Study Shows Boston Brace for Scoliosis Can Be Prevented

Key Highlights

Here are the key takeaways from our discussion on scoliosis treatment:

• A recent clinical study shows that wearing the ScoliSMART Activity Suit can prevent the need for a Boston Brace in patients with adolescent idiopathic scoliosis.
• The study found a 91.7% success rate in halting or reversing curve progression for patients who were candidates for traditional scoliosis bracing.
• Unlike a Boston Brace, which requires 18-23 hours of daily wear, the ScoliSMART Activity Suit is typically worn for just two hours a day during activities.
• The ScoliSMART Activity Suit works by retraining muscles and pushing the spine into a corrected position, rather than squeezing it like traditional braces.
• This innovative scoliosis treatment offers a less restrictive and more proactive approach compared to the “watch and wait” method often used with a Boston Brace.
• The ScoliSMART Activity Suit is available for purchase online and can be shipped worldwide, making it an accessible option for many families.

Introduction

Receiving a scoliosis diagnosis for your child can feel overwhelming. You are suddenly faced with many questions about treatment, with traditional scoliosis bracing, like the Boston Brace, often presented as the primary solution. This approach typically involves long hours of wear and the primary goal of stopping curve progression, not necessarily correcting it. But what if there was another way? New research is highlighting a powerful alternative that can help your child avoid the need for a rigid brace altogether. This article will explore a groundbreaking study on the ScoliSMART Activity Suit, a modern treatment that offers a more active and less restrictive path to managing scoliosis, giving you new hope and more control over your child’s spinal health.

Understanding Scoliosis and Its Treatment Options

Scoliosis is a condition that involves an abnormal curvature of the spine. While there are several types of scoliosis, the most common is idiopathic scoliosis, which means it has no single, known cause. Understanding this condition is the first step toward exploring the different treatment options available to support your child’s health and well-being.

Deciding on a scoliosis treatment path can be a significant choice for any family. The good news is that there are more choices than ever before, ranging from traditional methods to innovative, non-invasive therapies. We will look into what scoliosis is, the common management strategies, and when bracing is typically recommended.

What Is Scoliosis?

At its core, scoliosis is characterized by a sideways spinal curve. However, it’s more complex than a simple bend. Scoliosis is a 3-dimensional condition, meaning the spine doesn’t just curve to the side; it also twists or rotates. For a diagnosis to be confirmed, this spinal curve must meet a certain size, measured by what is known as the Cobb angle.

The vast majority of cases, about 80 percent, are classified as idiopathic scoliosis. This means the condition is not linked to a single, clear cause. It is thought to result from a combination of factors. The most common form is adolescent idiopathic scoliosis (AIS), which is diagnosed in children and teens between the ages of 10 and 18. Other, less common types of scoliosis include congenital, neuromuscular, and degenerative scoliosis, which are associated with known causes.

Understanding the specific type of scoliosis and the nature of the scoliosis curve is essential because it guides the treatment approach. Since scoliosis is progressive, meaning the curve can worsen over time, proactive management is key to achieving the best possible outcome and maintaining the spine’s long-term health and function.

Common Approaches to Scoliosis Management

When managing scoliosis, there are two primary paths: a traditional approach and a more modern, conservative one. The traditional route often begins with observation, or a “watch and wait” strategy, for mild curves. If the curve progresses, scoliosis bracing is typically the next step.

For more severe cases, or if brace treatment fails to stop the curve from worsening, scoliosis surgery may be recommended. This approach focuses mainly on preventing progression rather than actively correcting the spine. In contrast, modern conservative approaches aim to proactively reduce the curve and improve spinal function without surgery. These methods often combine several techniques for a comprehensive treatment plan.

Some of the most common treatment options include:

• Physical Therapy: A specific exercise program designed to strengthen core muscles, improve posture, and increase flexibility.
• Scoliosis Bracing: Using devices like the Boston Brace to apply external pressure to the spine to halt curve progression.
• ScoliSMART Programs: These include innovative options like the ScoliSMART Activity Suit and Scoliosis Boot Camp, which focus on neuromuscular retraining.
• Scoliosis Surgery: An invasive procedure, like spinal fusion surgery, typically reserved for severe curves that continue to progress.

When Is Bracing Recommended for Scoliosis?

