The use of dynamic Lycra orthosis in the treatment of scoliosis: a case study.
Treatment of scoliosis has been under discussion in relation to surgical intervention since the Boston brace was presented by Hall in 1976 (Hall et al. 1976; Watts et al. 1977). The effects of rigid bracing on thoracic skeletal integrity and the possible deformation of ribs due to the high localized pressure due to prolonged wear (Biorthex 1999; Coillard et al. 1999) have been highlighted. The lack of compliance (Houghton et al. 1987) has encouraged clinicians to investigate other options for non-surgical treatment. The Spinecor and Triac bracing systems have been developed as a result of this research; however, both of these orthoses had been designed with idiopathic scoliosis in mind. Little research has been done into the effects of bracing on the neuropathic curve. The use of dynamic Lycra garments in the treatment of neurological scoliosis offers the advantage of deformity correction without the bulk and discomfort of rigid braces. Recent clinical experience has shown that the Lycra suits have a positive effect in the treatment of scoliosis. This study discusses the treatment of a child presenting with a spinal tumour and although not truly of neurological presentation indicates that the garment can be used for the different scoliotic presentations.
Matthews
M
M
Directorate of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK. goonawarra@btopenworld.com
Crawford
R
R
D001915:Braces; D002675:Child, Preschool; D005260:Female; D006801:Humans; D018306:Neurocytoma / Q000150:complications / Q000601:surgery; D010349:Patient Compliance; D011474:Prosthesis Design; D012600:Scoliosis / Q000150:complications / Q000534:rehabilitation*; D013125:Spinal Neoplasms / Q000150:complications / Q000601:surgery; D013904:Thoracic Vertebrae / Q000601:surgery