SCOLIOSIS
As a reminder, Scoliosis is a medical condition characterized by an abnormal frontal position of the spine, often in an "S" or "C" shape. This curve can occur in any part of the spine (cervical, thoracic, lumbar) and can be caused by a variety of factors, including congenital abnormalities, muscle imbalances, injuries or underlying medical conditions. Scoliosis can cause back pain, stiffness, postural asymmetry and, in severe cases, visible deformity of the spine. It is important to diagnose and treat scoliosis early to prevent further progression of the curvature and to limit long-term complications.
A PROMISING STUDY!
OBJECTIVES
The corset for adolescents with idiopathic scoliosis (ISA) is a treatment option to prevent the progression of scoliosis to surgical level. The aim of this study was to evaluate the efficacy of a fully customized 3D over-corrective corset, " ScoliBrace ", a treatment corset for adolescent scoliosis.
Recently, an independent article was published in the "European Journal of Orthopaedic Surgery & Traumatology" entitled "A pilot study of the "ScoliBrace" corset in the treatment of adolescent idiopathic scoliosis".
The aim was to evaluate the effectiveness of a fully customized "ScoliBrace" corset in the management of patients with adolescent idiopathic scoliosis (AIS).
THE METHOD
This was a prospective pilot study of AIS patients whose inclusion criteria followed the guidelines recommended by the Scoliosis Research Society (SRS).
Cobb angles measured at: baseline (T0), 21 months (T5-2), skeletal maturity (T6), 6 months after corset wear (T7), as well as hours of corset wear using a thermal sensor and health-related quality of life. (HRQoL) using the SRS-22r questionnaire.
MAIN OBSERVATIONS
Some of the key findings were as follows:
-Significant improvement in 54.17% of patients by more than 6 degrees at 21 months of corset wear.
-87% of patients remained below the surgical threshold, compared with 72% in the BrAIST study (2)*.
-Increasing the number of hours a brace was worn was associated with better patient outcomes**.
-Median Cobb angles were reduced from 28.5 degrees at baseline to 22.5 degrees at 21 months.
The median Cobb angle was reduced from 29 degrees to 24 degrees after a 6-month follow-up following the use of a corset.
CONCLUSION
The results show similar findings to those of the BRAIST study, in which curves remained below the surgical threshold and showed improvement. More than half showed a reduction in curvature ≥ 5° at skeletal maturity. Importantly, wearing a corset( time) was also associated with better results.
IN SUMMARY
Early spinal screening of our children is essential.
The corset remains an effective conservative option for slowing down the progression of the disease and possibly avoiding surgery. Studies show that the longer the corset is worn, the better the results, which seems logical.
The Adam's test is a reliable test for scoliosis, but X-rays are diagnostic for assessing the severity of scoliosis.
The Spine Chiropractic Center specializes in the treatment of adolescent idiopathic scoliosis, offering conservative solutions such as the "scolibrace" corset, as well as "scolibalance" exercises, therapeutic postural rehabilitation exercises for scoliosis in 3D.
If you have any questions, please e-mail me at cccv@chiropractic.fr
