Evidence map›Paper›PMID 42069551›Full record

SynthesisBMC musculoskeletal disorders2026

Short-term effectiveness of soft bracing in the treatment of adolescent idiopathic scoliosis: a systematic review and meta-analysis.

Chunxiao Lu, Xinjing Wu, Jinzhu Bai

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC musculoskeletal disorders, 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
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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

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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

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5 · Who and what money

Authors and funding

3 authors.

Chunxiao LuSchool of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China.
Xinjing WuSchool of Rehabilitation Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China.
Jinzhu BaiDepartment of Spine and Spinal Cord Surgery, Beijing Bo'ai Hospital, China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, 10th JiaoMen North Road, Fengtai District, Beijing, China. baijinzhu@126.com.

Funding

The Capital Medical University undergraduate innovative project XSKY2024507The China Disabled Persons' Federation Project 2024CDPFAT-02
6 · The paper itself

Abstract

purposeTo analyse the short-term effectiveness of soft bracing in the treatment of adolescent idiopathic scoliosis (AIS) patients in terms of the correction success rate, daily wear time and comfort levels and explore the sources of heterogeneity.

methodsA literature search was performed using PubMed, EMBASE, Web Of Science, and Cochrane Library from the establishment of the literature database to April 2023. According to the evaluation criteria for the effectiveness of bracing from the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) and the evaluation indicators of the success rate in previous studies, the success rate was defined as a Cobb angle ≤ 5° curve progression at maturity and a terminal follow-up angle < 45°. The success rate of soft bracing was compared with that of observation and rigid bracing. The daily wear time and comfort levels of soft bracing were compared with those of rigid bracing. The data were analyzed using RevMan 5.4, Stata 15.0 and IBM SPSS 25.0.

resultsTwelve studies involving 510 patients were included in the meta-analysis. In the single-arm analysis of 12 studies, the success rate of soft braces was 70% [OR = 0.70, 95% CI (0.61, 0.77), P < 0.0001]. In the double-arm analysis, 4 studies reported that the success rate of soft bracing was lower than that of rigid bracing [RR = 0.66, 95% CI (0.53, 0.81), P < 0.0001]. Three studies reported that the success rate of soft bracing was higher than that of observation [RR = 2.02, 95% CI (1.41, 2.89), P = 0.0001]. According to the subgroup analysis, the success rate of the Cobb angle < 30° was 71% [OR = 0.71, 95% CI (0.63, 0.78), P < 0.00001], and the success rate of the prospective studies was 75% [OR = 0.75, 95% CI (0.70, 0.79), P < 0.00001]. The study types were heterogeneous source and the subgroup with a Cobb angle < 30° had a higher success rate and less heterogeneity. The wear time every day of the brace was 20.83 ± 2.08 h for the soft braces and 12.85 ± 2.08 h for the rigid braces, and there was a significant difference between the two groups (t = 10.39, p < 0.001).

conclusionsSoft braces had short-term effectiveness for mild to moderate AIS patients compared with observation groups, and they had a lower success rate and higher daily wear time and comfort levels than rigid bracing. The subgroup of patients with a Cobb angle < 30° had a higher success rate and less heterogeneity in terms of soft bracing.

Indexed as

BracesScoliosisAdolescentHumansTime FactorsTreatment OutcomeAdolescent idiopathic scoliosisComfortDaily wear timeMeta-analysisSoft braceSuccess rate

Identifiers

PMID42069551
PMCPMC13312716

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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.