Mindy
Posts: 11
Joined: November 27, 1999
From: JHB, South Africa
Status: offline
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I have a 3 1/2 year old patient whose infantile scoliosis has progressed from 28 to 34 degrees since he started walking in May this year. He is severely hypotonic with a superimposed left hypotonic hemiplegia and resultant significant developmental delay. He has a high thoracic curve which is convex to the right and because of the type of curve and his age, he is at high risk for curve progression with a poor prognosis for conservative management. His orthopaed has put him in a Boston brace for 23 hours a day to try and prevent curve progression until he is at an age were surgery will have a better outcome. My question is this: To what extent will this restrictive brace further weaken his already poor postural muscles and when he no longer wears the brace will the spine collapse even faster due to muscular atrophy? I coud not find anything along these lines on pubmed, prehaps I was not using a good search string. Does anybody have any good ideas in the meantime for home exercises that can be used to maintain postural muscle activity in the brace with a not-so-cooperative 3 year old?
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Bracing in Scoliosis & muscle atrophy - 
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