Links

For many people, scoliosis is a ‘new’ problem – you may not even have heard of it before. The amount of information available on the internet is bewildering, and finding facts which are relevant and comprehensible can often lead to confusion and misunderstanding.

Firstly, regardless of what you read on the internet, scoliosis is NOT curable. The curve can often be controlled, and in a small number of cases, improvements have been recorded.

There are a number of organisations in the UK which offer support and guidance:

The Scoliosis Association UK

Scoliosis Research Society

There are also local groups such as SWS-Cymru which are regional – we can add yours here if you let us know

A useful source of scientific information is The Scoliosis and Spinal Disorders Journal

RSC braces are made by Ortholutions  and there is plenty of information and guidance on their website

Specialist Therapy can be provided by:

Peter Roberts

We are currently updating our therapy contacts – please call to discuss your needs

 

Research and case studies
– We have picked out a few readable pieces here – the emphasis is on studies involving RSC braces but there are some which are more general too

Great work in South Africa with some excellent results

The Rigo System of Classification

The early evolution of the RSC brace

The RSC brace in a clinical situation

A useful comparative study

Good evidence from 2012, and the braces have improved since then

Treatment of adults is possible too

Useful study about quality of life when bracing is used

SOSORT (Society on Scoliosis Orthopaedic and Rehabilitation Treatment) Guidelines for a practical approach to management.

IMPORTANT!!! Wearing your brace full time really works – here’s the evidence

And more about the effects of full-time wear

The table below is a summary of when and how to treat AIS. It looks somewhat intimidating, and has been extracted from a paper published by SOSORT, and this is a somewhat simplified version to give an overview of the treatment.

Click here to download a PDF: SOSORT-guidelines

Key:Ob = Observe (frequency in months), SSB = Soft Shell Bracing, PTRB = Part Time Rigid Bracing, FTRB = Full Time Rigid Bracing, PSE = Physiotherapeutic Specific Exercises, Su = Surgery

Cobb degrees

0-10 + hump

11-15

16-20

21-25

26-30

31-35

36-40

41-45

46-50

Over 50

Infantile

Min

Ob6

Ob6

Ob3

SSB

SSB

SSB

SSB

SSB

PTRB

FTRB

Max

Ob3

Ob3

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Juvenile

Min

Ob3

Ob3

Ob3

SSB

SSB

SSB

PTRB

PTRB

PTRB

FTRB

Max

PSE

PSE

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Adolescent

Risser 0

Min

Ob6

Ob6

Ob3

PSE

PSE

SSB

PTRB

PTRB

PTRB

FTRB

Max

Ob3

PSE

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Risser 1

Min

Ob6

Ob6

Ob3

PSE

PSE

SSB

PTRB

PTRB

PTRB

FTRB

Max

Ob3

PSE

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Risser 2

Min

Ob8

Ob6

Ob3

PSE

PSE

SSB

SSB

SSB

SSB

FTRB

Max

Ob6

PSE

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Risser 3

Min

Ob12

Ob6

Ob6

Ob6

PSE

SSB

SSB

SSB

SSB

FTRB

Max

Ob6

PSE

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Risser 4

Min

No

Ob6

Ob6

Ob6

Ob6

Ob6

Ob6

Ob6

SSB

FTRB

Max

Ob12

PSE

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Risser 4-5

Min

No

Ob6

Ob6

Ob6

Ob6

Ob6

Ob6

Ob6

SSB

FTRB

Max

Ob12

PSE

PTRB

FTRB

FTRB

FTRB

FTRB

FTRB

Su

Su

Adult

No pain

Min

No

No

No

No

No

No

No

No

Ob12

Ob12

Max

Ob12

Ob12

Ob12

Ob12

Ob12

Ob12

Ob12

Ob12

Ob6

Ob6

Chronic Pain

Min

No

PSE

PSE

PSE

PSE

PSE

PSE

PSE

PSE

PSE

Max

PTRB

PTRB

PTRB

PTRB

PTRB

Su

Su

Su

Su

Su

Elderly

No pain

Min

No

No

No

No

No

No

No

No

Ob12

Ob12

Max

Ob12

Ob12

Ob12

Ob12

Ob12

Ob12

Ob12

Ob12

Ob6

Ob6

Chronic Pain

Min

No

PSE

PSE

PSE

PSE

PSE

PSE

PSE

PSE

PSE

Max

PTRB

PTRB

PTRB

PTRB

PTRB

PTRB

PTRB

PTRB

Su

Su

Decompensation

Min

No

No

PSE

PSE

PSE

PSE

PSE

PSE

PSE

PSE

Max

PTRB

PTRB

PTRB

PTRB

PTRB

PTRB

PTRB

PTRB

Su

Su