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Kyphosis non surgical therapy

Introduction

Overview

Overview

Correct posture, and special braces such as the Milwaukee brace, is recommended to treat kyphosis.

Non surgical Therapy

Non surgical Therapy

Orthosis (brace)

Body braces showed benefit in a randomized controlled trial.[1]

The Milwaukee brace is one particular body brace that is often used to treat kyphosis in the US. Modern CAD / CAM braces are used in Europe to treat different types of kyphosis. These are much easier to wear and have better in-brace corrections than reported for the Milwaukee brace. Since there are different curve patterns (thoracic, thoracolumbar and lumbar) different types of braces are in use. The advantages / disadvantages of different braces are discussed in a recent review article.[2]

Modern brace for the treatment of a thoracic kyphosis. The brace is constructed using a CAD / CAM device. At this stage, this is the only CAD / CAM brace designed to treat a thoracic kyphosis. It is called kyphologic.[2]
Modern brace for the treatment of a lumbar / thoracolumbar kyphosis. The brace is constructed using a CAD / CAM device. At this stage this brace is the only CAD / CAM brace designed to treat a lumbar kyphosis and is called physio-logic brace. Restoration of the lumbar lordosis is the major aim.[2]

Specialized physical therapy

In Germany, a standard treatment for both Scheuermann’s disease and lumbar kyphosis is the Schroth method, a system of physical therapy for scoliosis and related spinal deformities.[3]. Correct poor posture and sleep on a firm bed. This correction may be helpful for patients with postural kyphosis.

References

References

  1. ↑ Pfeifer M, Begerow B, Minne HW (2004). “Effects of a new spinal orthosis on posture, trunk strength, and quality of life in women with postmenopausal osteoporosis: a randomized trial”. American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 83 (3): 177–86. doi:10.1097/01.PHM.0000113403.16617.93. PMID 15043351.
  2. ↑ 2.0 2.1 2.2 Weiss HR, Turnbull D. 2010. Kyphosis (Physical and technical rehabilitation of patients with Scheuermann’s disease and kyphosis). In: JH Stone, M Blouin, editors. International Encyclopedia of Rehabilitation. Available online: http://cirrie.buffalo.edu/encyclopedia/article.php?id=125&language=en
  3. ↑ Lehnert-Schroth, Christa (2007). Three-Dimensional Treatment for Scoliosis: A Physiotherapeutic Method for Deformities of the Spine. (Palo Alto, CA: The Martindale Press): 185-187 and passim.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]