Bracing is a very effective treatment for scoliosis. The quality of back bracing available in the USA has improved significantly within the last 15 years. For children and adolescents who are still growing indication for bracing is the Cobb angle of 25 degrees. In such cases effective bracing can lead to stabilization or reduction of scoliosis curvature. Combination of bracing and scoliosis specific physical therapy leads to the best clinical outcomes in consideration to postural improvement, curve reduction, and stability.
Brace prescription depends on the decision of a medical team. Usually, braces are worn full-time in the beginning (18 hours or more). Bracing hours gradually decrease as the child is approaching the end of skeletal growth, which is followed by night-only wear and a weaning-off the brace period.
Recently, the efficacy of night- time brace treatment for young children with milder curves became recognized for its effectiveness to prevent curve progression.
The night- time brace treatment can be effective for older adolescents who have passed fast growing stage. It helps to improve curve flexibility and to facilitate soft tissue remodeling which results in better postural improvement to symmetry and stabilization corrected posture.
Adult bracing is getting recognition to stabilize the curve during later periods of progression and to improve posture. Additionally elastic bracing can be used for postural support and pain relief.
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