Evaluation of the efficiency of Boston brace on scoliotic curve control: A review of literature

The Journal of Spinal Cord Medicine, 2020 · DOI: 10.1080/10790268.2019.1578104 · Published: January 1, 2020

Orthopedics Spinal Disorders Rehabilitation

Simple Explanation

This review evaluates how well the Boston brace controls scoliosis, especially in the lower back area, based on existing research. The review found that most studies support the brace's ability to stop scoliosis from getting worse, particularly for curves between the middle of the back and the upper part of the lower back. The brace's effectiveness may be due to its strong structure and the way its straps are positioned to correct the spine.

Study Duration

Not specified

Participants

Not specified

Evidence Level

Review of literature

Key Findings

1
Bracing outcomes are more closely related to the initial severity of the scoliosis curve.
2
Although the brace provides satisfactory long-term results, the scoliotic curve may slightly increase after the brace is removed.
3
The Boston brace is most effective for curves with their apex at T9, T8, T7, and T6 vertebrae.

Research Summary

This study aimed to gather evidence on the Boston brace's effectiveness in managing scoliosis curve progression compared to other braces. The review included 18 papers focusing on the brace's efficiency, comparisons with other braces, quality of life, and finite element analysis. The studies suggest the Boston brace is more effective than other braces, potentially due to its structure and strap forces, particularly for curves in the lower thoracic and upper lumbar regions.

Practical Implications

Optimal Brace Usage

The Boston brace should be used for at least 18 hours per day to maximize its effectiveness in controlling scoliosis.

Curve Location Consideration

The Boston brace is most effective for scoliotic curves located between T6 and L2 vertebrae, especially in the lower thoracic area.

Personalized Brace Design

Finite element analysis can be used to improve the design of Boston braces by optimizing strap placement and force application.

Study Limitations

1
The quality of the papers based on the used scale is not high.
2
In most of the studies neither participants, nor staff were blinded regarding the type of brace used.
3
In most of the studies follow period after removal of brace was short

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