Bracing and Exercise-based Treatment for Idiopathic Scoliosis

Major treatment options mainly identified were, bracing, exercise rehabilitation and surgery. Typically patients with curves of less than 25 degrees are recommended bracing and/or exercise therapy. (With exercise methods specifically tailored to each individual. After reviewing many different specific exercise regimes and methods, and different bracing techniques, the authors concluded there is “no unanimous consensus among researchers as to the effectiveness of one conservative treatment approach over the other.” It is commonly accepted among health practitioners that each case be based on Cobb angle, age and potential for further spinal growth.

Although additional higher graded studies are still required, bracing regardless of type is still shown to be the most beneficial form of conservative treatment. However when exercise therapy and bracing was combined improved treatment outcomes were noted. “Combining bracing with exercise according to the SOSORT increases treatment efficacy and presents better results compared to a single treatment (braces or exercises)”
Although the literature is not clear-cut as to what is the most effective form of conservative treatment, chiropractors (as spinal specialists) still play a major role in support, referral and co management of any patient with AIS. 

Article Reviews by Kelly Beanland, Chiropractor

Kalichman, L., Kendelker, L., Bezalei, T. (2016). Bracing and exercise based treatment for idiopathic scoliosis. Journal of Bodywork and Movement Therapies. 20(1), 56-64.