The patient was subsequently prescribed a customized, three-dimensional, rigid, thoracolumbosacral orthosis [TSLO] (ScoliBrace) [Figure 2] and scoliosis specific rehabilitation. Full-time (23 hours per day) brace wear was recommended, however, the patient was informed that they could wear the brace for as little as 20 hours per day provided they were participating in ballet, dance or netball on that day.
With regards to the rehabilitation component of the patient’s treatment program, the patient used the ScoliRoll orthotic device and performed exercises based on the Scientific Exercises Approach to Scoliosis (SEAS) principles.
The ScoliRoll was also incorporated in the rehabilitation program and the patient was instructed to lie on the device daily for up to 20 minutes, with the peak of the device positioned at the apex of the thoracolumbar curvature (Figure 2). The concept behind this placement is to encourage movement at and around the apex of the patient’s primary curve. The patient also performed basic exercises on the ScoliRoll.
The SEAS exercises were performed under guidance in the clinic twice per week for 3 weeks, then once per month after that point. The patient was also instructed to perform the rehabilitation exercises and use the ScoliRoll daily. The exercises were progressed, with more difficult variations added, as the patient made improvements in strength and endurance.