A recent study has gained media attention, suggesting that night-time bracing may be an effective way of treating adolescent idiopathic scoliosis (AIS). Naturally, this has given some parents hope that their child may not need to wear a brace full-time.
The hypothesis of the BASIS study is whether ‘corrective’ night bracing can prevent curve progression comparative to current NHS provision of full time bracing, whether it be Boston or more corrective designs. At Braced for Scoliosis, we believe that the more corrective 3D design of brace should be used on a full time basis during peak growth velocity, to not only prevent curve progression but also reduce the magnitude of the curve. Once the curve has reduced and the risk of progression reduces, we reduce the hours in-brace accordingly.
At Braced for Scoliosis we believe that it is really important to consider the current long-term evidence.
The Importance of Full-Time Bracing
Bracing remains one of the most effective, non-surgical interventions for managing scoliosis in growing children. However, its success relies not just on wearing a brace but on how long it is worn each day. Extensive research has shown that full-time bracing – typically 18-23 hours per day – provides the best chance of stabilising the spine and preventing curve progression. Studies have consistently demonstrated that longer brace wear leads to better outcomes and greater long-term spinal stability.
The Reality of Night Bracing
While night-time bracing may seem like an appealing alternative, there is no strong evidence to suggest it is as effective as full-time wear. Some recent studies show that night-time bracing can have some impact. However, this should not be mistaken as a replacement for full-time bracing, particularly for children and adolescents in their most critical growth stages.
A Cautious Approach to New Research
Full-time bracing remains the gold standard for AIS management. The long-term effectiveness of night-time bracing alone has not been proven, and experts in the field remain cautious about any recommendations that could potentially reduce treatment success.
Making the Best Choice for Scoliosis Treatment
While reducing brace wear may be an option for older adolescents nearing skeletal maturity, starting with night-time wear alone is unlikely to offer the same long-term benefits. As skeletal maturity approaches, part time and overnight bracing is a feasible approach. This would be considered the ‘brace weaning stage’ and is something that Sally and Debs manage carefully to ensure there is no late stage progression after brace wear.
Parents with concerns about bracing are encouraged to seek expert advice to ensure the best possible outcome for their child. Feel free to get in touch with us today, to discuss this more. You can also read our testimonials from parents with children who came to us for support with their AIS.