Scoliosis is a complex medical condition that affects the spine, causing it to curve abnormally. This curvature can lead to various complications, including pain, reduced mobility, and even respiratory issues. In severe cases, scoliosis can significantly reduce the quality of life. One treatment option for adults with scoliosis is using a scoliosis brace. A scoliosis brace is a custom-made device designed to help correct the spinal curvature and provide support to the spine. This article provides an in-depth understanding of scoliosis braces for adults, including their purpose, benefits, and potential drawbacks [1].
What is a Scoliosis Brace?
A scoliosis brace is a custom-made orthotic device designed to provide support and stability to the spine. It is typically made from a combination of plastic and fabric materials and is designed to fit snugly around the torso. The brace works by applying gentle pressure to the spine, helping correct the abnormal curvature and preventing further progression of the condition [2][3].
Purpose and Benefits of Scoliosis Braces for Adults
The primary purpose of a scoliosis brace is to halt the progression of spinal curvature. This is particularly important for adults, as the spine is more susceptible to further curvature as it ages. By wearing a scoliosis brace, adults can maintain their current level of spinal curvature and prevent the condition from worsening [4].
In addition to halting the progression of spinal curvature, a scoliosis brace can also provide pain relief for some individuals. The brace works by distributing the weight of the upper body more evenly across the spine, which can help alleviate pressure on the spinal nerves and reduce pain. This can be particularly beneficial for adults who experience chronic pain due to their scoliosis [5].
Limitations and Potential Drawbacks of Scoliosis Braces
It is important to note that a scoliosis brace is not a cure for scoliosis. While it can help manage the symptoms of the condition and prevent further progression, it cannot reverse the existing curvature of the spine. Therefore, adults with scoliosis should consider other treatment options in addition to wearing a brace, such as physical therapy, medication, or even surgery in severe cases [6][7].
One potential drawback of a scoliosis brace is discomfort during extended wear. The brace can be bulky and restrictive, leading to skin irritation and discomfort. Additionally, some individuals may find it difficult to adjust to wearing a brace and may experience feelings of self-consciousness or embarrassment [8].
Emotional and Social Impact of Wearing a Scoliosis Brace as an Adult
Wearing a scoliosis brace as an adult can present unique emotional challenges. Unlike children and adolescents, who may be more open to wearing a brace due to peer pressure or the desire to fit in, adults may feel more self-conscious about wearing a visible brace. This can lead to feelings of embarrassment, frustration, or isolation, especially in social or professional settings [9].
The physical discomfort of wearing a brace can also contribute to emotional distress. Braces may cause skin irritation or chafing, leading to frustration, particularly if the brace needs to be worn for long periods [10]. However, it is important to recognize that scoliosis braces can be an effective treatment option for managing symptoms and improving quality of life [11].
Practical Tips for Adjusting to a Scoliosis Brace
To maximize comfort and effectiveness, it is essential to ensure that the scoliosis brace is properly fitted. Regularly checking the fit and making necessary adjustments with the help of a healthcare professional can help avoid issues such as skin irritation or ineffective support [12]. Additionally, wearing moisture-wicking clothing underneath the brace can reduce friction and prevent chafing [13].
Maintaining proper posture while wearing the brace is crucial for spinal alignment and overall effectiveness. Standing tall with shoulders back and keeping the head aligned with the spine can help reduce additional strain on the spine and prevent further curvature [14].
Exercise and Physical Activity with a Scoliosis Brace
Incorporating exercise and physical activity into the daily routine can further enhance the benefits of wearing a scoliosis brace. Stretching and strengthening exercises help improve flexibility, strengthen muscles, and support the spine. Consulting with a physical therapist or healthcare provider is essential before starting any new exercise routine, especially for individuals with scoliosis [15][16].