Scoliosis bracing is typically recommended when a child’s spinal curve is progressing and they are still growing. A doctor will consider a brace, such as the Boston brace, when the Cobb angle measures between 25 and 40 degrees. The main goal of this intervention is to stop the progression of scoliosis and, ideally, avoid the need for surgery.

The decision to recommend bracing is based on several key factors. The patient’s age and stage of growth are critical. Bracing is most effective for patients who have not yet reached skeletal maturity, as their spines are still developing. For adolescents with idiopathic scoliosis, this often coincides with the pubertal growth spurt, a time when curves are most likely to worsen rapidly.

Ultimately, a candidate for using a Boston brace is typically a growing adolescent with a moderate scoliotic curve that shows signs of getting worse. Your doctor will evaluate X-rays, assess the curve’s location and severity, and consider your child’s growth potential to determine if this brace treatment is the appropriate course of action.

Study Overview: Preventing the Need for a Boston Brace

What if you could choose a treatment that not only aims to stop curve progression but does so in a way that fits into your child’s active life? A recent study published in the Journal of Chiropractic Medicine explored this very possibility. It focused on the effectiveness of the ScoliSMART Activity Suit as an alternative for adolescents who would typically be prescribed a Boston Brace.

This research offers exciting insights into a modern treatment of scoliosis. It suggests that for many, the restrictive, full-time wear of a traditional brace may not be the only option. The study’s findings highlight the potential of early and proactive intervention with the ScoliSMART Activity Suit to manage scoliosis effectively.

Research Summary and Major Findings

The study, titled “Effectiveness of a Scoliosis Activity Suit on Moderate Adolescent Idiopathic Scoliosis (AIS) Curve Progression,” was a retrospective case series. It looked at 24 patients with moderate scoliosis (Cobb angles between 25° and 40°) who were at high risk for curve progression and candidates for bracing. Instead of a traditional brace, they used the ScoliSMART Activity Suit as their primary scoliosis treatment.

The results were remarkable. The researchers tracked changes in the patients’ Cobb angles over a minimum of six months and found that the suit was highly effective at preventing progression. The major findings included:

• An overwhelming 91.7% of patients successfully halted or reversed their curve progression (defined as a change of 5° or less).
• Only two patients (8.3%) saw their curves progress by more than 5°.
• The average change in Cobb angle across the group was a reduction of -0.8°.
• No patients progressed to the surgical threshold of 50°.

These results are significant when compared to historical data on other treatments. Observation alone often results in 68% of patients experiencing progression, while rigid bracing, like the Boston brace, has a reported success rate of around 74%. In this study, the ScoliSMART Activity Suit demonstrated superior results in a less restrictive manner, suggesting it is a powerful tool for achieving the best results in scoliosis care.

Importance of Early Intervention in Scoliosis Care

When it comes to scoliosis, timing is everything. Early intervention is one of the most critical factors in successfully managing the condition and preventing the progression of the curve. The smaller and more flexible a curve is, the easier it is to treat. Waiting to see if a curve worsens can mean missing a valuable window for effective, non-invasive treatment.

The biggest trigger for scoliosis progression is growth. During periods of rapid growth, such as the adolescent growth spurt, a mild curve can quickly become moderate or severe. This is why a “watch and wait” approach can be risky. By the time a curve has progressed significantly, treatment options may become more limited and invasive. A proactive approach aims to stay ahead of the curve’s natural tendency to worsen.

Starting a treatment plan as soon as possible after diagnosis allows you to address the underlying issues while the spine is still adaptable. This not only increases the chances of halting progression but also of achieving corrective results. Early action empowers you and your child to take control of the condition, preserving spinal health and function for the long term.

The clinical study evaluated the ScoliSMART Activity Suit as a indirect alternative to traditional scoliosis bracing. The researchers specifically selected a group of adolescents who met the standard criteria for brace treatment. These were patients with moderate curves and a high risk of curve progression, who would normally have been prescribed a device like the Boston brace.

Instead of fitting them with a rigid brace, the treatment plan involved using the ScoliSMART Activity Suit. The study’s goal was to see if this less restrictive, activity-based approach could be as effective—or even more effective—at managing the progression of their scoliosis. The patients’ progress was monitored with X-rays to measure any changes in their Cobb angle over time, providing clear data on the suit’s performance.

