Case Study
Year: 2020 | Month: February | Volume: 10 | Issue: 2 | Pages: 105-108
Efficacy of Symmetric Force Control Brace on Adolescent Idiopathic Scoliosis: A Case Study
Prakash Sahoo1, Rojaleen Pradhan2, Sasmita Behera3, Dewendra Prasad4
1Demonstrator, NIEPMD, Chennai, Tamil Nadu, India.
2Lecturer, SVNIRTAR, Cuttack, Odisha, India.
3Orthotist, NIMAHNS, Bengaluru, Karnataka, India.
4Rehabilitation Officer, NIEPMD, Chennai, Tamil Nadu, India.
Corresponding Author: Prakash Sahoo
ABSTRACT
Background: The role of bracing in patients with Adolescent Idiopathic Scoliosis with a higher curve and those who are at risk for curve progression is always controversial. The purpose of this study was to investigate the effect of a spinal orthosis on scoliotic curve correction, alignment of altered posture and to address pulmonary dysfunction.
Case Description and Methods: A 14-year-old boy diagnosed with Adolescent Idiopathic Scoliosis was fitted with a custom-molded Symmetric force control brace to stop the progression of the curve and to align the posture. The anterior-posterior radiographs were analyzed for measuring the Cobb angle. A plumb line test was used to assess the postural improvements and George’s Respiratory questionnaire was used to address pulmonary dysfunction. Pre and post-test were used with adaptation time for 12 weeks with spinal the brace on.
Findings and Outcomes: The Cobb angle was decreased from 37 to 29 degree after the adaptation period of 12 weeks. There was also improved posture by shifting of the plumb line 8 mm towards the midline with the use of the brace. No significant difference was observed in breathing problems as per the score of George’s Respiratory questionnaire.
Conclusion: The Symmetric force control brace can be considered as a new, effective method for treatment Adolescent Idiopathic Scoliosis with a higher curve and it also can be used for maintaining an aligned posture.
Clinical relevance: This case report gives an objective prescription of Symmetric force control brace for improving posture in Adolescent Idiopathic Scoliosis if designed with appropriate biomechanical principle and properly fitted.
Key words: Adolescent Idiopathic Scoliosis, Symmetric Force Control Brace, Cobb’s angle, Posture, Pulmonary dysfunction.