a retrospective study of 24 adults treated for scoliosis using the spinecor orthosis n.
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A Retrospective Study of 24 Adults Treated for Scoliosis Using the Spinecor Orthosis. Authors: Gary Deutchman , Marc Lamantia, Joseph Indelacato, Marianna Raykhman, Pazit Gez-Avgar The Scoliosis Care Foundation 1085 Park Ave, Suite 1E New York, NY 10128 info@scoliosiscare.org. Purpose .

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a retrospective study of 24 adults treated for scoliosis using the spinecor orthosis
A Retrospective Study of 24 Adults Treated for Scoliosis Using the Spinecor Orthosis.
  • Authors:
  • Gary Deutchman, Marc Lamantia, Joseph Indelacato, Marianna Raykhman, Pazit Gez-Avgar
  • The Scoliosis Care Foundation
  • 1085 Park Ave, Suite 1E
  • New York, NY 10128
  • info@scoliosiscare.org
purpose
Purpose
  • This is a retrospective study designed to identify if rehabilitation protocols can be used to effectively reduce Scoliotic deformities in the adult population.
pilot study
Pilot study
  • We currently have 150 plus adults in a much larger study
  • Long term follow up is planned to determine if short term results are sustainable.
population n 24
Population (n=24)
  • Age ranged 16-64 with the mean age of 45.0
  • Inclusion requirements included;
    • Positive history of Adolescent Idiopathic Scoliosis
    • Negative history for neurological disease or deformity which may include conditions which cause secondary scoliosis, i.e. movement disorders, brain injury, myo-neural junction disease, etc.
    • Eight (8) of the twenty four (24) had prior history of brace wearing.
bracing
Bracing
  • The Spinecor Orthosis was utilized.
  • A universal “Extension” configuration used in all curvature patterns. Tensions were varied depending upon direction of convexity when one curvature was present.
  • Mechanism of Action
    • Truncal de-weighting
    • Thoracic translation about the y-axis
    • “Extension” happens in the frontal plane
physiotherapy
Physiotherapy
  • Home based respiratory exercises using the Corrective movement principle described by the Spinecor procedures.
  • Individualized neurological rehabilitation was prescribed which may have included,
    • Chiropractic adjustments
    • Spinal Mobilization to facilitate corrective movement
    • Electric muscle stimulation at 2500hz into the corrective posture
thoracic curvatures n 20
Mean age of 42.55

Mean Reduction 5.27 degrees

Maximum Reduction 17 degrees or 12.2%

Thoracic Curvatures (n=20)
lumbar n 16
Lumbar (n=16)
  • Mean age 42.19
  • Mean Reduction (4.40 degrees)
  • Maximum Reduction 5.9 degrees or 15.3 %
thoracolumbar curvatures n 4
Thoracolumbar Curvatures (n=4)
  • Mean Age 43.5
  • Mean Reduction 6.0 degrees
  • Maximum reduction 8 degrees or 13.4 %
slide10
This study supports the theory scoliosis curvatures are worsened by failure of the supportive neuro-muscular system which involves the muscles and neurological activation centers of the brain, brainstem and cerebellum.
implications in treatment
Implications in Treatment
  • specific neuro-muscular rehabilitation procedures and supportive devices can improve the function of the postural supportive system in adults.
  • The Variance of curvature magnitude in adults is a consequence of supportive tissue failure.
pain questionnaire after 1 year
Pain Questionnaire after 1 year

Self-Report Inventory from one to ten (1-10)

  • 10 = unbearable pain
  • 1 = no pain.
  • An average of the pain scores improved from 8.1 to 3.8.
  • Twenty four (24) out of twenty eight (28) participants either “Agreed” or “Strongly Agreed” they would recommend Spinecor for other adults.
  • Sixteen (16) out of twenty two (28) either Agreed” or “Strongly Agreed” they were more confident in their appearence since wearing SpineCor.
  • All total- twenty (20) out of twenty four (24) reported meaningful pain reduction.