Introduction: As a healthcare provider working with scoliosis patients, understanding when to refer them to a bracing centre is crucial. Bracing is often recommended to prevent curve progression in growing adolescents with moderate scoliosis. Here are the key factors to consider when determining if a referral to a bracing centre like Dorsi UK might be necessary.
1. Curve Severity: Bracing is usually recommended when the Cobb angle is between 20 and 40 degrees in a growing child. If you measure a curve within this range, a referral for bracing should be considered.
2. Patient's Age and Growth Potential: Bracing is most effective in patients who are still growing. Indicators of growth include a patient's age, stage of puberty, and the Risser sign. For more details, consider this resource on the Risser sign.
3. Curve Progression: If a patient's curve has increased by more than 5 degrees over a six-month period, a referral to a bracing centre might be warranted.
4. Patient and Family Preferences: The decision to brace is often a collaborative one. Discuss the benefits and challenges of bracing with the patient and their family.
5. Patient Compliance: Successful bracing requires a significant commitment from the patient. They must be willing to wear the brace for the prescribed hours each day.
Conclusion: Determining when to refer a scoliosis patient to a bracing centre requires a careful evaluation of several factors. Your understanding and application of these considerations can significantly influence a patient's treatment journey and outcomes.
For more comprehensive knowledge about scoliosis, its management, and when to consider bracing, our dedicated scoliosis care course is an excellent resource.
Enhance your skills and your ability to provide the best care for your patients.
Further Reading:
• National Health Service's Scoliosis Treatment
• SOSORT:A health economic evaluation of screening and treatment in patients with adolescent idiopathic scoliosis
Remember, as healthcare providers, we all play a vital role in the management of scoliosis.
Early detection and appropriate referral can make a significant difference in the lives of those living with scoliosis.
