A Retrospective Study of 24 Adults Treated for Scoliosis Using the Spinecor Orthosis. Authors: Gary Deutchman, Marc Lamantia, Joseph Indelacato, Marianna Raykhman, Pazit Gez-Avgar The Scoliosis Care Foundation 1085 Park Ave, Suite 1E New York, NY

Purpose This is a retrospective study designed to identify if rehabilitation protocols can be used to effectively reduce Scoliotic deformities in the adult population.

Pilot study We currently have 150 plus adults in a much larger study Long term follow up is planned to determine if short term results are sustainable.

Population (n=24) Age ranged with the mean age of 45.0 Inclusion requirements included; Positive history of Adolescent Idiopathic Scoliosis Negative history for neurological disease or deformity which may include conditions which cause secondary scoliosis, i.e. movement disorders, brain injury, myo- neural junction disease, etc. Eight (8) of the twenty four (24) had prior history of brace wearing.

Bracing The Spinecor Orthosis was utilized. A universal “Extension” configuration used in all curvature patterns. Tensions were varied depending upon direction of convexity when one curvature was present. Mechanism of Action Truncal de-weighting Thoracic translation about the y-axis “Extension” happens in the frontal plane

Physiotherapy Home based respiratory exercises using the Corrective movement principle described by the Spinecor procedures. Individualized neurological rehabilitation was prescribed which may have included, Chiropractic adjustments Spinal Mobilization to facilitate corrective movement Electric muscle stimulation at 2500hz into the corrective posture

Initial TFollow-up T Thoracic Curvatures (n=20) Mean age of Mean Reduction 5.27 degrees Maximum Reduction 17 degrees or 12.2%

Lumbar (n=16) Mean age Mean Reduction (4.40 degrees) Maximum Reduction 5.9 degrees or 15.3 % Initial LFollow-up L

Thoracolumbar Curvatures (n=4) Mean Age 43.5 Mean Reduction 6.0 degrees Maximum reduction 8 degrees or 13.4 % Initial TLFollow-up TL

This study supports the theory scoliosis curvatures are worsened by failure of the supportive neuro-muscular system which involves the muscles and neurological activation centers of the brain, brainstem and cerebellum.

Implications in Treatment specific neuro-muscular rehabilitation procedures and supportive devices can improve the function of the postural supportive system in adults. The Variance of curvature magnitude in adults is a consequence of supportive tissue failure.

Pain Questionnaire after 1 year Self-Report Inventory from one to ten (1-10) 10 = unbearable pain 1 = no pain. An average of the pain scores improved from 8.1 to 3.8. Twenty four (24) out of twenty eight (28) participants either “Agreed” or “Strongly Agreed” they would recommend Spinecor for other adults. Sixteen (16) out of twenty two (28) either Agreed” or “Strongly Agreed” they were more confident in their appearence since wearing SpineCor. All total- twenty (20) out of twenty four (24) reported meaningful pain reduction.