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 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 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) 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 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 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

Initial T Follow-up T

31 19 31 20 67 15 65 22 17 15 44 60 33. 39. 48. 33 20 63 94 48.

29 14 16 14 66 12 57 19 15 11 39 51 28. 35. 45. 32 16 60 77 44.

Thoracic Curvatures (n=20)

Mean age of 42.55 Mean Reduction 5.27

degrees Maximum Reduction

17 degrees or 12.2%

Lumbar (n=16) Mean age 42.19 Mean Reduction (4.40

degrees) Maximum Reduction

5.9 degrees or 15.3 %

Initial L Follow-up L

.

.

.

. 59 24 61 35 27 20 17 60 50. 27 37 78. 38. 49. 38 26

.

.

.

. 54.3 13.1 54.0 34.0 25.0 22.0 11.1 51.0 47.0. 22.0 30.0 78.6. 27.0. 45.0. 35.4 26.0

Thoracolumbar Curvatures (n=4) Mean Age 43.5 Mean Reduction 6.0

degrees Maximum reduction 8

degrees or 13.4 %

Initial TL Follow-up TL

. 18........... 9... 26. 31....

. 13........... 1... 23. 23....

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 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

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.