Comparisons of Intensive Care vs. Expanded Care
Intensive Care Scoliosis Treatment Option
Rapid results and curve reduction
Shorter time commitment to office treatment
Stabilization solely dependent on home rehab
Possible insurance restrictions
Less interruption and conflict with schedule
Scoliosis maintenance option available
Expanded Care Scoliosis Treatment Option
Gradual reduction of curvature
Longer time commitment to office treatment
Stabilization split between office and home rehab
Possible insurance limitations
Potential conflict with after school activities
Scoliosis maintenance option unnecessary
Home Scoliosis rehabilitation program questions and answers
Scoliosis is a progressive disease that is most active and aggressive during the adolescent years in which a child is experiencing periods of rapid growth, so it is imperative that an ongoing scoliosis rehabilitation program is consistently performed on a daily basis.
The single most important factor in the continued long-term success of scoliosis stabilization is a high compliance rate with the home rehab program. It needs to be recognized from the very beginning that the home scoliosis rehabilitation is a long-term commitment and must be continued to ensure stabilization of the scoliosis during the periods of rapid growth. The single greatest factors in compliance to a long-term home rehab program are a positive patient attitude towards the program and a low confusion rate. Keep it fun/rewarding and keep it simple. While the patient will need to dedicate a fair amount of time and effort into the initial scoliosis rehabilitation program during the curve reduction/correction phase of treatment, they can often maintain their spinal stability with relatively consistent time and effort once the curvature has been stabilized.
This is an example of a typical daily scoliosis rehabilitation treatment plan of a patient in the curve reduction/correction phase of treatment, followed by a weekly scoliosis stability routine.
Morning or immediately after school:
Wear spinal weights for 15-20 min and perform customized spinal exercise program: 25-30 min (total) in morning or after school
Evening before going to bed:
Wear spinal weights for 15-20 min and perform customized spinal exercise program
Spinal molding program in bed 15-20 min: 30-40 min (total) in evening
**Required usage of the scoliosis traction chair may add up to an additional hour of rehab time to daily schedule
Generally this routine is required for at least 4-6 months before scoliosis stability is achieved; At that point, the patient may only need to complete 3 spinal weight and spinal molding sessions per week to maintain their reduction/correction results.
1 Week Intensive Care Treatment Schedule (Sample)
Times may vary according to schedule availability. All “Rehab sessions” are conducted by the patient outside of the office according to the home rehab program prescribed by the doctor.
| Mon |
Tue |
Wed |
Thur |
Fri |
Sat |
Sun |
Consult & Exam
1st Treatment
|
Treatment
9am-Noon
|
Treatment
9am-Noon |
Treatment
9am-Noon |
Treatment
9am-Noon
|
Rehab Session
|
Rehab Session
|
Lunch
Rehab Session |
Lunch
Rehab Session |
Lunch
Rehab Session |
Lunch
Rehab Session |
Re-evaluation
Rehab Session |
Rehab Session |
Rehab Session |
Treatment
3:00-4:30pm
|
Treatment
3:00-4:30pm
|
Treatment
3:00-4:30pm
|
Treatment
3:00-4:30pm |
OFF
3:00-4:30pm
|
Rehab Session
|
Rehab Session
|
Rehab Session
|
Rehab Session |
Rehab Session
|
Rehab Session
|
Rehab Session |
Rehab Session
|
Rehab Session |
