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Can scoliosis get worse

while you are waiting for a brace?

It may happen that between the prescription of a brace and its actual application, some time can elapse, may this be due to bureaucratic issues, issues linked to the orthopaedic shop or simply to personal reasons.

Considering that a brace is prescribed precisely to prevent scoliosis from getting any worse, it is legitimate to wonder what happens while you wait for it to be delivered. Could your scoliosis get worse?

Well, there's really only one way to find out, which is to have another X-ray taken just before starting to wear your brace.
At ISICO, 
our doctors always ask for a new X-ray whenever, for whatever reason, 3-4 months or more elapse between prescribing and fitting a brace. From these X-rays, we have seen that in some patients the condition remains...

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Ana Lúcia Gomes shares his experience

In each number of our newsletter, we present the experiences on how scoliosis is treated worldwide through an interview with one of our Online Master course participants. They are fellow doctors, physiotherapists, and orthopaedic technicians coming from all over the world.

This month's interview, is with dr. Ana Lúcia Gomes, Physical Medicine and Rehabilitation Specialist Doctor from Spain.

"I have just finished the medical internship in Physical and Rehabilitation Medicine speciality and I am starting my professional activity in this area, which is proving to be a surprise and a challenge..."

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Our green June:
all the initiatives carried out!

In June, as usual, Isico dressed in green and spread the knowledge of scoliosis as much as possible, what can be done in everyday life by wearing the brace and offering useful information to patients.
Furthermore, our scientific director, Prof Stefano Negrini, had provided a lecture on "Adolescent Idiopathic Scoliosis - State of the Art" at the 2nd Brazilian Scoliosis Congress, while Michele Romano prepared a video presenting the Isico's booklets dedicated to scoliosis which has been displayed during an initiative organised by Tratando Escoliose/Brazil, who realized together with the Associaçăo Brasileira de Tratamento da Escoliose (ABTE), the first Scoliosis Event exclusively for patients and families.
Here's how we coloured this special month green, find out with us what you missed: 

  • The "Tin Man" tale
  • Michele Romano's video
  • The best of Concorsetto
  • Screening

After Denver, SEAS will return to Serbia and Turkey

"The course was AMAZING!!! I really appreciate the structure and flow. SEAS has made a very complicated spinal dysfunction easier to understand. All the research really validates how we should be treating our patients. I am so grateful for your generosity in sharing your knowledge with the rest of the world. Alessandra is a master instructor, and I would be honoured to take another one of her classes!".

This is the comment of a participant in the SEAS course in Denver/Colorado at the beginning of June, our physiotherapist Alessandra Negrini, returned to the USA after a two-year break due to the Covid pandemic.

The next appointments? July will be an intense month that will see Michele Romano, director of physiotherapy at Isico, engaged from 16 to 21 July in Novi Sad, Serbia, with two SEAS I courses, and then move to Ankara in Turkey from 26 to 31 July.
We also remind you that the online courses in Brazil resume from 27 to 29 June, to continue 8 to 10 July.

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Alessia's story: a champion who dances

Alessia has dancing in her heart. For years she has been treated with a back brace and exercises due to a challenging scoliotic curve and her path has always been a struggling uphill ride, during which she never lost sight of her passion, dancing!
She never stopped dancing, even wearing her brace and never gave up until recently she won the title of 5th Italian champion in the Modern/Contemporary dance category at the 2022 Italian championship.

Here are the words she wanted to share.
"My name is Alessia Mancini and I am a dancer. At the age of 6, I was diagnosed with very important scoliosis: my curve was greater than 40 °. At the age of 11, I came to Isico...

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ISPRM 2022: Prof Stefano Negrini

one of the speakers

Isico will be present at the ISPRM Congress taking place from 3 to 7 July in Lisbon. For the first time, the International Society of Physical and Rehabilitation Medicine (ISPRM), The European Society of Physical and Rehabilitation Medicine (ESPRM), and the Portuguese Society of Physical and Rehabilitation Medicine (SPMFR) will be united in one event, so the 2022 congress will be the largest PRM congress in the world.
Professor Stefano Negrini, scientific director of Isico, will present on Monday 4th July  "The weight of the evidence: RCTs and other types of studies in PMR" and on Tuesday 5 July two reports; "A Rehabilitation Definition for research purposes" and "Last results on rehabilitation for idiopathic scoliosis: exercises and shared decision making for adolescents, and braces for infants".
Please visit the site of the event for more info or to register to the congress: https://isprm2022.com/index.php/registration

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Isico Milan Headquarter: a Chinese visitor

We had a pleasant visit in June from Mr. Carpenter Yu, president of Guangzhou Bicom Kinetic Medicine Co., Ltd. (Bicom) at our Milan headquarter.
Bicom, founded in 2003, is one of the pioneering companies in bringing physiotherapy courses from Europe and the USA to China, consistent with their concept of promoting an evidence-based approach.
We have already planned to return to China to perform a SEAS course with Bicom in December.

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Isico Pills: a video about whiplash

Isico offers on the YouTube Channel a video format designed for expert professionals, namely, doctors and therapists.

Watch the short video about Whiplash given by Micaela Pluchino, PT available with English subtitles and share it with #isicopills on social media.

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Sagittal balance: a video- commentary of the study

Dr Fabio Zaina, author of the just published study Sagittal Balance in Children: Reference Values of the Sacral Slope for the Roussouly Classification and of the Pelvic Incidence for a New, Age-Specific Classification, highlights in a video-commentary that in children, we need to use new thresholds for the Roussouly types.
The new classification based on PI is correlated with the Roussouly classification, but it is also clearly different...

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Brace: a drawing on the cyberbullism

The brace accompanied Valentina for five long years: due to a scoliotic curve that in the worst period exceeded 60°; a type of scoliosis difficult to be contained but faced with great determination thanks also to the support of a wonderful family.
From the parents to her sister, Sofia who a few months ago wanted to somehow tell about Valentina's courage, participating in a school project that asked for a drawing on cyberbullying...

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Skiing, playing a musical instrument, dancing or even jumping in the air - is it possible when wearing a brace? Yes, it is; the hundreds of patients who participated during the past 10 years in our Concorsetto, the national ISICO competition dedicated to brace wearers, proved it.
The videos and images of these kids are the best encouragement for those preparing to follow a demanding therapy such as that for scoliosis, and who are living the fear of not being able to practice a sport or play an instrument.
For our monthly appointment on our Youtube channel find out all you can do like Cindy...

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               Does scoliosis worsen in menopause? 

Idiopathic scoliosis mainly affects females. Once reached adulthood, there are periods in a woman's life in which major body transformations necessitate greater watchfulness.
One of them is menopause. In subsequent years the risks of a sudden worsening of the clinical situation increase. The body changes and the ageing process that undergoes acceleration upon entering menopause can cause the worsening of existing curves and the appearance of new curves, so-called "de novo scoliosis".
This is why making periodic visits and checking your curve is important.

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Curve type, flexibility, correction, and rotation are predictors of curve progression in patients with adolescent idiopathic scoliosis undergoing conservative treatment : a systematic review

YLester P K Wong, Prudence W H Cheung, Jason P Y Cheung 
Bone Joint, 2022 Apr.  PMID: 35360948  PMCID: PMC9020521DOI: 10.1302/0301-620X.104B4.BJJ-2021-1677.R1

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  •  20-30 June | SRS Current Concepts in Spine Deformity Course | 

    Santiago Chile

  • 3-7 July | ISPRM Lisboa Live | Lisboa, Portugal
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