Brace compression for treatment of pectuscarinatum: a rapid health technology assessment NIPH's website uses cookies. Read more about our use of cookies in our privacy policy.CloseHopp til innholdSearch for:SøkMenuInfectious diseases & VaccinesMental & Physical healthEnvironment & LifestyleHealth in NorwayQuality & KnowledgeResearch & Access to dataAbout NIPHCloseHEALTH TECHNOLOGY ASSESSMENTBrace compression for treatment of pectuscarinatum: a rapid health technology assessmentPublished 15.05.2023The Norwegian Institute of Public Health has conducted a rapid health technology assessment about brace compression for treatment of pectuscarinatum, often referred to as “bird chest”. Les på norsk Share/tip Print Get alerts about changes Downloadable as PDF. In Norwegian. Key messages
Chest wall bracing for children and young people with pectuscarinatum SHTG Assessment | 1 SHTG Assessment Number 01 February 2022 In response to an enquiry from the Scottish National Chest Wall Service Chest wall bracing for children and young people with pectuscarinatum What were we asked to look at? The Scottish Health Technologies Group (SHTG) was asked to evaluate the clinical effectiveness, cost effectiveness, safety and patient experience of orthotic bracing in people who have pectuscarinatum (sometimes known as pigeon chest). Why is this important? The primary concern associated with pectuscarinatum often relates to its physical appearance, and the potential impact of this on a child or young person’s quality of life and mental wellbeing. Less commonly, physical health issues
Modeling of the chest wall response to prolonged bracing in pectuscarinatum. Pectuscarinatum is a chest wall deformity that is often treated through the wearing of an external brace. The treatment of the deformity could benefit from a greater understanding of chest wall characteristics under prolonged loading. These characteristics are difficult to model directly but empirical studies can significance in the amount of pressure and time to the changes in the chest wall response. Initial deformity severity is also significant in changes to the deformity. The statistical models predict general trends in pectuscarinatum brace treatment and can assist in creating treatment plans, motivating patient compliance, and can inform the design of future treatment systems.
Outcomes From a Nurse Practitioner Led Dynamic Compression System Bracing Program for PectusCarinatum. Dynamic compression system (DCS) is often effective at treating pectuscarinatum (PC). However, some patients will fail therapy. This study reports outcomes from a nurse-practitioner led bracing program, and evaluates what factors are predictive of successful therapy. We performed
Improving Quality of Life With Dynamic Compression Bracing in Patients With PectusCarinatum. Patients with pectuscarinatum have lower quality of life and self-esteem than their peers. We assessed the impact of dynamic compression system bracing on quality of life in patients with pectuscarinatum. We conducted a prospective cohort study on patients aged 10-21 years. We assessed quality of life using the Child Health Questionnaire-87, the State-Trait Anxiety Inventory-6, the World Health Organization Quality of Life-BREF, the 36-Item Short Form Survey, and the Single-Step Questionnaire adapted for pectuscarinatum. Between March 2013 and March 2016, 225 patients treated with dynamic compression system bracing were included. Patients showed improvements across the overall scores of the 36
Changes in self-image after pectuscarinatum brace treatment. Pectuscarinatum (PC) is a chest wall deformity resulting in anterior protrusion of the chest. PC does not typically result in significant physical or cardiopulmonary symptoms, but patients with this condition can experience a disturbed body image, lower self-esteem and reduced quality of life. The purpose of this study
Dynamic compression therapy for pectuscarinatum in children and adolescents: Factors for success. Pectuscarinatum (PC) is a congenital chest wall deformity. In childhood, it is increasingly treated with dynamic compression therapy. Factors for success for dynamic brace therapy are relatively unknown. Between 2013 and 2020, 740 patients treated with the Dynamic Compression System (DCS), were
Remote treatment of pectuscarinatum (Telepectus) during the COVID-19 pandemic. To report telemedicine's feasibility and satisfaction rates for treating patients with pectuscarinatum using a dynamic compressor system. We analyzed treatment adherence in comparison with the previous, non-pandemic year. Retrospective analysis including patients with pectuscarinatum under treatment with a dynamic -nine patients answered the satisfaction survey. All of them solved their doubts through telemedicine. Overall, 95% found telemedicine comfortable. Of note, those with a lower income evidenced the highest intention in continuing with telemedicine. We demonstrated the feasibility of remote care of patients with pectuscarinatum using a dynamic compressor system with a similar frequency of consultations
