two groups. Quality of life scores of both groups were evaluated before and after intervention using SRS-22 questionnaire, as well as scoliosis angles before and after the intervention according to the primary and secondary radiographic X-rays. Results: Statistical analysis was performed using Paired T-Test in each group, and Independent T-Test between the two groups before and after treatment. The severity of scoliosis curvature and satisfaction domain of the experimental group was reduced significantly in compared with the control group, after intervention (P=0.04). Moreover in the case of the quality of life in patients with Cobb angles less than 30 degrees, compared with patients with Cobb angles greater than 31 degrees, in the domains of self-image, satisfaction, and total score, the difference was significant (P
Mohammad Ali Sanjari - One of the best experts on this subject based on the ideXlab platform.
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the intra and inter observer reliability of interface pressure measurements of the Milwaukee Brace in adolescents with hyperkyphosis
Journal of Back and Musculoskeletal Rehabilitation, 2019Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:BACKGROUND There is a lack of evidence in reliability of the modified sphygmomanometer to measure the Brace-interface pad pressure in adolescents with Scheuermann's kyphosis (SK). OBJECTIVES To evaluate the intra- and inter-observer reliability of modified sphygmomanometer for measuring interface pad pressure in the Milwaukee Brace. METHODS Two observers measured the pressure of the shoulder and kyphosis pads in Milwaukee Brace on 33 adolescents with SK with an average age of 14.67 ± 1.72 years and Cobb angle 64.48∘± 7.53∘. All measurements were obtained in one day. The measurements were done in the inhalation and exhalation of tidal breathing during standing and sitting positions. The intraclass correlation coefficient (ICC), 95% confidence interval (CI), and linear mixed model ANOVA effects were calculated. RESULTS The intra-observer reliability varied from a good ICC of 0.81 (0.66-0.90) to an excellent of 0.97 (0.95-0.98). The inter-observer reliability also varied from a good ICC of 0.82 (0.67-0.91) to an excellent of 0.96 (0.93-0.98). The linear mixed model ANOVA analysis showed that the rater, position, and breathing had a significant effect on the pad pressure measurements. CONCLUSIONS The modified sphygmomanometer is a reliable tool to measure the pad pressure of the Milwaukee Brace for adolescents with SK.
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measurement of Milwaukee Brace pad pressure in adolescent round back deformity treatment
Asian Spine Journal, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:STUDY DESIGN In this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment. PURPOSE We evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace. OVERVIEW OF LITERATURE A fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction. METHODS Interface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10-18]; mean initial Cobb angle,67.70°±9.23° [range, 50°-86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation. RESULTS The mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p<0.05). In a comparison of corrective forces with bracing for less or more than 6 months, corrective force was larger with bracing for less than 6 months (p=0.02). In the standing position, there were no statistically significant correlations between pad pressures and kyphosis curve correction. CONCLUSIONS In the sitting position, there was a trend toward lower forces at the skin-Brace interface; therefore, Brace adjustment in the standing position may be useful and more effective. There was no significant correlation between the magnitude of the pad pressures and the degree of in-Brace curve correction.
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Measurement of Milwaukee Brace Pad Pressure in Adolescent Round Back Deformity Treatment
Korean Spine Society, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:Study DesignIn this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment.PurposeWe evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace.Overview of LiteratureA fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction.MethodsInterface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10–18]; mean initial Cobb angle,67.70°±9.23° [range, 50°–86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation.ResultsThe mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p
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effect of Milwaukee Brace on static and dynamic balance of female hyperkyphotic adolescents
Prosthetics and Orthotics International, 2013Co-Authors: Arezoo Eshraghi, Mohammad Ali Sanjari, Nader Maroufi, Hassan Saeedi, Mohammad Reza Keyhani, Hossein Gholizadeh, Noor Azuan Abu OsmanAbstract:Background:Biomechanical factors, such as spinal deformities can result in balance control disorders.Objectives:The purpose of this study was to examine the effect of bracing on static and dynamic balance control of hyperkyphotic female adolescents.Study Design:Clinical trial.Methods:A force platform was employed to record center of pressure (COP) parameters. Ten adolescents undergoing Milwaukee Brace for hyperkyphosis and 14 normal subjects participated in the study. The COP data were collected with and without Brace immediately on first day and after 120 days of continuous Brace wear.Results:No significant difference was found in dynamic and static balance tests with and without Brace on the first day (P > 0.05). After 120 days, the values of COP displacement in functional reach to the right and left for the hyperkyphotic adolescents when performing without Brace enhanced significantly compared to the first day. The forward reach distance was not significantly different between the normal and hyperkypho...
Amir Ahmadi - One of the best experts on this subject based on the ideXlab platform.
