Night-time bracing offers a solution to patients with smaller curves, who have difficulty with full-time bracing regimens or find brace wear psychologically burdensome. The subject of this case expressed reluctance to wear a brace. If a standard TLSO at a full-time schedule was prescribed in this case there may have been issues with compliance. A less burdensome, part-time, the solution, however, posed no problem for the patient.
Night-time bracing is thought to work via many of the same principles as the standard TLSO treatments but is over-corrective in nature and is designed to be worn in a recumbent position.
This style of brace is able to achieve significant in-brace corrections (as demonstrated by the significant over-correction observed in this case) and is most effective for small to moderate curves (10-25°).
Patient’s typically required longer treatment time with night-time bracing, so it is advised that night-time bracing be implemented when the patient is in their early teens and still skeletally immature (Risser 0-2).
The combining of scoliosis-specific rehabilitation with night-time bracing is not well studied, but the practice is common in full-time bracing programs and it therefore likely to confer similar benefits.