What is the role of orthotic treatment

The role of orthotic treatment is two fold: (1) to help nonambulatory patients to sit with the use of a seating support, and (2) to attempt to control spinal deformity.

In most cases of neuromuscular scoliosis, a spinal orthosis will not prevent curve progression. However, orthotic treatment is valuable in slowing progression of spinal deformities until the onset of puberty and permits growth of the spine prior to definitive treatment with spinal instrumentation and fusion. Orthotic management is challenging in neuromuscular disorders because of poor muscle control, impaired sensation, pulmonary compromise, impaired gastrointestinal function, obesity, and difficulty with cooperating with brace wear.

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