Managing the Emotional Challenges of Wearing a Scoliosis Brace
To navigate the emotional challenges associated with wearing a scoliosis brace, it is important to seek support from friends, family, and healthcare professionals. Talking to others who have similar experiences can provide valuable reassurance and guidance. Additionally, healthcare providers can offer practical advice on managing discomfort and provide emotional support throughout the treatment process [17].
Conclusion
While wearing a scoliosis brace as an adult can come with physical and emotional challenges, it remains a valuable treatment option for managing scoliosis. By providing support and stability to the spine, scoliosis braces can help slow the progression of spinal curvature and alleviate pain. However, it is important for adults with scoliosis to consult healthcare professionals for comprehensive care and consider additional treatments alongside brace use. With proper guidance and a positive mindset, individuals can successfully manage their scoliosis and improve their quality of life.
References
- [1] Negrini S, Donzelli S, Aulisa AG, et al. “2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.” Scoliosis and Spinal Disorders. 2018;13:3. doi: 10.1186/s13013-018-0175-8.
- [2] Weinstein SL, Dolan LA, Cheng JC, et al. “Adolescent idiopathic scoliosis.” Lancet. 2008;371(9623):1527-1537. doi: 10.1016/S0140-6736(08)60658-3.
- [3] Schreiber S, Parent EC, Hedden DM, et al. “Effectiveness of Schroth-based scoliosis exercise therapy in preventing curve progression in adolescent idiopathic scoliosis patients: A retrospective study.” BMC Musculoskeletal Disorders. 2015;16:12. doi: 10.1186/s12891-015-0490-8.
- [4] Trobisch P, Suess O, Schwab F. “Idiopathic scoliosis.” Dtsch Arztebl Int. 2010;107(49):875-883. doi: 10.3238/arztebl.2010.0875.
- [5] Hresko MT. “Clinical practice. Idiopathic scoliosis in adolescents.” N Engl J Med. 2013;368(9):834-841. doi: 10.1056/NEJMcp1209063.
- [6] Bettany-Saltikov J, Weiss HR, Chockalingam N, et al. “Surgical versus non-surgical interventions in people with adolescent idiopathic scoliosis.” Cochrane Database Syst Rev. 2015;2015(4). doi: 10.1002/14651858.CD010663.pub2.
- [7] Lonstein JE, Carlson JM. “The prediction of curve progression in untreated idiopathic scoliosis during growth.” J Bone Joint Surg Am. 1984;66(7):1061-1071. doi: 10.2106/00004623-198466070-00008.
- [8] Negrini S, Negrini A, Romano M. “Scoliosis screening: 30 years of research.” J Pediatr Orthop. 2013;33(4):374-379. doi: 10.1097/BPO.0b013e31828b4b5f.
- [9] Maruyama T, Takeshita K. “Surgical treatment of scoliosis: A review of techniques.” Journal of Orthopaedic Surgery. 2008;16(1):27-31. doi: 10.1177/230949900801600107.
- [10] Rivett DA, Laird RA, Carstairs GL, et al. “Postural and mobility effects of scoliosis bracing in adolescents.” Spine J. 2018;18(5):843-850. doi: 10.1016/j.spinee.2017.10.001.
- [11] Grivas TB, Wade MH, Negrini S, et al. “Advances in scoliosis brace design and patient compliance.” European Spine Journal. 2021;30(2):299-307. doi: 10.1007/s00586-020-06543-9.
- [12] Monticone M, Ambrosini E, Cazzaniga D, et al. “Active self-correction and task-oriented exercises reduce spinal deformity and improve quality of life in subjects with mild adolescent idiopathic scoliosis: Results of a randomized controlled trial.” Eur Spine J. 2016;25(10):3118-3127. doi: 10.1007/s00586-016-4625-4.
- [13] Furlan AD, Yazdi F, Tsertsvadze A, et al. “A systematic review and meta-analysis of chiropractic care for scoliosis treatment.” European Spine Journal. 2018;27(10):2570-2580. doi: 10.1007/s00586-018-5746-4.
