Abstract
There are few conservative treatment options for patients with adult idiopathic scoliosis. These typically include pharmacologic pain management, epidural injections, and generalized CAM treatments such as massage and chiropractic manipulation. The purpose of this study was to compare the post-treatment results in patients wearing the scoliosis activity suit versus baseline assessments as well as adult scoliosis patients who did not wear the activity suit. The pain and Cobb angle outcomes of 53 consecutive patients with adult idiopathic scoliosis following a trial of a scoliosis activity suit were reviewed. The average scores and measurements at 18 months were statistically significantly improved for both the quadruple numerical pain rating scale as well as Cobb angle. The scoliosis activity suit may be a viable supportive therapy for the treatment of chronic pain associated with adult idiopathic scoliosis. Further prospective studies should evaluate treatment effects of this suit using intent-to-treat methodology.
Highlights
The treatment options for idiopathic scoliosis have greatly developed over the last decade
Cobb angle outcomes of 53 consecutive patients with adult idiopathic scoliosis following a trial of a scoliosis activity suit were reviewed
The scoliosis activity suit may be a viable supportive therapy for the treatment of chronic pain associated with adult idiopathic scoliosis
Summary
The treatment options for idiopathic scoliosis have greatly developed over the last decade. Surgical techniques [2] have consistently been made available to adolescent idiopathic scoliosis patients. Many of the non-surgical procedures have not been available to adult idiopathic scoliosis patients. When an idiopathic scoliosis measures >30 ̊ at the time of skeletal maturity, there is approximately a 68% chance that the curve will continue to progress thereafter [4] [5]. Most of the treatment studies in adults with idiopathic scoliosis have been surgical. Many of the brace technologies established for adult scoliosis patients are European, and their availability in the US is limited at the present time. With the potential risks of surgical intervention in adulthood, and the limited availability of European bracing technologies in the United States, we report the results of a scoliosis activity suit used in a cohort of patients with adult idiopathic scoliosis. This increased rotational stimulus is thought to elicit a corrective postural reflex that results in de-rotation of the spine out of the scoliosis curvature
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