The Treatment of Adult SpineCor® Dynamic t Scoliosis Utilising the

The Treatment of Adult SpineCor® Dynamic t Scoliosis Utilising the

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Louise
B.Sc. D.C.,
D.C.,
Louise Marcot
Marcottte
tte B.Sc.
Christine
D., Pascale
PascaleDion
DionD.C.,
D.C.,
ChristineCoillard
Coillard M.D
Charles-Hilair
Rivard M.D.
M.D.
Charles-Hilairre Rivard
RESULTS
RESULTS
CONCLUSION
CONCLUSION
Scoliosis
and spinal
deformities
little hope
for rehabilitation
in the
adult
Scoliosis
and spinal
deformities
offer offer
little hope
for rehabilitation
in the
adult
population.
Pain
and
viscerosomatic
dysfunction
are
frequently
population. Pain and viscerosomatic dysfunction are frequently
encountered
and conventional
medical
bracing,
medication
encountered
and conventional
medical
care care
usesuses
rigidrigid
bracing,
medication
and
surgery
in
the
most
serious
cases.
and surgery in the most serious cases.
® Dynamic Corrective
The treatment of Adult Scoliosis with The SpineCor
The treatment
of Adult Scoliosis with The SpineCor® Dynamic
Corrective
Brace deserves more attention. It offers a great variety of combinations to
Brace deserves more attention. It offers a great variety of combinations to
better spinal alignment, depending on the curve type, its severity and
better spinal alignment, depending on the curve type, its severity and
rigidity. The main therapeutic goal is to improve pain and postural
rigidity.alignment
The main
therapeutic goal is to improve pain and postural
as well as to reduce the chances for progression as the patient
alignment
as
well
as
reduce
chances
for progression
as the patient
ages. The bracetoacts
as athe
dynamic
support
against compressive
loading
ages. The
brace
acts
as
a
dynamic
support
against
compressive
loading
on the inter-vertebral joints, while creating a corrective movement
in the
on thespine
inter-vertebral
joints,neuromuscular
while creating
a corrective movement in the
which produces
integration.
spine which produces neuromuscular integration.
the5656who
whohave
have actively
actively been
been wearing
OfOfthe
wearing itit anywhere
anywherefrom
from1010toto154
154
hrs/week,
25
have
seen
complete
resolution
of
their
symptoms
hrs/week, 25 have seen complete resolution of their symptomswhile
whilein in
brace,1414ofofwhich
which had
had aa Numerica
Numerica
al Pain
brace,
al
Pain Scale
Scale (NPS)
(NPS)ofof5/10
5/10and
andover.
over.
on
the
curve
itself,
especially
Although
the
brace
had
little
effect
older
Although the brace had little effect on the curve itself, especiallyininolder
patients, and while there has been 1 reported case of aggravation in leg
patients, and while there has been 1 reported case of aggravation in leg
radiculopathy, we found an overall 6
60% improvement in the pain status
radiculopathy, we found an overall 6
60% improvement in the pain status
of those patients who have actively be
een wearing their brace.
of those patients who have actively be
een wearing their brace.
® Dynamic
® Dynamic
These
results
suggest
that that
the SpineCor
Corrective
Brace Brace
is a is a
These
results
suggest
the SpineCor
Corrective
promising
conservative
method
for
the
treatment
of
scoliosis
in
the
adult
promising conservative method for the treatment of scoliosis in the adult
population
as itasallows
for the
to improve
their pain
and and
population
it allows
for patients
the patients
to improve
their status
pain status
wellbeing.
wellbeing.
