{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T14:34:40Z","timestamp":1777300480907,"version":"3.51.4"},"reference-count":43,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Italian Ministry of Health\u2014Ricerca Corrente 2023"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Adolescent idiopathic scoliosis (AIS) is a common disease that, in many cases, can be conservatively treated through bracing. High adherence to brace prescription is fundamental to gaining the maximum benefit from this treatment approach. Wearable sensors are available that objectively monitor the brace-wearing time, but their use, combined with other interventions, is poorly investigated. The aims of the current review are as follows: (i) to summarize the real compliance with bracing reported by studies using sensors; (ii) to find out the real brace wearing rate through objective electronic monitoring; (iii) to verify if interventions made to increase adherence to bracing can be effective according to the published literature. We conducted a systematic review of the literature published on Medline, EMBASE, CINAHL, Scopus, CENTRAL, and Web of Science. We identified 466 articles and included examples articles, which had a low to good methodological quality. We found that compliance a greatly varied between 21.8 and 93.9% (weighted average: 58.8%), real brace wearing time varied between 5.7 and 21 h per day (weighted average 13.3), and specific interventions seemed to improve both outcomes, with compliance increasing from 58.5 to 66% and brace wearing increasing from 11.9 to 15.1 h per day. Two comparative studies showed positive effects of stand-alone counseling and information on the sensors\u2019 presence when added to counseling. Sensors proved to be useful tools for objectively and continuously monitoring adherence to therapy in everyday clinical practice. Specific interventions, like the use of sensors, counseling, education, and exercises, could increase compliance. However, further studies using high-quality designs should be conducted in this field.<\/jats:p>","DOI":"10.3390\/s23177660","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T10:26:43Z","timestamp":1693909603000},"page":"7660","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Influence of Specific Interventions on Bracing Compliance in Adolescents with Idiopathic Scoliosis\u2014A Systematic Review of Papers Including Sensors\u2019 Monitoring"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9014-7887","authenticated-orcid":false,"given":"Claudio","family":"Cordani","sequence":"first","affiliation":[{"name":"Department of Biomedical, Surgical and Dental Sciences, University \u201cLa Statale\u201d, 20122 Milan, Italy"},{"name":"IRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy"}]},{"given":"Lia","family":"Malisano","sequence":"additional","affiliation":[{"name":"Postgraduate School of Physical Therapy and Rehabilitative Medicine, University \u201cLa Statale\u201d, 20122 Milan, Italy"}]},{"given":"Francesca","family":"Febbo","sequence":"additional","affiliation":[{"name":"ISICO (Italian Scientific Spine Institute), 20141 Milan, Italy"}]},{"given":"Giorgia","family":"Giranio","sequence":"additional","affiliation":[{"name":"Postgraduate School of Physical Therapy and Rehabilitative Medicine, University \u201cLa Statale\u201d, 20122 Milan, Italy"}]},{"given":"Matteo Johann","family":"Del Furia","sequence":"additional","affiliation":[{"name":"IRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6637-7797","authenticated-orcid":false,"given":"Sabrina","family":"Donzelli","sequence":"additional","affiliation":[{"name":"ISICO (Italian Scientific Spine Institute), 20141 Milan, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1878-2747","authenticated-orcid":false,"given":"Stefano","family":"Negrini","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Surgical and Dental Sciences, University \u201cLa Statale\u201d, 20122 Milan, Italy"},{"name":"IRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s13013-017-0145-8","article-title":"2016 SOSORT Guidelines: Orthopaedic and Rehabilitation Treatment of Idiopathic Scoliosis during Growth","volume":"13","author":"Negrini","year":"2018","journal-title":"Scoliosis Spinal Disord."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/1748-7161-4-20","article-title":"Assessment of Angle Velocity in Girls with Adolescent Idiopathic Scoliosis","volume":"4","author":"Escalada","year":"2009","journal-title":"Scoliosis"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1001\/jama.289.5.559","article-title":"Health and Function of Patients with Untreated Idiopathic Scoliosis: A 50-Year Natural History Study","volume":"289","author":"Weinstein","year":"2003","journal-title":"JAMA"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1227\/NEU.0b013e31825d20c0","article-title":"Impact of Magnitude and Percentage of Global Sagittal Plane Correction on Health-Related Quality of Life at 2-Years Follow-Up","volume":"71","author":"Blondel","year":"2012","journal-title":"Neurosurgery"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1007\/s00586-022-07131-z","article-title":"The Classification of Scoliosis Braces Developed by SOSORT with SRS, ISPO, and POSNA and Approved by ESPRM","volume":"31","author":"Negrini","year":"2022","journal-title":"Eur. 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