The Influential Factors in Determining the Efficiency of Bracing in Controlling Scoliotic Curves: A Narrative Review of Literature

Mohammad Taghi Karimi

doi:10.18502/jost.v11i4.20285

Mohammad Taghi Karimi Professor, Department of Orthotics and Prosthetics, School of Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran

DOI: https://doi.org/10.18502/jost.v11i4.20285

Keywords: Braces; Scoliosis; Spine; Treatment Outcome

Abstract

Background: Various treatment approaches can be used for individuals with scoliosis deformity, with bracing playing a significant role. The aim of this review was to assess the effectiveness of bracing in controlling scoliotic curves based on studies published between 2018 and 2025.

Methods: A search was conducted in databases such as PubMed, Google Scholar, ISI Web of Knowledge, and Scopus using keywords like brace, orthosis, and scoliosis between 2018 and 2025. Papers were selected based on the research question of interest (effectiveness of bracing in preventing scoliotic curve progression).

Results: This narrative review highlighted the importance of certain parameters in predicting the outcomes of brace treatment. Factors such as Risser sign, initial Cobb angle, in-brace correction (IBC), curve type, vertebral rotation, brace wearing time, type of brace, and poor compliance all influence the effectiveness of bracing treatment.

Conclusion: It appears that the outcomes of bracing treatment in individuals with scoliosis can be predicted based on certain parameters. The findings of this review assist clinicians in determining the effectiveness of bracing in individuals with scoliosis.