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the intra and inter observer reliability of interface pressure measurements of the Milwaukee Brace in adolescents with hyperkyphosis
Journal of Back and Musculoskeletal Rehabilitation, 2019Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:BACKGROUND There is a lack of evidence in reliability of the modified sphygmomanometer to measure the Brace-interface pad pressure in adolescents with Scheuermann's kyphosis (SK). OBJECTIVES To evaluate the intra- and inter-observer reliability of modified sphygmomanometer for measuring interface pad pressure in the Milwaukee Brace. METHODS Two observers measured the pressure of the shoulder and kyphosis pads in Milwaukee Brace on 33 adolescents with SK with an average age of 14.67 ± 1.72 years and Cobb angle 64.48∘± 7.53∘. All measurements were obtained in one day. The measurements were done in the inhalation and exhalation of tidal breathing during standing and sitting positions. The intraclass correlation coefficient (ICC), 95% confidence interval (CI), and linear mixed model ANOVA effects were calculated. RESULTS The intra-observer reliability varied from a good ICC of 0.81 (0.66-0.90) to an excellent of 0.97 (0.95-0.98). The inter-observer reliability also varied from a good ICC of 0.82 (0.67-0.91) to an excellent of 0.96 (0.93-0.98). The linear mixed model ANOVA analysis showed that the rater, position, and breathing had a significant effect on the pad pressure measurements. CONCLUSIONS The modified sphygmomanometer is a reliable tool to measure the pad pressure of the Milwaukee Brace for adolescents with SK.
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measurement of Milwaukee Brace pad pressure in adolescent round back deformity treatment
Asian Spine Journal, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:STUDY DESIGN In this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment. PURPOSE We evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace. OVERVIEW OF LITERATURE A fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction. METHODS Interface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10-18]; mean initial Cobb angle,67.70°±9.23° [range, 50°-86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation. RESULTS The mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p<0.05). In a comparison of corrective forces with bracing for less or more than 6 months, corrective force was larger with bracing for less than 6 months (p=0.02). In the standing position, there were no statistically significant correlations between pad pressures and kyphosis curve correction. CONCLUSIONS In the sitting position, there was a trend toward lower forces at the skin-Brace interface; therefore, Brace adjustment in the standing position may be useful and more effective. There was no significant correlation between the magnitude of the pad pressures and the degree of in-Brace curve correction.
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Measurement of Milwaukee Brace Pad Pressure in Adolescent Round Back Deformity Treatment
Korean Spine Society, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:Study DesignIn this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment.PurposeWe evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace.Overview of LiteratureA fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction.MethodsInterface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10–18]; mean initial Cobb angle,67.70°±9.23° [range, 50°–86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation.ResultsThe mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p
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Effect of Group Exercising and Adjusting the Brace at Shorter Intervals on Cobb Angle and Quality of Life of Patients with Idiopathic Scoliosis
University of Social Welfare and Rehabilitation Sciences, 2016Co-Authors: Zahra Hedayati, Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Zahra Reyhaninejad, Mohammad Saleh GanjavianAbstract:Objective: Bracing along with exercising is the most effective protocol in patients with idiopathic scoliosis which have Cobb angles of 25 to 45 degrees. However, since the psychological aspects of scoliosis treatment may affect the quality of life, and the exact time for adjusting the pads of Milwaukee Brace is unknown; Therefore the aim of this study was evaluating the effect of exercising in a group, with adjusting the Brace in shorter intervals, in compare to routine protocol, in the treatment of idiopathic scoliosis. Matterials & Methods: Thirty-four patients with idiopathic scoliosis which had Cobb angles of 50 to 15 degrees were included in this study and were divided into experimental and control groups. The patients of two groups participated in an eleven-week treatment program, differ between the two groups. Quality of life scores of both groups were evaluated before and after intervention using SRS-22 questionnaire, as well as scoliosis angles before and after the intervention according to the primary and secondary radiographic X-rays. Results: Statistical analysis was performed using Paired T-Test in each group, and Independent T-Test between the two groups before and after treatment. The severity of scoliosis curvature and satisfaction domain of the experimental group was reduced significantly in compared with the control group, after intervention (P=0.04). Moreover in the case of the quality of life in patients with Cobb angles less than 30 degrees, compared with patients with Cobb angles greater than 31 degrees, in the domains of self-image, satisfaction, and total score, the difference was significant (P
Mojtaba Kamyab - One of the best experts on this subject based on the ideXlab platform.
