Bracing Adolescent Idiopathic ScoliosIS (BASIS) Study

  • Research type

    Research Study

  • Full title

    Bracing Adolescent Idiopathic ScoliosIS (BASIS) Study – night-time versus full-time bracing in adolescent idiopathic scoliosis

  • IRAS ID

    291133

  • Contact name

    Ashley Cole

  • Contact email

    ashley.cole4@nhs.net

  • Sponsor organisation

    Sheffield Children's NHS Foundation Trust

  • Duration of Study in the UK

    10 years, 1 months, 28 days

  • Research summary

    Scoliosis is a condition affecting children where the spine twists and curves to the side, often developing between the ages of 10 and 15. Doctors try to prevent the curve becoming too large, as this causes distress due to appearance, and problems into adulthood (back pain and problems with the heart/lungs). A brace may be worn in order to stop the curve worsening, but rarely improving it. The most common type of brace, “full-time brace”, is recommended to be worn for at least 20 hours a day, and evidence suggests it can work. The alternative is a “night-time brace”, which is only worn in bed at night, and aims to push the curve to make it straighter overnight, though the evidence for its benefit less clear. Night-time braces can interfere less with patients’ usual activities. This study will compare night-time braces with the full-time brace and will find out patients’ experiences of the two.

    Children with scoliosis who have not previously received bracing will be invited to take part, and will be randomly allocated to receive either a full time brace, or a night-time only brace. Patients will be followed up with regular appointments and back x-rays, and will remain in brace until they have finished growing or need to have surgery. After bracing is stopped, patients will have further clinic visits at 1 and 2 years. Interviews will also take place with some participating families to understand their experiences of bracing.

    Two patient groups and an online survey of Scoliosis Association UK (SAUK) members have reviewed the study and feel this is a relevant and important question. The groups have inputted into the design of the study, and we will continue to work closely with the group during the study.

  • REC name

    North of Scotland Research Ethics Committee 1

  • REC reference

    21/NS/0038

  • Date of REC Opinion

    27 Mar 2021

  • REC opinion

    Favourable Opinion