The patient was compliant with the bracing and rehabilitation program, and consistently used the shoe and heel lift. Out-of-brace x-rays, with the patient wearing their shoe and heel lift, taken one month after the brace fitting highlighted a dramatic reduction in the primary and secondary curves (Figure 4 – Left).
Out-of-brace plain films, without shoe and heel lifts, taken seven months after starting the bracing showed a maintenance of the correction. However, the patient reported that he had been less conscientious with the performance of the SEAS exercises and the use of the ScoliRoll in the period leading up to this review. It is important to note that the patient was still Risser 0, 7 months after the initiation of treatment.
The patient was counselled regarding the importance of the exercises and use of the ScoliRoll.
Attempts were made to renew the patient’s enthusiasm for the rehabilitation program, by modifying the exercises and making them more relevant to his martial arts training, and also checking in more frequently with the patient.
Out-of-brace x-rays taken 11 months after starting the treatment program demonstrated a correction of the patient’s curves to <10° Cobb with the patient wearing his heel/shoe lift (Figure 4 – Right).
The patient is currently still under care, however the most recent physical examination revealed that the patient’s posture was looking considerably more balanced and the angle of trunk rotation measured at 4° in the thoracic spine and 0° in the lumbar spine with the patient wearing their heel lift.