Ravitch surgery or dynamic compression bracing for pectuscarinatum: a retrospective cohort study. Pectuscarinatum is a pediatric condition which can be treated by dynamic compression system (DCS) bracing or surgery. Several publications concerning DCS-bracing or surgery are published, however without comparing both treatments. Over a 10 year period 738 patients with pectuscarinatum were was performed in two patients. DCS-bracing should be the treatment of choice in patients with pectuscarinatum because its non-invasiveness, good results and a lower complication rate compared to surgery. Besides pressure of initial correction, motivation is an important factor influencing outcomes and compliance remains a major challenge in treating pectuscarinatum using DCS-bracing. Bracing patients before
Impact of surgical treatment of pectuscarinatum on cardiopulmonary function: a prospective study. The frequency of sternochondroplasty in cases of pectuscarinatum (PC) has increased due to greater surgeon experience and modified surgical techniques. PC deformity does not usually cause cardiopulmonary malfunction or impairment. However, whether cardiopulmonary function changes after surgical
A Comparative Study on Short-Term Effects of Compression Orthosis and Exercises in the Treatment of PectusCarinatum: A Randomized Controlled Pilot Feasibility Trial. Pectuscarinatum (PC) is a congenital chest wall deformity which is characterized by the protrusion of the sternum and costal cartilages. Although orthotic and exercise therapies are commonly offered by physicians for PC treatment
Initial reduction of flexible pectuscarinatum with outpatient manipulation as an adjunct to external compressive bracing: technique and early outcomes at 12 weeks. Our aim was to assess whether initial reduction with outpatient soft-tissue manipulation of flexible pectuscarinatum deformity prior to external compressive bracing was associated with improved compliance and patient satisfaction
Does physiotherapy applied in conjunction with compression brace treatment in patients with pectuscarinatum have efficacy? A preliminary randomized-controlled study. Non-invasive treatment of pectuscarinatum (PC) deformity includes the use of a compression brace and exercises. In this study, we aimed to examine the effect of a physiotherapy protocol applied as adjunct to compression brace
Development and validation of the PectusCarinatum Body Image Quality of Life (PeCBI-QOL) questionnaire. While body image disturbances and quality of life in persons with pectus excavatum (PE) have been well documented, very little has been done to systematically measure and document the same in patients with pectuscarinatum (PC). Because of this, the current study aimed to develop and validate in overall PeCBI-QOL score. We demonstrate, in this study, that body image and related quality of life can be reliably and validly assessed with the PeCBI-QOL, which has implications for more comprehensively documenting the negative psychological and functional consequences of pectuscarinatum. Study of diagnostic test/III.
External Compressive Bracing with Initial Reduction of PectusCarinatum: Compliance is the Key. To assess the impact of manipulation and a tailored program for compressive bracing on the quality of life of patients with flexible pectuscarinatum. Two hundred forty-nine sequential patients attending a clinic for assessment of pectuscarinatum deformities underwent outpatient manipulation
Measuring the impact of brace intervention on pediatric pectuscarinatum using white light scanning. Evaluation of PectusCarinatum (PC) deformity in patients undergoing bracing is limited to subjective assessment of the chest through physical exam and photography. White Light Scanning (WLS) is a novel 3D imaging modality and offers an objective alternative that is quick, inexpensive, and safe
Minimally Invasive Repair of PectusCarinatum. The second most common deformity of the anterior chest wall, pectuscarinatum, is a diverse deformity that has been largely managed using open techniques. This study reviews clinical experience with a newly designed bar for minimally invasive repair of pectuscarinatum. We reviewed the records of all patients recorded in our Chest Wall Deformities Clinical Database. Between January 2006 and November 2016, minimally invasive repair of pectuscarinatum was performed in 172 patients. All met the criteria of a "compression test" of 10 to 25 kg/cm. The mean age was 17.3 years, and 22.7% had a positive family history of a congenital chest wall deformity. Symmetric and asymmetric deformities were treated. During our study period, we designed 4 different
Bracing of pectuscarinatum: A quantitative analysis. Primary treatment of pectuscarinatum (PC) is performed with an external brace that compresses the protrusion. Patients are 'prescribed' a brace tightening force. However, no visual guides exist to display this force magnitude. The purpose of this study was to determine the repeatability of patients in applying their prescribed force over
Minimally invasive repair of pectuscarinatum by modification of the Abramson technique The minimally invasive pectuscarinatum surgery described by Abramson has been performed in many centers. We modified the "sub-muscular tunnel creation" part of the original Abramson technique. To compare the operative time between the original Abramson technique and a lightly modified approach . A retrospective review of 84 patients who underwent minimally invasive repair of pectuscarinatum deformity between July 2008 and November 2017 was performed. We applied two different techniques, the original Abramson technique and the modified technique. Sixty-eight patients - 49 (72%) males and 19 (28%) females - underwent minimally invasive repair of a pectuscarinatum deformity as described by Abramson