Medical aids
Indications
- All-day corset: idiopathic scoliosis with the range of curvature at a Cobb angle of lumbar 15-30° and thoracic 20-45° (50°).
- Night corset: juvenile and adolescent scoliosis with rapidly progressive, low-grade, flexible curvatures (< 20° Cobb).
- Part-time corset and positioning shell: infantile scoliosis to estimate curve progression.
Patients benefit from brace therapy:
- With adolescent idiopathic scoliosis (see above).
- Who are in Risser stage 0 to 2 [ossification begins from laterally at the time of the largest growth spurt (Risser stage I); see skeletal maturity determination]
- With a curve expression between 25 and 40 degrees.
- With idiopathic scoliosis over 45 degrees, still growing and refusing surgery.
Further notes
- Leg length compensation (for moderate leg length difference between 2-5 cm):
- Wedge-shaped inserts in the heel area (compensation up to 2 cm).
- Sole elevation in closed shoes (compensation up to 5 cm).
Note: compensation should be made to a residual difference: Residual difference at growth age: 1 cm; after growth completion 2 cm.
Sports Medicine
- Endurance training (cardio training) and strength training (muscle training).
- Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Physical therapy (including physiotherapy)
For therapy and prevention of secondary diseases must be regular physiotherapy. This always includes appropriate respiratory gymnastics.Especially three-dimensional scoliosis treatment according to K. Schroth is recommended.
Conservative scoliosis treatment is indispensable and should be started with mild deformities (Cobb angle < 20 degrees).
Basically, additional sports should be done.
Without adapted therapy, there is constant progression (progression) of scoliosis with progressive inclination of the spine.
In addition, in some cases the fitting of a corset may be necessary for affected persons who are still growing. It is to be worn 23 hours a day.
Training
- Back school or back exercises