This research directly answers the question of whether there are effective alternative treatments to the Boston brace. The study’s findings provide strong evidence that the ScoliSMART Activity Suit is a viable and highly successful option. By demonstrating a 91.7% success rate in preventing progression, the suit proved itself as a powerful tool for patients and families seeking an alternative to the challenges of full-time bracing.

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The ScoliSMART Activity Suit: Features and Benefits

The ScoliSMART Activity Suit is a revolutionary piece of wearable technology designed to offer a new approach to scoliosis treatment. It is not a brace but a dynamic suit that encourages the body to correct itself. It works by using the principles of neuromuscular retraining to help your brain and muscles work together to realign the spine and reduce the scoliosis curve.

This suit is designed to be worn during physical therapy or other daily activities, turning movement into treatment. Instead of passively holding the spine in place, it actively engages the body’s systems to create lasting change. Let’s explore how this innovative suit supports spinal health and why its unique approach is changing the way we think about managing scoliosis.

How the ScoliSMART Activity Suit Supports Spinal Health

The ScoliSMART Activity Suit supports spinal health by fundamentally changing how the brain communicates with the muscles that control the spine. Unlike a rigid brace that squeezes the torso, the suit uses a gentle, consistent resistance to guide the body into a more corrected posture. This process is known as neuromuscular retraining.

The suit is designed to stimulate the muscles on the convex, or outer, side of the spinal curve. By creating this stimulation, it helps “wake up” underactive muscles and retrains the brain to automatically hold a straighter posture. It essentially turns every movement into a therapeutic exercise, helping to build new muscle memory that supports a healthier spinal alignment. This makes it a perfect complement to a specific exercise program.

Key ways the ScoliSMART Activity Suit helps include:

• Active Correction: It pushes, rather than squeezes, the spine into a more ideal position.
• Neuromuscular Retraining: It creates new, healthier communication pathways between the brain and spine.
• Muscle Activation: It strengthens the specific muscles needed to support a corrected posture.
• Improved Balance: It helps retrain the body’s automatic balance reactions, which are often affected by scoliosis.

By addressing the root of the problem—the miscommunication between the brain and spine—the suit promotes lasting spinal health.

Just 2 Hours Daily—A Game Changing Approach

One of the most significant differences between the ScoliSMART Activity Suit and traditional scoliosis bracing is the wear time. A common question parents ask is, “How many hours a day do you have to wear a Boston brace for scoliosis?” The answer is typically between 18 and 23 hours. This full-time commitment can dramatically impact a child’s daily life, comfort, and self-esteem.

The ScoliSMART Activity Suit offers a game-changing alternative. Instead of near-constant wear, this suit is designed to be worn for only about two hours per day. This is a much more manageable recommended number of hours. The best part is that it is worn during daily activities, exercise, or physical therapy sessions. This allows your child to be active and engaged while receiving treatment, rather than feeling restricted.

This approach transforms treatment from a passive, restrictive experience into an active, empowering one. For just a couple of hours a day, your child can continue with their favorite activities while the suit works to retrain their body. This makes compliance much easier and integrates seamlessly into a busy family schedule, offering a more positive and effective path to managing scoliosis.

Comparing ScoliSMART Suit to Traditional Braces

When you compare the ScoliSMART Activity Suit to traditional braces like the Boston brace, the differences in philosophy and function become very clear. Traditional bracing is designed to hold the spine in place to prevent the curve from getting worse. Modern braces and suits, however, often aim for active correction.

The Boston brace, one of the most common types of braces, uses a three-point pressure system to squeeze the spine. While it can be effective at halting progression for some, this squeezing mechanism can also lead to muscle weakening and discomfort. In contrast, the ScoliSMART Activity Suit pushes the spine into a corrected position and retrains muscles, addressing the condition’s root cause. This fundamental difference in approach leads to very different user experiences and outcomes.

Let’s look at a side-by-side comparison.

Feature	ScoliSMART Activity Suit	Boston Brace (Traditional)
Primary Goal	Correction and stabilization	Halting progression
Mechanism	Pushes spine into a corrective position, retrains muscles	Squeezes the spine with a 3-point pressure system
Wear Time	~2 hours daily, during activity	18-23 hours daily
Customization	Highly customized using 3D body scans	Mass-produced with some adjustments
Comfort & Mobility	Designed for movement, worn during activities	Bulky, rigid, and restrictive
Effect on Muscles	Strengthens spinal support muscles	Can lead to muscle atrophy or weakening

This comparison highlights how modern approaches provide a more dynamic and patient-friendly alternative to traditional scoliosis braces.

