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Thread: Does Bracing Work?

  1. #91
    Join Date
    Apr 2009
    Location
    Denmark
    Posts
    9
    Quote Originally Posted by concerned dad View Post
    The million dollar question: "Does Bracing Work?".

    I submit the clear answer is YES

    Now, I know that this is something that we've discussed on other threads here. I've been wrestling with this concept for a while.

    Here is the caveat: It all depends what is meant by the word "work".

    Dr. Dolan and the BrAIST team in Iowa have made a compeling case that we dont know if bracing works to reduce the incidence of surgery.

    What they have not done (or attempted to do) is to show that we dont know if bracing works to alter the natural history of AIS. That's because we do know that it indeed alters the natural history.

    A very knowlegable poster on this forum often says
    Surgery is the only proven option to reduce and stabilize curves permanently.

    That assertion has always bothered me. The whole "permanent" thing bothers me because the "surgical Revision" thread on this forum is so large. What also bothers me is the "end point" used in the statement: "reduce and stabilize".

    The very recent Danielson paper that looked at the Swedish patients involved with the 1995 SRS bracing study makes the following conclusion:

    We therefore think that the basic findings, that well-performed brace treatment can stop curve progression and that observation will allow some curves to progress until treatment is needed, are still valid.

    There are loads of other papers that show bracing alters the natural history. The BrAIST study is designed to see if it alters the ultimate need for surgery.

    Surgery, that is what Dr Dolan says we should worry about. I dont know, it seems we should worry about both curve stabilization (and reduction for the case of the SpineCor) and surgery.

    Now, we can argue the difference between "thinking" something and "knowing" something. We can discuss the merits of the papers. We can discuss the ethics of the research. But, it seems pretty clear that bracing does indeed work so far as stabilizing curves when compared to observation. If Dr. Dolan had done her systematic review using that criteria the results would have been dramatic.

    Just my opinion and subject to change.
    Hi.

    This is probably the hardest question to deal with when you have scoliosis or are the family of a scoliosis patient.
    We have thought it through A LOT of times, but we ended up deciding that we wanted to give the brace a chance because we couldn't live with the thought that we could make things worse if we didn't choose the brace.

    Now I've worn a Boston brace for over a year and we just got new pictures, which said that the degrees was getting worse, despite the fact that I've worn the brace as much as I should. That really makes things difficult, because it's much harder to live with something like that, when you doesn't believe in the effect of it.

    But who knows - maybe it would have been worse if I hadn't worn the brace at all? Like you said - it depends on what you mean about the "work". And it also depends on so many other things, that it's hard to see what is working and what isn't.

    Just a little contribution and a bit complaining, too
    - Dina

    14-year-old girl from Denmark
    Scoliosis with 3 curves (have known since i was about 9)
    Have worn a Boston brace since 2008

    "Never let the fear of striking out keep you from playing the game"
    - a great quote to show that we can't let our backs and braces hold us from doing what we want! :'D

  2. #92
    Join Date
    Feb 2009
    Posts
    34

    Cool It Works!

    The brace does not fix the spine completely. but there is a dramatic difference. i know because I'm a 9 year old girl who wears a brace. I had a x-ray with it on and my curve was definitly straighter.

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