Boston Othotics and Prosthetics

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

Upcoming Course Offering

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

Questions / Discussion