Accessing the ScoliSMART Activity Suit Online and Worldwide

One of the great advantages of the ScoliSMART Activity Suit is its accessibility. You don’t have to live near a specific clinic to get this innovative treatment. The suit is available for purchase online, making it one of the most convenient treatment options for families across the United States and around the globe.

This worldwide availability ensures that your location doesn’t have to be a barrier to accessing advanced scoliosis care. Whether you are in New York, California, or another country entirely, you can order the ScoliSMART Activity Suit and have it delivered to your home. The next sections will guide you on how to order it and use it effectively.

How to Order the ScoliSMART Activity Suit

Ordering the ScoliSMART Activity Suit is a straightforward process designed to ensure you get a product customized to your child’s specific needs. The first step is to visit the official website, where you can find detailed information and begin the ordering process. The suit is not a one-size-fits-all solution; it is part of a comprehensive treatment plan.

The process is designed to be done from the comfort of your home, eliminating the need for multiple trips to a specialist’s office. You will be guided through each step to ensure the suit is tailored perfectly for maximum effectiveness. The ScoliSMART team provides support to help you with measurements and any questions you may have.

Here’s a general overview of the steps involved:

• Visit the Website: Go to https://thescoliosisdoctor.com/scolismart/ to start.
• Provide Information: You will need to submit your child’s recent X-rays and postural photos.
• Take Measurements: You will be guided on how to take precise measurements at home to ensure a custom fit.
• Receive Your Suit: The custom-made ScoliSMART Activity Suit will be shipped directly to you.

This process makes it a much more accessible alternative to traditional scoliosis bracing, which often requires numerous in-person fitting appointments.

Availability Across the United States and Internationally

The widespread availability of the ScoliSMART Activity Suit is a major benefit for families seeking advanced scoliosis treatment. No matter where you live, you can access this innovative therapy. The suit is available to order online and can be shipped to all 50 states within the United States, from major cities to rural areas.

This reach extends far beyond domestic borders. International shipping is also available, making the ScoliSMART Activity Suit a global solution for scoliosis management. Families in Europe, Asia, Australia, and many other parts of the world can take advantage of this treatment without having to travel to the United States. This level of accessibility is a significant step forward in making modern, non-invasive care available to everyone.

This global availability ensures that geographical location is not a limiting factor in your child’s treatment journey. By providing a convenient, direct-to-consumer model, ScoliSMART empowers parents everywhere to choose a proactive and effective treatment path for their child’s scoliosis.

Guidance on Using the ScoliSMART Activity Suit Effectively

To get the best results from the ScoliSMART Activity Suit, it’s important to see it as one part of a comprehensive scoliosis treatment plan. While the suit itself is powerful, its effectiveness is amplified when used in conjunction with other proactive therapies. Simply wearing the suit is not enough; it needs to be integrated into an active lifestyle.

The suit is designed to be worn during movement. This can include a specific physical therapy routine, exercises from a program like the ScoliSMART Scoliosis Boot Camp, or even daily activities like walking, playing sports, or doing chores. The goal is to use the suit to retrain the brain and muscles while the body is in motion, which is when the neuromuscular learning is most effective.

You will receive guidance on how to best incorporate the suit into your child’s routine. Following the recommended wear time and activity level is key. Working with a ScoliSMART doctor or a knowledgeable therapist can help you create a customized plan that maximizes the suit’s benefits, offering a more holistic and successful alternative to traditional scoliosis bracing.

INTERVIEW: Meet the mother who chose a proactive scoliosis treatment approach.

The Boston Brace: Purpose and Application

The Boston brace is one of the most well-known and commonly prescribed types of braces for scoliosis. Developed in the 1970s, the Boston brace original is a rigid, plastic brace, also known as a thoraco-lumbo-sacral orthosis (TLSO). Its primary purpose is not to correct the curve but to prevent it from getting worse during a child’s growth years.

This type of brace works by applying external pressure to the spine. It is custom-molded to the patient’s torso but is based on a prefabricated design. Understanding how the Boston brace works, who it is for, and its benefits and challenges is important when comparing it to other treatment options.

