{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T16:33:59Z","timestamp":1770741239006,"version":"3.49.0"},"reference-count":43,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T00:00:00Z","timestamp":1703462400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Adolescent idiopathic scoliosis (AIS) is a three-dimensional spine and trunk deformity. Bracing is an effective treatment for medium-degree curves. Thermal sensors help monitor patients\u2019 adherence (compliance), a critical issue in bracing treatment. Some studies investigated adherence determinants but rarely through sensors or in highly adherent cohorts. We aimed to verify the influence of personal and clinical variables routinely registered by physicians on adherence to brace treatment in a large cohort of consecutive AIS patients from a highly adherent cohort. We performed a cross-sectional study of patients consecutively recruited in the last three years at a tertiary referral institute and treated with braces for one year. To ensure high adherence, for years, we have provided specific support to brace treatment through a series of cognitive-behavioural interventions for patients and parents. We used iButton thermal sensor systematic data collection to precisely analyse the real brace-wearing time. We included 514 adolescents, age 13.8 \u00b1 1.6, with the worst scoliosis curve of 34.5 \u00b1 10.3\u00b0 Cobb. We found a 95% (95CI 60\u2013101%) adherence to the brace prescription of 21.9 \u00b1 1.7 h per day. Determinants included gender (91% vs. 84%; females vs. males) and age &lt; 14 years (92% vs. 88%). Brace hours prescription, BMI, and all clinical variables (worst curve Cobb degrees, angle of trunk rotation, and TRACE index for aesthetics) did not influence adherence.<\/jats:p>","DOI":"10.3390\/s24010116","type":"journal-article","created":{"date-parts":[[2023,12,25]],"date-time":"2023-12-25T22:59:09Z","timestamp":1703545149000},"page":"116","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Personal and Clinical Determinants of Brace-Wearing Time in Adolescents with Idiopathic Scoliosis"],"prefix":"10.3390","volume":"24","author":[{"given":"Giulia","family":"Fregna","sequence":"first","affiliation":[{"name":"ISICO (Italian Scientific Spine Institute), 20141 Milan, Italy"},{"name":"Doctoral Program in Translational Neurosciences and Neurotechnologies, University of Ferrara, 44121 Ferrara, Italy"}]},{"given":"Sara","family":"Rossi Raccagni","sequence":"additional","affiliation":[{"name":"ISICO (Italian Scientific Spine Institute), 20141 Milan, Italy"}]},{"given":"Alessandra","family":"Negrini","sequence":"additional","affiliation":[{"name":"ISICO (Italian Scientific Spine Institute), 20141 Milan, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1256-5362","authenticated-orcid":false,"given":"Fabio","family":"Zaina","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":[[2023,12,25]]},"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":"834","DOI":"10.1056\/NEJMcp1209063","article-title":"Clinical Practice. 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