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. 2024 Jan 23;13(3):653.
doi: 10.3390/jcm13030653.

The Improvement of Trunk Muscle Endurance in Adolescents with Idiopathic Scoliosis Treated with ScoliBrace® and the ScoliBalance® Exercise Approach

Rosemary Marchese  1 , Juan Du Plessis  1 , Tamara Pooke  1 , Jeb McAviney  1
Affiliations

The Improvement of Trunk Muscle Endurance in Adolescents with Idiopathic Scoliosis Treated with ScoliBrace® and the ScoliBalance® Exercise Approach

Rosemary Marchese et al. J Clin Med. .

Abstract

The impact of scoliosis bracing combined with physiotherapeutic scoliosis-specific exercises (PSSE) on trunk muscle endurance in adolescents with idiopathic scoliosis is unknown. ScoliBrace®, a rigid, three-dimensional, over-corrective thoraco-lumbar-sacral orthosis (TLSO), and ScoliBalance®, a PSSE program, were used to treat adolescent idiopathic scoliosis (AIS) patients. A retrospective study of the trunk muscle endurance of 33 AIS patients who received ScoliBrace® and ScoliBalance® was conducted. The patients were treated with ScoliBrace® and an individualized ScoliBalance® program. Trunk extensor muscle endurance (TE) and abdominal muscle endurance (AE) tests were performed at initial assessment and then at averages of 6.6 and 24.4 weeks of treatment. The data were analyzed using the Wilcoxon signed-rank test, Stata version 15.1. The participants were aged 13.24 years (SD = 1.64) with a mean Cobb angle of 38.97° (SD = 9.49°). TE improved significantly (p < 0.001) at both short- and medium-term intervals using ScoliBalance® and ScoliBrace® in the AIS patients. AE also showed significant improvement between baseline and short-term follow-up, with non-significant improvement at medium-term follow-up. Overall, trunk muscle endurance showed improvement in the AIS patients using ScoliBrace® and ScoliBalance®. Future research is required to determine the individual and combined effects of each treatment. However, it seems likely that trunk muscle endurance will not deteriorate in AIS patients with this combined treatment.

Keywords: adolescents; endurance; exercise; idiopathic scoliosis; scoliosis; trunk muscle.

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Conflict of interest statement

J.M. is the owner and director of ScoliCare, a company that provides scoliosis care described in this paper (ScoliBalance® and ScoliBrace®). J.M. and R.M. are developers and trainers of the ScoliBalance® approach. J.M., R.M., J.D. and T.P. are all paid employees of ScoliCare. There are no other conflicts of interest to declare.

Figures

Figure A1
Figure A1
ScoliCorrection used in the ScoliBalance® program using multiple steps to create the 3D auto-corrective movements. Photos used with permission from source.
Figure A2
Figure A2
Photo depicting the demonstration of the patient with a right thoracic curve in a relaxed standing posture (a). The patient is then using ScoliBalance® ScoliCorrections to perform an active 3D self-correction (b). Photos used with permission from source.
Figure A3
Figure A3
Demonstration of example positioning of the adolescent with idiopathic scoliosis undergoing the ScoliBalance® program and including the prescription of the use of the ScoliRoll® orthotic device. The patient was given this to use once per day at home for 25 min. Photos used with permission from source.
Figure A4
Figure A4
An example of the ScoliBalance® ScoliCorrections and ScoliExercise progression over time from a seated to standing position, which is later challenged by exercises performed in the corrected position.
Figure A5
Figure A5
Photos used with permission from source.
Figure 1
Figure 1
Biering–Sorensen Test for trunk extensor endurance used to assess trunk muscle extensor endurance in adolescents with idiopathic scoliosis (AIS) who were being treated with ScoliBalance® and ScoliBrace®.
Figure 2
Figure 2
V-Sit Test for abdominal endurance used to assess trunk muscle extensor endurance in adolescents with idiopathic scoliosis (AIS) who were being treated with ScoliBalance® and ScoliBrace®.
See this image and copyright information in PMC

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