Kyphosis non surgical therapy

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

Overview

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

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

  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.

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