The Boston 3D System in the Non-Operative Management of Idiopathic Scoliosis
Purpose:
To ensure the clinical team is current with The Boston Brace System clinical guidelines and understand the role of all the members of the clinical team in the non-operative treatment of Adolescent Idiopathic Scoliosis.
Who should attend:
Orthotists, Technicians, Physical Therapists, Nurses, Physicians and Residents that treat patients with idiopathic scoliosis.
Presenters:
- TBD - dependent on the schedule
Program:
Chapter 1: Idiopathic Scoliosis: An Overview
- 1. Introduction (lecture)
- Introduce instructors and course participants
- The purpose of the course is outlined and methods described
- Benefits and criteria for becoming a Certified Boston Brace Scoliosis expert
- 2. Define Scoliosis and Pathomechanics of Progression (lecture)
- Define Scoliosis
- Differentiate congenital from infantile, juvenile and adolescent (early onset vs. late onset)
- Discuss the theories of progression
- SRS/SOSORT Guidelines – when to treat
- Indications/contraindications
- Evidence
- Update attendees on recent research showing the efficacy of bracing and the importance of compliance and the use of compliance monitors
Chapter 2: Patient Evaluation: Developing the Treatment Plan
- 3. Evaluating patients for the Boston Brace System (lecture/demonstration)
- Initial evaluation, flexibility and posture assessment
- Clinical manipulation of the trunk and body segment
- Measuring/scanning technique
- Educating and training the patient on proper body movement and posture
- Ordering the Boston Brace System - order form review (some sections may be after x-ray review)
- 4. X-Ray Analysis/Brace Design (lecture/interactive)
- Boston Brace blueprinting principles reviewed
- Center Sacral Line – its importance
- Brace biomechanics – purpose of each component
- Ordering the Boston Brace System – order form review
Chapter 3: Fitting and Follow Up: Implementing the Treatment Plan
- 5. Fitting the Boston Brace 3D
- Proper donning
- Trim line evaluation
- Patient balance
- Weaning in/adherence to the wear schedule (iButton)
- 6. Follow up: building a program
- Initial in-brace x-ray: interpreting and recording results
- Outcome report: Quality Assurance Program - becoming an expert
- Common adjustments to maximize correction/fit/ability to wear the orthosis
- Adherence report: interpreting/conversation with the patient
Chapter 4: Physical Therapy: Scoliosis Specific Exercises Program
- 7. Physical Therapy Program (lecture/interactive)
- Defining the role of the Therapist – building relationships
- Patient assessment – Therapist perspective
- Evaluating in brace balance, posture and spine alignment
- Educating and training the patient on prober in brace movement
- Evaluating in brace balance, posture and spine alignment
- Adherence report – interpreting/conversation with the patient