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the intra and inter observer reliability of interface pressure measurements of the Milwaukee Brace in adolescents with hyperkyphosis
Journal of Back and Musculoskeletal Rehabilitation, 2019Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:BACKGROUND There is a lack of evidence in reliability of the modified sphygmomanometer to measure the Brace-interface pad pressure in adolescents with Scheuermann's kyphosis (SK). OBJECTIVES To evaluate the intra- and inter-observer reliability of modified sphygmomanometer for measuring interface pad pressure in the Milwaukee Brace. METHODS Two observers measured the pressure of the shoulder and kyphosis pads in Milwaukee Brace on 33 adolescents with SK with an average age of 14.67 ± 1.72 years and Cobb angle 64.48∘± 7.53∘. All measurements were obtained in one day. The measurements were done in the inhalation and exhalation of tidal breathing during standing and sitting positions. The intraclass correlation coefficient (ICC), 95% confidence interval (CI), and linear mixed model ANOVA effects were calculated. RESULTS The intra-observer reliability varied from a good ICC of 0.81 (0.66-0.90) to an excellent of 0.97 (0.95-0.98). The inter-observer reliability also varied from a good ICC of 0.82 (0.67-0.91) to an excellent of 0.96 (0.93-0.98). The linear mixed model ANOVA analysis showed that the rater, position, and breathing had a significant effect on the pad pressure measurements. CONCLUSIONS The modified sphygmomanometer is a reliable tool to measure the pad pressure of the Milwaukee Brace for adolescents with SK.
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measurement of Milwaukee Brace pad pressure in adolescent round back deformity treatment
Asian Spine Journal, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:STUDY DESIGN In this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment. PURPOSE We evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace. OVERVIEW OF LITERATURE A fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction. METHODS Interface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10-18]; mean initial Cobb angle,67.70°±9.23° [range, 50°-86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation. RESULTS The mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p<0.05). In a comparison of corrective forces with bracing for less or more than 6 months, corrective force was larger with bracing for less than 6 months (p=0.02). In the standing position, there were no statistically significant correlations between pad pressures and kyphosis curve correction. CONCLUSIONS In the sitting position, there was a trend toward lower forces at the skin-Brace interface; therefore, Brace adjustment in the standing position may be useful and more effective. There was no significant correlation between the magnitude of the pad pressures and the degree of in-Brace curve correction.
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Measurement of Milwaukee Brace Pad Pressure in Adolescent Round Back Deformity Treatment
Korean Spine Society, 2017Co-Authors: Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Mohammad Ali Sanjari, Mohammad Saleh GanjavianAbstract:Study DesignIn this prospective study, we measured the pad pressures of the Milwaukee Brace in adolescent hyperkyphosis treatment.PurposeWe evaluated the skin-Brace interface forces exerted by the main pads of the Milwaukee Brace.Overview of LiteratureA fundamental factor associated with Brace effectiveness in spinal deformity is pad force adjustment. However, few studies have evaluated the in-Brace force magnitude and its effect on curve correction.MethodsInterface forces at four pads of the Milwaukee Brace were measured in 73 patients withround back deformity (mean age, 14.04±1.97 years [range, 10–18]; mean initial Cobb angle,67.70°±9.23° [range, 50°–86°]). We used a modified aneroid sphygmomanometer to measure the shoulder and kyphosis pad pressures. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation.ResultsThe mean pad pressures were significantly higher in the standing than in thesitting position, and significantly higher pressures were observed during inhalation compared toexhalation (p=0.001).There were no statistically significant differences between right and left shoulder pad pressures (p>0.05); however, the pressure differences between the right and left kyphosis pads were statistically significant (p
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Effect of Group Exercising and Adjusting the Brace at Shorter Intervals on Cobb Angle and Quality of Life of Patients with Idiopathic Scoliosis
University of Social Welfare and Rehabilitation Sciences, 2016Co-Authors: Zahra Hedayati, Taher Babaee, Mojtaba Kamyab, Amir Ahmadi, Zahra Reyhaninejad, Mohammad Saleh GanjavianAbstract:Objective: Bracing along with exercising is the most effective protocol in patients with idiopathic scoliosis which have Cobb angles of 25 to 45 degrees. However, since the psychological aspects of scoliosis treatment may affect the quality of life, and the exact time for adjusting the pads of Milwaukee Brace is unknown; Therefore the aim of this study was evaluating the effect of exercising in a group, with adjusting the Brace in shorter intervals, in compare to routine protocol, in the treatment of idiopathic scoliosis. Matterials & Methods: Thirty-four patients with idiopathic scoliosis which had Cobb angles of 50 to 15 degrees were included in this study and were divided into experimental and control groups. The patients of two groups participated in an eleven-week treatment program, differ between the two groups. Quality of life scores of both groups were evaluated before and after intervention using SRS-22 questionnaire, as well as scoliosis angles before and after the intervention according to the primary and secondary radiographic X-rays. Results: Statistical analysis was performed using Paired T-Test in each group, and Independent T-Test between the two groups before and after treatment. The severity of scoliosis curvature and satisfaction domain of the experimental group was reduced significantly in compared with the control group, after intervention (P=0.04). Moreover in the case of the quality of life in patients with Cobb angles less than 30 degrees, compared with patients with Cobb angles greater than 31 degrees, in the domains of self-image, satisfaction, and total score, the difference was significant (P