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CompletedNCT02285621Updated Nov 24, 2021

Validation of a New Generation of Optimized Orthoses for Personalized Treatment of Adolescent Idiopathic Scoliosis

An interventional study of Optimized brace versus conventional Boston brace in Scoliosis and Adolescent Idiopathic Scoliosis (AIS), sponsored by St. Justine's Hospital. Completed at 1 site in Canada. Open to participants aged 10 Years to 14 Years. Per ClinicalTrials.gov, last updated 2021-11-24.

Sponsored by St. Justine's Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Sep 2013, registered Sep 2014).
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
10 Years to 14 Years
Sex
All
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Study summary

Adolescent Idiopathic scoliosis affects 3-4% of the Canadian population, of which about 10% will need a brace treatment during pubertal growth spurt. The design is made relatively corsets empirically, hence the relative efficiency of this treatment. Our team has developed innovative methods for design, optimization and computer aided manufacturing-based numerical simulation models customized to each patient, and a system of evaluation and adjustment of corsets. In this project, the investigators will evaluate the effectiveness of this platform customized treatment and demonstrate its clinical application

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Conditions studied

  • Scoliosis
  • Adolescent Idiopathic Scoliosis (AIS)

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Keywords

  • Scoliosis
  • Spine deformity
  • Brace
  • 3D
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In context

Scoliosis

594 studies on the registry are indexed under Scoliosis; 139 are open to participants now.

This study's planned enrollment of 90 is above the median of 44 across 344 interventional studies indexed under Scoliosis.

Browse Scoliosis studies →

Lead sponsor

St. Justine's Hospital is the lead sponsor of 155 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
10 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 10 years or older
  • AIS diagnosis
  • Risser 0-2
  • Primary curve angles 20 degrees - 40 degrees
  • If female, either premenarchal or less than 18 months postmenarchal.

Exclusion criteria

Exclusion Criteria:

  • Patients with a pre-existing cardiovascular condition
  • Patients with symptom of a neurological disorder
  • Patients with any other disorder of the musculoskeletal system affecting the lower limbs,
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Optimized brace

    Test group: Patient will receive optimized brace (3D computer assisted design of the brace)

    Other: Optimized brace versus conventional Boston brace

  • Active comparator
    Standard brace

    Control goup: Patient will receive the Boston Thoracolumbosacral orthosis (TLSO) (conventional design method)

    Other: Optimized brace versus conventional Boston brace

Interventions

  • OtherOptimized brace versus conventional Boston brace

    Surface topography using Inspeck cameras allows production of a 3D reconstruction of the patient's trunk, this reconstruction will help to produce the optimized brace. Radiographic and patient-reported data will be gathered and analyzed to observe changes between time points. All radiographs will be taken with an EOS imaging system to allow 3D reconstructions. The SRS-22r will be collected at all clinical visits. Study questions will be aligned as much as possible with other prospective scoliosis protocols so as to minimize patient and surgeon response burden. The study protocol requires no additional visits or radiographs beyond standard of care. Ibuttons are installed in each brace and used to measure the compliance of the patient.

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What researchers measure

Primary outcomes

  1. Change in Cobb angle

    Radiographics will be gathered and analyzed to observe changes between time points. All radiographs will be taken with an low-dose biplane radiographic system (EOS) to allow 3D reconstructions.

    Time frame: Baseline, 6 months, 1 year

Secondary outcomes

  1. Change in Scoliosis Research Society questionnaire (SRS-22r) scores

    The SRS-22r questionnaire is available from SRS.org. It is a self-reported tools assessing self-image, function, pain, mental health with 5 questions each and satisfaction with care with 2 questions. A total score is also available based on all 22 questions.

    Time frame: Baseline, 6 months, 1 year

  2. Change in surface topography

    Four optical scanners are used to capture full trunk images. Subjects are positioned in a standard frame, and reference points marked. Parameters quantifying the external back surface deformity are assessed.

    Time frame: Baseline, 6 months, 1 year

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Study locations

1 site
  • CHU Sainte-Justine
    Montreal, Quebec H3T 1C5, Canada
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References and documents

Publications

  • Cobetto N, Aubin CE, Parent S, Barchi S, Turgeon I, Labelle H. 3D correction of AIS in braces designed using CAD/CAM and FEM: a randomized controlled trial. Scoliosis Spinal Disord. 2017 Jul 23;12:24. doi: 10.1186/s13013-017-0128-9. eCollection 2017. PubMed 28770254 ↗
  • Cobetto N, Aubin CE, Parent S, Clin J, Barchi S, Turgeon I, Labelle H. Effectiveness of braces designed using computer-aided design and manufacturing (CAD/CAM) and finite element simulation compared to CAD/CAM only for the conservative treatment of adolescent idiopathic scoliosis: a prospective randomized controlled trial. Eur Spine J. 2016 Oct;25(10):3056-3064. doi: 10.1007/s00586-016-4434-3. Epub 2016 Feb 9. PubMed 26861663 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 24, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02285621
Lead sponsor
St. Justine's Hospital
Responsible party
Hubert Labelle, MD (Orthopedist, researcher, St. Justine's Hospital) — Principal investigator
First posted
Nov 7, 2014
Start date
Sep 2013
Primary completion
Sep 2019
Completion
Sep 2021
Last update
Nov 24, 2021

Study contacts

Hubert Labelle, MD
principal investigator · St. Justine's Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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