Dr. Walter Salubro Interviews Dr. Jeb McAviney, Scoliosis Expert, Lecturer, CEO of ScoliCare, and Founder of ScoliBrace
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Dr. Walter Salubro:
Now talk about your brace. ScoliBrace. What’s unique about it? How’s it different than traditional scoliosis braces? And what kind of results do you get? And I’ll put some pictures up as well as you talk about that.
Dr. Jeb McAviney:
Yup. So traditional scoliosis bracing is designed to stabilize the scoliosis. Scoliosis starts at 40 degrees. The goal with the traditional brace is that end when a scoliosis is 40 degrees. Not designed with correction in mind. You know, you have to, you have to improve the curve in the brace but you don’t actually get a better outcome at the end of it. When you think about bracing, you know, we think about now in orthodontics, you can use places to correct adults teeth, for example. So why shouldn’t we design a brace that has the function and the purpose actually improving the spine. And to do that, we need to follow corrective principles. Very similar principles to those that we use in corrective care chiropractic. Here, if you look at the one on the left, it’s more of a symmetrical tube. They took the concept of three point pressure within the brace where you try to essentially squeeze the spine to straighten it up. The one on the right, which is the ScoliBrace, you can see that it’s a three-dimensionally over-corrective brace. By that we mean, if we’ve got a curve, that’s the lumber curve on the left, we’re trying to push it to a lumber curve on the right. We’re trying to do that in three dimensions. We’re trying to straighten the spine up as much as possible but at the same time, allowing movement within the brace. And that’s another key difference. People are often worried about muscle weakness. Look at the big hole on the back of that brace. That allows the ribcage to move., allows the spinal muscles to continue to work. So in this type of brace when we take it off, our goal is not just to stop that 40 degree curve getting worse, our goal is actually to try and improve the spine.
Dr. Walter Salubro:
And how many hours a day are they wearing it? Can they go to work, to school with this? What’s their abilities while they’re, they’re functional abilities while using the brace?
Dr. Jeb McAviney:
Yeah, so we have to talk a different, about it differently for children versus adults for adults. For adults, typically in the adult degenerative spine, we’re trying to manage pain, we’re trying to manage function and we are trying to stabilize it. And therefore we don’t need such a high dose. It could be anywhere from four to six hours a day. You can wear to work. It’s better during the day. For adolescents, however, their spine is growing as we need a really high dose of treatment during growth. And therefore we recommend that they wear the brace 23 hours a day. We know that’s hard. We know that that’s a difficult thing. But the spine is growing, but there are some other things that can help. So, we also recommend the children participating in sport and we give them up to three hours, extra per day, to participate in sport. It allows the spine to, it allows the muscles to work, but also helps psychologically with compliance of the brace. So for children in general, you know, they end up wearing it about 18 to 20 hours a day. And for adults, depending on the severity of the case, around about six hours a day.
Dr. Walter Salubro:
Very cool. Awesome.
Read Related Articles:
Part 1 of 10 | What Is Scoliosis? (Dr. Walter Salubro Interviews Dr. Jeb McAviney)
Part 2 of 10 | Scoliosis 3D Deformity Explained | Dr. Walter Salubro Interviews Dr. Jeb McAviney
Part 3 of 10 | When & How To Screen For Scoliosis | Dr. Walter Salubro Interviews Dr. Jeb McAviney
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