Bracing is normally done when the patient has bone growth remaining and is, in general, implemented to hold the curve and prevent it from progressing to the point where surgery is recommended.
People wearing a lumbar scoliosis brace are often suggested exercise to correct scoliosis. In most adults with previous scoliosis, moderate exercise is not harmful and is extremely important for maintaining healthy, supportive muscles, and preventing disk degeneration.
Bracing may cause discomfort. Physical activity may become more difficult because the brace presses against the stomach, making it difficult to breathe. Children may lose weight from the brace, due to increased pressure on the abdominal area.
The latest standard of brace construction is with CAD/CAM technology. With the help of this technology it has been possible to standardize the pattern-specific brace treatment.
Types of Lumbar Scoliosis Brace
1. Thoracolumbosacral orthosis (TLSO): Used to correct the lateral (sideways) curve of the spine in scoliosis. Patients can wear this brace to correct spinal curves whose apex is at or below the eighth thoracic vertebra. The TLSO is an underarm brace, which means that it fits under the arm and around the rib cage, lower back, and hips.This brace extends from below the breast to the beginning of the pelvic area in the front and from below the shoulder blades to the tail bone in the back. This type of brace works by applying three-point pressure to the curve to prevent its progression. It forces the lumbar area to flex, which pushes in the abdomen and flattens the posterior lumbar curve.
2. Charleston Bending Brace
Charleston Bending Braces are for patients diagnosed with adolescent idiopathic scoliosis, and occasionally for neuro muscular scoliosis.
The Charleston Bending Brace is molded to conform to the patient’s body while he or she is bent towards the convexity—or outward bulge—of the curve, the concept behind this design being that it “over-corrects” the curve during the eight hours the brace is worn. This lumbar scoliosis brace is also known as the nighttime brace, since it is used only while sleeping. The objective of the Charleston Bending brace is to biomechanically correct the scoliosis via stabilising, lateral shift and unbending forces (3-point pressure systems).
3. Cervico-Thoraco-Lumbo-Sacral-Orthosis brace:
This lumbar scoliosis brace is popularly known as the Milwaukee brace, and is quite alike the TLSO brace. Additionally, it has a neck ring attached to the brace.It is more widely used to manage spinal curvature—e.g., scoliosis or kyphosis—in children who may need to wear it 23 hours/day for years. Milwaukee braces are often custom-made over a mold of the patient’s torso, but in some cases, it can be made from prefabricated parts
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