The Boston brace operates on a principle known as the three-point pressure system. The design of the brace incorporates strategically placed pads that apply pressure to specific points on the torso. This pressure is intended to push against the apex of the scoliotic curve, while two counter-pressure points provide stability. The goal is to hold the spine in a straighter alignment to prevent the curve from progressing further.

This Boston orthosis is a type of TLSO, meaning it covers the thoracic spine (mid-back), lumbar spine (low-back), and sacrum (pelvis). It is made of rigid plastic and wraps under the arms, extending down over the rib cage and hips. It opens and closes in the back, requiring assistance to put on and take off correctly.

While this squeezing pressure can be effective at halting progression in some patients, it is a passive approach. The brace does not actively retrain muscles or address the rotational component of scoliosis. Instead, it acts as an external support, which can sometimes lead to the weakening of core muscles over time due to reliance on the brace for stability.

Who Typically Needs a Boston Brace?

The typical candidate for a Boston brace is a child or adolescent who is still growing and has been diagnosed with moderate idiopathic scoliosis. This usually means their spinal curve, or Cobb angle, measures between 25 and 40 degrees. The brace is most effective during periods of growth, as its main function is to prevent the curve from worsening as the child gets taller.

A key factor in the decision is the patient’s age and skeletal maturity. Doctors will often use the Risser sign, a measure of skeletal growth, to determine how much growth a child has remaining. The Boston brace is most commonly prescribed for patients with adolescent idiopathic scoliosis who have significant growth left, as this is when the risk of progression is highest.

In summary, a patient who needs a Boston brace is generally an adolescent with a flexible, moderate curve that shows signs of progression. It is less effective for very rigid curves or for patients who have already completed their growth. The specific type of scoliosis is also a consideration, with the Boston brace being primarily used for idiopathic curves in the thoracic or lumbar spine.

Key Benefits and Challenges of the Boston Brace

The Boston brace has been a standard of care for decades, and it offers some clear benefits. As the most researched brace in the world, its ability to halt curve progression in many patients is well-documented. Its widespread availability in the United States makes it an accessible brace treatment option for many families.

However, brace wear also comes with significant challenges that can impact a child’s quality of life. The rigid, bulky design and long wear-time requirements often lead to issues with comfort, body image, and compliance. Many children and teens find it difficult to wear the brace as prescribed, which can limit its effectiveness.

Here are some of the key benefits and drawbacks of the Boston brace:

• Benefit: It is widely studied and has a proven track record of stopping curve progression in a significant number of patients.
• Benefit: As a common orthotic, it is readily available through most orthopedic centers.
• Drawback: The required 18-23 hours of daily wear can be physically and emotionally challenging, affecting sleep, activities, and self-esteem.
• Drawback: The squeezing pressure can cause skin irritation, breathing restrictions, and weakening of the core muscles over time.

These factors should be carefully weighed when considering the Boston brace as a treatment option.

Fitting and Usage Guidelines for the Boston Brace

For a Boston brace to be effective, it must be fitted and worn correctly. The process involves creating a brace that fits the patient’s body snugly to apply the right amount of pressure in the right places. Even though the Boston brace original is based on a prefabricated model, it still requires customization to match the individual’s curve.

Proper usage is just as important as a good fit. This involves adhering to the prescribed wear-time schedule and caring for both the brace and the skin underneath it. Regular follow-ups with a healthcare team are essential to monitor progress and make adjustments as the child grows. The following sections will detail the fitting process, daily routines, and the professional support required for this brace treatment.

The Process of Custom Fitting a Boston Brace

The process of fitting a Boston brace begins with a thorough evaluation by an orthotist, a specialist in designing and fitting braces. While the Boston brace is mass-produced in various sizes, it requires a custom fit to be effective for a patient’s unique spinal curve. This process ensures the pads inside the brace apply pressure to the correct areas.

To achieve this custom fit, the orthotist will take precise measurements of the patient’s torso. In the past, this was done by making a plaster cast of the body, but today, digital scanning technology is often used to create a 3D model. This model is then used to modify a prefabricated brace shell or create a custom one from scratch.

