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Boston Othotic and Prosthetics

The Boston 3D System in the Non-Operative Management of Idiopathic Scoliosis


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.


  • TBD - dependent on the schedule

Upcoming Course Offering


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