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February 28, 2026Spine Deformity2 citationsOpen Access

I do what I want: are our patients adhering to bracing recommendations? Early results of a prospective cohort study

MRMaia D. ReganYLYing LiGHGabriela Hogue

Key Points

  • This study aims to evaluate patient adherence to prescribed bracing recommendations in spinal treatment.
  • Prospective cohort study design
  • Assessment of brace wear time against prescribed hours
  • Comparison between different spinal curvature types
  • Identification of modifiable risk factors for brace wear
  • Average brace adherence was 78.2% of the prescribed hours, or 3.6 hours less
  • Patients with larger spinal curves did not show better adherence despite longer prescriptions
  • Thoracic curves showed lower adherence compared to thoracolumbar (T/L) curves
  • Prescribed hours were the only significant modifiable factor linked to greater brace wear

Abstract

Brace adherence averages 3.6 h less than prescribed or 78.2% of the original prescribed time. Patients with larger curves were prescribed longer brace wear but did not have better adherence versus target. Thoracic curves had less adherence compared to T/L curves. The only modifiable independent risk factor we were able to determine for greater brace wear was prescribed hours. This information can be used to counsel patients during bracing treatment.

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Cite This Study

Regan et al. (2026) studied this question.

synapsesocial.com/papers/69a286490a974eb0d3c01356https://doi.org/10.1007/s43390-026-01312-2
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