The key steps in the fitting process include:

• Measurements and Imaging: The orthotist uses X-rays and physical measurements or a 3D scan to map the patient’s curve.
• Brace Fabrication: A brace is selected or molded from durable plastic, and pressure pads are strategically placed inside.
• Final Fitting and Adjustments: The patient tries on the brace, and the orthotist makes adjustments to ensure it fits snugly and comfortably while applying the necessary corrective forces. The goal is a brace that fits well without causing excessive pain or breathing trouble.

This process is often handled by specialized clinics like Boston Orthotics & Prosthetics.

Daily Routine and Wear-Time Requirements

Life with a Boston brace involves a significant adjustment to a child’s daily routine. The recommended number of hours for brace wear is typically between 18 and 23 hours a day. This means the brace is worn both during the day and at night while sleeping. It is usually only removed for bathing, swimming, or participating in certain sports.

The daily routine for someone wearing a Boston brace requires discipline. A snug cotton t-shirt is always worn underneath the brace to protect the skin from irritation. Putting on the brace often requires help, as it fastens in the back. Throughout the day, managing comfort can be a challenge, especially in warm weather or during physical activity. Many patients initially struggle with the restrictive feeling, but most adapt over a few weeks.

Patients typically need to wear the Boston brace until they have finished growing, which can be for several years. The duration of treatment depends on the patient’s age at diagnosis and their rate of skeletal maturation. Consistent brace wear is crucial during this time to achieve the goal of halting curve progression.

Support and Monitoring from Health Professionals

Successful brace treatment requires a strong support system and regular monitoring from a team of health professionals. This team often includes an orthopedic surgeon, an orthotist, and sometimes a physical therapist. Regular follow-up appointments, typically every 4-6 months, are scheduled to check the brace fits and monitor the curve’s progression with new X-rays.

Parents play a vital role in this process. One of the most important things for parents to know is that their emotional support and encouragement are key to their child’s success. Helping your child stick to the wear schedule, listening to their concerns about comfort and body image, and celebrating small victories can make a huge difference. It’s also important to watch for skin issues like redness or sores under the brace and report them to the orthotist.

In addition to the primary medical team, some families seek complementary care, such as chiropractic care or specific physical therapy, to help maintain muscle strength and flexibility. Institutions like Boston Children’s Hospital, where the brace originated, offer comprehensive support programs for patients and families navigating the challenges of brace wear. This ongoing support and monitoring ensure the treatment is as effective as possible.

Conclusion

In summary, the recent study highlights that dedicating just two hours daily to wearing the ScoliSMART Activity Suit can significantly reduce the need for a Boston Brace in scoliosis treatment. This innovative approach emphasizes the importance of early intervention and consistent use to support spinal health effectively. By incorporating the ScoliSMART Activity Suit into your routine, you not only promote better posture and alignment but also empower yourself with a proactive strategy against scoliosis progression. Available online and worldwide at The Scoliosis Doctor, the ScoliSMART Activity Suit offers a game-changing alternative to traditional bracing methods. Take the first step towards a healthier spine today!

Frequently Asked Questions

Can wearing the ScoliSMART Activity Suit really prevent the need for a Boston brace?

Yes, a recent clinical study has shown it can. The research followed adolescents with moderate scoliosis who were candidates for a Boston brace. Instead, they used the ScoliSMART Activity Suit. The results were excellent, with 91.7% of patients successfully stopping their curve progression. This demonstrates that the suit is a powerful and viable scoliosis treatment for preventing the need for traditional, rigid bracing in many cases.

Is the ScoliSMART Activity Suit suitable for all scoliosis curve types?

The ScoliSMART Activity Suit is primarily designed for patients with adolescent idiopathic scoliosis and moderate curves, typically between 25 and 40 degrees. While it is a versatile alternative to many types of braces, its suitability for a specific scoliosis curve depends on individual factors. A consultation with a ScoliSMART doctor is the best way to determine if the suit is the right choice for your child’s unique condition and to prevent curve progression.

Where can parents find medical guidance about using the ScoliSMART Activity Suit?

Parents can find expert medical guidance by visiting https://thescoliosisdoctor.com/. The website provides extensive information about the ScoliSMART Activity Suit and its role in a comprehensive treatment plan. For personalized advice, you can schedule a consultation with a certified ScoliSMART doctor. They can evaluate your child’s specific needs based on their scoliosis curve and patient’s age to create an effective plan, which may also include programs like the Scoliosis Boot Camp.