Análisis de fajas ortopédicas para el tratamiento de escoliosis idiopática en adolescentes de 11 a 18 años

Abstract

This study analyzes the use of orthopedic braces in the treatment of idiopathic scoliosis in adolescents aged 11 to 18 years in Tungurahua, Ecuador. The aim is to evaluate how different brace models impact therapeutic adherence and propose design improvements. Idiopathic scoliosis affects many adolescents, and treatment effectiveness heavily depends on the adherence to orthopedic braces. However, current models show deficiencies in anthropometric fit and comfort, limiting tolerance and affecting social acceptance. This study addresses these gaps and seeks to improve existing models. A mixed-methods approach (quantitative, qualitative, and observational) was used, involving 15 adolescents from the "Máster Cracks" Chiropractic and Rehabilitation Center, who were evaluated on six different brace models. Key factors like fit, functionality, and social acceptance were analyzed. Results showed that braces with self-adjusting systems and breathable materials significantly improved therapeutic adherence and tolerance to prolonged use. Discreet designs enhanced social acceptance and improved self-esteem. It was identified that 85% of the braces had deficiencies in anthropometric fit, suggesting the need for customized designs for the adolescent population in the region.