week
Number of hours worn per
Number of hours worn per
week
INTRODUCTION
INTRODUCTION
150
150
100
100
50
50
0
0
Cobb Angle
80
60
40
60
20
40
200
Age
Figure 1
Age
Figure 1
Before
After
Figure
4
18-29
Thoracic
primary
Thoracic
Thoracoprimary
Lumbar
ThoracoLumbar
Lumbar
Lumbar
Double
major
Double
major
Before
18-29 30-39 40
40-49 50-59 60-69
0
Figure 4
10
Figure 2 : Distinctive features of Adult Scoliosis (Schwab et al. 2002)
Figure 2 : Distinctive features of Adult Scoliosis (Schwab et al. 2002)
70+
30-39 40
40-49
Age50-59 60-69
After
70+
Agerelief
Pa
Pain
Pa
Pain relief
10
5
(NPS)
12
10
8
6
4
2
0
Effec on curves
Effect
Effect on curves
Effec
80
Numerical Pain Scale
Numerical Pain Scale
(NPS)
10
8
6
4
2
0
Number of hours worn
Number of hours worn
18-29 30-39 40--49 50-59 60-69 70+
18-29 30-39 40--49 50-59 60-69 70+
Age
Figure 3
Age
Figure 3
12
Types
of curves
Number of patients
Number of patients
A prospective study was made on 66 adult scoliosis patients, 59 females
and 7 males
1866
and
93. They
presented
with59curvatures
A prospective
studyaged
wasbetween
made on
adult
scoliosis
patients,
females of
all
types
(primary
thoracic,
thoracolumbar,
lumbar
and
major
double)
and 7 males aged between 18 and 93. They presented with curvatures
of of
many
different
aetiologies,
with
Cobb
angles
ranging
from
of
15
to
93°.
all types (primary thoracic, thoracolumbar, lumbar and major double) of All
® Brace according to the SpineCor® Protocol.
were fitted
with a SpineCor
many different
aetiologies,
with Cobb
angles ranging from of 15 to 93°. All
The data
collected
in a time
frame between
2 months® and
2 years
® Brace
were fitted
with was
a SpineCor
according
to the SpineCor
Protocol.
post-bracing.
The data was collected in a time frame between 2 months and 2 years
post-bracing. Types of curves
Cobb Angle
MATERIALS AND METHODS
MATERIALS AND METHODS
Patien
tient compliance
Patien
tient compliance
Before
5
0
0
40-49 50-59 60-69
18-29 30-39 40
Age
40-49 50-59 60-69
18-29 30-39 40
Figure 5
Figure 5
Age
70+
70+
After
Before
After
BIBLIOGRAPHY
BIBLIOGRAPHY
• Schwab F, Smith VA, Biserni M, et al. Adult Scoliosis: A Quantitative
Radiographic and Clinical Analysis. Spine 2002; 27(4):387-392.
• Schwab
F, Smith VA,
M, etDG,
al. and.
AdultThompson
Scoliosis:GH.
A Quantitative
• Janicki
JA, Poe-Kochert
C,Biserni
Armstrong
A Comparison
Radiographic
and Clinical
Analysis.
2002;Orthosis
27(4):387-392.
of the
Thoracolumbosacral
Orthoses
and Spine
Providence
in the Treatment
• Janicki JA,
Poe-Kochert
C, Armstrong
DG, and.
Thompson GH. A Comparison
of Adolescent
Idiopathic
Scoliosis.
J Pediatr Orthop
2007;27:369-374.
of theN.
Thoracolumbosacral
Orthoses
and Providence
Orthosis in the
• Robert
Hensinger, and George
H. Thompson.
Orthotic Management
in Treatment
of Adolescent
Idiopathic
Scoliosis.
Pediatr
Orthop
Adolescent
Idiopathic
Scoliosis:
LevelingJ the
Playing
Field.2007;27:369-374.
J Pediatr Orthop
2007
:27(4) :367-368.
• Robert
N. Hensinger, and George H. Thompson. Orthotic Management in
• Coillard
C,Vachon
V, Circo
AB, Beauséjour,
CH. Effectiveness
of the
Adolescent
Idiopathic
Scoliosis:
LevelingRivard
the Playing
Field. J Pediatr
Orthop
SpineCor
Brace:367-368.
Based on the New Standardized Criteria Proposed by the
2007 :27(4)
Scoliosis
Research
• Coillard
C,Vachon V, Circo AB, Beauséjour, Rivard CH. Effectiveness of the
Society
for Adolescent
Idiopathic
Scoliosis.
J Pediatr Orthop
2007;27:375-379.
SpineCor
Brace Based
on the
New Standardized
Criteria
Proposed by the
Scoliosis Research
Society for Adolescent Idiopathic Scoliosis. J Pediatr Orthop 2007;27:375-379.