Volume 8 Supplement 2
A long-lever spinal orthosis for idiopathic scoliosis: corrective potential in 10 patients
© Dovorany and Morningstar; licensee BioMed Central Ltd. 2013
Published: 18 September 2013
The long-lever orthosis was designed to treat large translational displacements associated with idiopathic scoliosis. Adding a long-lever system allows the practitioner to affect the spine with a relatively low amount of force, while changing the rotational displacement of scoliosis based upon its effect on the thoracic cage.
The goal of this study was to determine whether a novel long-lever orthosis has the ability to positively impact idiopathic scoliosis.
A sample of 10 patients, ranging in age from 11 to 16 years, with adolescent idiopathic scoliosis presented to a private chiropractic clinic for evaluation and management. All 10 patients had double major scoliosis curve patterns and were fitted for a long-lever orthosis system. Once in place, scoliosis radiographs were obtained while wearing the orthoses. Outcome measurements included Cobb angle and rotational displacement
The average baseline Cobb angles were 51° thoracic (range 39-76°) and 31° lumbar (range 23-41°). While wearing the long-lever orthosis system, the thoracic and lumbar Cobb angles decreased to an average of 28° and 27°, respectively. In five of the patients tested, additional improvement in thoracic rotation was observed, by an average of 52% (range 12-97%). No patient tested had an increase in curves or rotation while wearing the long-lever orthosis system.
Conclusions and discussion
While wearing a specialized long-lever orthosis system, patients saw their Cobb angles and thoracic rotation decrease. This orthosis may help complement exercise-based scoliosis rehabilitation programs for patients with large translational displacements of the thoracic spine.
- Gabrielle C Lam, Doug L Hill, Lawrence H Le, Jim V Raso, Edmond H Lou: Vertebral rotation measurement: a summary and comparison of common radiographic and CT methods. Scoliosis. 2008, 3: 16-10.1186/1748-7161-3-16.View ArticleGoogle Scholar
- Stokes IAF: Axial rotation component of thoracic scoliosis. J. Orthop. Res. 1989, 7: 702-708. 10.1002/jor.1100070511.View ArticlePubMedGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.