Evidence map›Paper›PMID 42068461›Full record

ReviewSpine deformity2026

The effect of bracing on pulmonary function in adolescent idiopathic scoliosis: a systematic review with meta-analysis.

Zeinab Rezaeian, Hanieh Khaliliyan, Gillian Yeowell, Ebrahim Sadeghi-Demneh

Abstract readReview
PubMed Publisher
In one paragraph

Review in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zeinab RezaeianDepartment of Orthotics and Prosthetics, Musculoskeletal Research Center, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID http://orcid.org/0000-0001-7371-482X
Hanieh KhaliliyanDepartment of Orthotics and Prosthetics, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID http://orcid.org/0000-0002-6400-5826
Gillian YeowellDepartment of Health Professions, Manchester Metropolitan University, Manchester, UK.ORCID http://orcid.org/0000-0003-3872-9799
Ebrahim Sadeghi-DemnehMusculoskeletal Research Center, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. sadeghi@rehab.mui.ac.ir.ORCID http://orcid.org/0000-0003-0590-8512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of bracing on pulmonary function in adolescent idiopathic scoliosis (AIS) remains unclear, with prior studies reporting variable findings. Some report short-term reductions during brace wear, whereas long-term impairment has not been consistently demonstrated. To clarify these effects, we conducted a systematic review and meta-analysis of controlled clinical trials.

methodsPubMed, Web of Science, and Scopus were searched from inception to 15 October 2025, following PRISMA 2020 guidelines, along with screening of reference lists. Eligible studies were controlled trials evaluating the effects of bracing on pulmonary parameters in AIS. Two reviewers independently screened and extracted data, evaluated methodological quality using the Cochrane Risk of Bias tool, and performed pooled analyses.

resultsFourteen studies met the inclusion criteria, involving 548 participants. Pooled findings indicated short-term reductions in several pulmonary measures. Immediate decreases were observed in total lung capacity (SMD = - 0.83, p = 0.01) and functional residual capacity. FVC and FEV

conclusionsCurrent evidence indicates that bracing in AIS may lead to short‑term or in‑brace reductions in lung volumes and ventilatory parameters, while persistent or irreversible impairment after brace removal has not been demonstrated. These findings support a mechanical rather than pathological explanation for most observed changes. Incorporating mitigating strategies, such as respiratory muscle training, may help manage short-term respiratory effects during brace treatment.

Indexed as

OrthosisPulmonary functionScoliosis

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.