Bracing is a key non-surgical intervention used in the management of scoliosis. It is particularly effective when scoliosis is detected early, before the spinal curve becomes too severe. Understanding the different types of braces, their indications, and potential outcomes can empower you as a healthcare provider to better guide your patients.
1. Types of Braces:
• TLSO (Thoraco-Lumbo-Sacral Orthosis): This is the most common type of brace used for scoliosis. It is also known as the 'Boston brace' and is typically worn for 18 to 23 hours a day.
• Charleston Bending Brace: This is a nighttime-only brace that is designed to overcorrect the spine while the patient is sleeping.
• Milwaukee Brace: This is a full-torso brace with a neck ring. It is generally used for high thoracic or cervical curves.
• ScoliBrace: This is a custom-designed brace that uses 3D body scans, x-rays, and posture photographs to create a personalized brace for each patient. The ScoliBrace offers more comprehensive support than most other braces and can help to improve posture as well as reduce spinal curvature.
2. Indications for Bracing:
Bracing is typically recommended for growing children and adolescents who have a spinal curve between 20 and 40 degrees and are at risk of further progression. However, the decision to brace can depend on a number of factors including age, skeletal maturity, location and pattern of the curve, and the patient's personal and family preferences.
3. Outcomes of Bracing:
Bracing can be highly effective in preventing curve progression when used correctly. The Bracing in Adolescent Idiopathic Scoliosis Trial (BRAIST) study found that bracing significantly decreased the progression of high-risk curves to the threshold for surgery. However, it's important to note that bracing does not typically correct or cure scoliosis; rather, it aims to prevent further curve progression.
4. Adherence to Bracing:
Adherence to the bracing schedule is crucial for successful outcomes. Patients and their families should be educated about the importance of wearing the brace for the prescribed hours each day.
Conclusion: Understanding the role of bracing in scoliosis management is crucial for any healthcare provider working with patients with this condition. By being informed about the different types of braces, indications, and potential outcomes, you can provide more comprehensive care and guidance to your patients.
Further Reading:
• Effectiveness of the Boston Brace in the treatment of adult scoliosis
Bracing In The Treatment Of Adolescent Idiopathic Scoliosis: Evidence To Date
Our comprehensive scoliosis care course provides deeper insights into non-surgical interventions like bracing. By enhancing your skills and knowledge in this area, you can play a crucial role in improving patient outcomes.
Remember, as a healthcare provider, your guidance and support can make a significant difference in the lives of your patients with scoliosis. You have the ability to empower them with the information and tools they need to manage their condition effectively.
