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Should Adults With Scoliosis Use the Spinecor Brace?
Although still considered
investigational, the answer seems to be, Yes!
in 2003 Dr. Gary Deutchman fitted the
first adult patient with the Spinecor
Brace. Although originally developed for
adolescent idiopathic scoliosis
treatment, its clinical uses for adults,
kyphosis and non-idiopathic scoliosis
are encouraging. Adults are
routinely referred for treatment to our
New York,
Buffalo, Chicago, Atlanta, Roswell (GA),
Dallas, Denver, Los
Angeles, San Francisco and the Inland
Empire (CA) offices. Since the first adult
fitting, Drs. Deutchman and Lamantia has fitted over
600 adult patients with all types of
curvatures.
Adults often experience pain
relief immediately when the brace if
fitted appropriately. Due to the nature
of the adult spine, different brace
configurations were developed to
successfully manage adult patients. Dr.
Deutchman is unmatched in his expertise
in this area.
Studies show adult scoliosis to be
potentially progressive in nature and to be a major contributor to
chronic pain, radiculopathy and neurogenic claudication.
Due to the abnormal posture and muscle
recruitment patterns associated with
adult scoliosis, adult programs are
often supported with specialized physiotherapy programs.
Unlike a rigid brace, Spinecor uses a rotational 3D Corrective Movement which has been shown to be effective in reducing scoliosis curvatures
in adolescents. Spinecor is a dynamic system of elastic bands which uses gentle forces to change posture and movement
patterns over time. It can easily be worn under the clothes, during exercise and at work.
Adult scoliosis management differs from
adolescent treatments due to the long standing dysfunction of the motion segments of the spine and associated ligament degeneration. This
may lead to subluxation (misalignment of
the vertebra)
and further degenerative change to both
bone and soft tissues. Often, adult scoliosis
treatment can be successful if the
patient can tolerate the brace. Careful
evaluation and fitting procedures are
necessary to ensure adults do not
experience exacerbations of pain and
nerve irritation. Adults can achieve
curvature reduction despite reaching
maximal bone maturity. Due to the fact
that spinal deformities associated with
scoliosis are not entirely
from bone deformity, but include
influences from ligament, disc and muscle
function. Our adult patients routinely
respond in our program which may include
postural retraining, muscle integration
therapy, myofascial release techniques, Whole Body Vibration and vestibular
rehabilitation.
Results vary between individuals.
Chiropractic management is recommended
when subluxations are detected. For more
information contact one of our doctors.
-References
Natural history of the aging spine., Benoist M, Eur Spine J. 2003 Oct;12 Suppl 2:S86-9. Epub 2003 Sep 05. Orthopaedic Surgery Unit, Department of Rheumatology, Hopital Beaujon, 100 Bd du Gal Leclerc, 92110, Clichy, France. deuxmice@aol.com
Spinal mobility and EMG activity in idiopathic scoliosis through dynamic lateral bending tests. Stud Health Technol Inform. 2002;91:130-4.,Ciolofan OC, Aubin CE, Mathieu PA, Beausejour M, Feipel V, Labelle H. Sainte-Justine Hospital, 3175 Cote Ste-Catherine Rd, Montreal, H3T 1C5, Canada.
Biomechanical factors affecting progression of structural scoliotic curves of the spine. Lupparelli S, Pola E, Pitta L, Mazza O, De Santis V, Aulisa L. Stud Health Technol Inform. 2002;91:81-5
Clin. Orthop. Pol. A. Gemelli - Universit_ Cattolica del Sacro Cuore, Roma, ITALY.
Degeneration of the human lumbar spine ligaments. An ultrastructural study. Yahia H, Drouin G, Maurais G, Garzon S, Rivard CH.Biomedical Engineering Institute, Faculty of Medicine, Montreal, Canada. Pathol Res Pract. 1989 Apr; 184(4): 369-75.
Natural history of the aging spine., Benoist M, Eur Spine J. 2003 Oct;12 Suppl 2:S86-9. Epub 2003 Sep 05. Orthopaedic Surgery Unit, Department of Rheumatology, Hopital Beaujon, 100 Bd du Gal Leclerc, 92110, Clichy, France. deuxmice@aol.com
Vestibular mechanisms involved in idiopathic scoliosis, Arch Ital Biol. 2002 Jan;140(1):67-80.
Manzoni D, Miele F.Dipartimento di Fisiologia e Biochimica, Universita di Pisa, Via S. Zeno 31, I-56127 Pisa, Italy.
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