What is a Scoliosis brace and when is it recommended?
What is a Scoliosis Brace?
Figure 1: Back Pain - Scoliosis - Physio Frenchs Forest, Physio Macquarie Park
A brace that is used to treat scoliosis is a stiff brace that is often moulded to a patient from under the arm-pits and down to the hips. The brace, also known as a thoracic orthosis is used to help straighten the spine. These braces are often quite thin and can be worn under the clothes throughout the day.
When should bracing be used in scoliosis?
The goal of bracing in the adolescent population is to prevent the curve from worsening into the severe stage and requiring a surgical procedure.
The BSPTS model recommends bracing when the curve progresses to 25˚ and there is still growth remaining in the child or adolescent. The goal of bracing is to prevent this angle to reaching 50˚ or more.
It has been reported that bracing is effective in 70% of curves progressing. Recommendations of wearing the brace is approximately 20 hours/day.
When is a scoliosis brace not recommended?
A brace is not recommended in curves that are less than 20 degrees. These curves need to be monitored carefully by the Physiotherapist and Orthopaedic Surgeon.
If there is no growth remaining or the patient is an adult then bracing is not recommended.
How does the scoliosis brace work?
A scoliosis brace works by applying external forces in particular area’s to help straighten the spine during the remaining growth period.
Who fits the scoliosis brace?
An orthotist is an allied Health Professional who assesses and treats and prescribes braces. The orthotist will use either a boston brace or rigo-chenaeu.
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