Lori Dolan

 

Dr. Lori Ann Dolan holds a Bachelor of Science in Nursing, a Masters degree in Educational Measurement and Statistics and a doctorate in Health, Management and Policy, concentrating on health services research.  She has been involved in pediatric orthopaedic research at the University of Iowa since 1990.  Dr. Dolan has contributed to numerous research projects in clubfoot, developmental dysplasia of the hip, and the conservative and surgical treatment of scoliosis.  Notably, she and Dr. Stuart L. Weinstein lead the BrAIST project, which provided the first Level I evidence for the effectiveness of bracing for adolescent idiopathic scoliosis.  Their work was awarded with two clinical paper awards from the Scoliosis Research Society and the 2015 Orthopaedic Research and Education Foundation Clinical Research award.  Dr. Dolan is a member of the Society for Clinical Trials, the Scoliosis Research Association, the Pediatric Society of North America, and has been a member of the Society on Scoliosis Orthopaedic and Rehabilitation Treatment since 2007. 

 

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 SOSORT - IRSSD Combined Conference

 

Registration now open! 

May 25-28, 2016

Banff - Alberta - Canada

 

 

Dr. Edmond Lou and Dr. Eric Parent are honored to invite you to Banff, Alberta in Canada to participate in the 1ST Joint SOSORT-IRSSD education and scientific meeting to be held at The Banff Centre located in the Rocky Mountains. For the first time, clinicians and researchers from the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) and of the International Research Society on Spinal Deformities (IRSSD) will participate in a joint scientific meeting. The scientific meeting will be held from Wednesday May 25 to Saturday May 28, 2016 with a welcome reception on Tuesday May 24th. A pre-conference educational course on clinical scoliosis care (May 24th) and a post-conference research course (May 28th) will also be offered.

The Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) was founded in 2004, and brings together scientists and clinicians focused on the conservative treatment of spinal deformities. SOSORT also led to the creation of the official journal of the society, the open BMC Scoliosis Journal (www.scoliosisjournal.com). SOSORT has also produced Consensus statements during many of the subsequent meetings on key topics including: bracing, exercises and reasons for justifying treatment. This year’s consensus will focus on updating the SOSORT guidelines on conservative treatment for scoliosis. Conferences are now held on the American continent every three years and in Europe otherwise. Recent SOSORT conferences were attended by representatives of 41 countries (Wiesbaden 2014) and 31 countries (Katowice 2015), respectively.

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Bracing is part of what we call the conservative treatment for scoliosis and is the main non-surgical intervention in the treatment of idiopathic scoliosis, hyperkyphosis (Scheuermann disease) and occasionally for spondylolisthesis. It is indicated by your Doctor and carried out by an Orthotist (CPO) generally when you are in a growing period and you have been diagnosed with moderate scoliosis with the aim of preventing the curve progressing. On occasion, it can also be used in adult scoliosis or in the elderly, when pathological curves lead to a forward leaning posture or in adults, after traumatic injuries. 

Bracing can be defined as the application of external corrective forces to the trunk where rigid supports or elastic bands can be used. You can find a custom-made brace or a prefabricated brace to use.

Furthermore, there are many types of braces that you can be offered to use for scoliosis; nevertheless, the type of brace selection will be a decision to make between the Expert, the patient and the family . Probably you will be asking why they are so many types of them. It’s because Orthotists are looking for a better way of treating scoliosis creating new brace designs in search for the most effective brace. We believe it is important to educate the patient and the family in order to pick the right decision for you, therefore, here you will find a brief description of them, their update publications and some research associated to brace effectiveness.

It’s important to letting you know that research in this area is very productive and today we do not have a common and generally accepted knowledge base, and that instead, individual expertise still prevails, giving rise to different schools of thought on brace construction and principles of correction. That’s the reason why SOSORT is working on create more evidence in this area and they are looking to establish a single and comprehensive source of information about bracing. You can find more information in the “Brace Technology” Thematic Series at http://www.scoliosisjournal.com/series/brace_technology, where technical papers coming from the different schools are continuously published.

Brace Types

Symmetrical Braces

Symmetric braces have pad inlays that push on the most prominent areas of the scoliotic trunk. Those are:

a. Milwaukee Brace:

b. Boston Brace:

c. Lyon Brace: Tries to maintain the correction after a plaster cast reduction in the Cotrel’s EDF (Elongation-Derotation-Flexion) frame. It is an adjustable multi-shell brace that has been used for more than 60 years. If you need more information, click here to see its recent publication.

d. SPoRT Brace:”SPoRT” is the acronym for “Symmetrical Patient oriented Rigid Tree-dimensional Braces”, and is the name to define three types of braces: Sforzesco, Sibilla and Lapadula braces. If you need more information, click here to see its recent publication.

Asymmetrical Braces

Asymmetric braces are constructed in an attempt for overcorrection sometimes with foam pads used for augmentation in the pressure areas but also for providing spaces on the opposing sides of the pressure areas. Those are:

a. Chêneau Brace:

b. Rigo System Chêneau Brace: This brace incorporates expansion and pressure areas to treat all aspects of the 3-dimensional scoliotic deformity not only in the frontal plane but also in the sagittal and transverse planes. . If you need more information, click here to see it recent publication.

c. Art Brace: It is also known as the new Lyon brace and is an immediate corrective brace based on some of the principles of the plaster cast which are improved due to advances in CAD/CAM technology. If you need more information, click here to see it recent publication.

d. Scoliologic Brace: It is a derivated of Chêneau Brace, and it has two types: The Gensingen brace that is for thoracolumbar scoliosis and the Chêneau light is for right thoracic and left lumbar curvatures, only. To design it, the patients' trunk is scanned with the help of a whole trunk optical 3D-scan and the patients' data from the clinical measurements are recorded, a model of the brace can be created by modifying the trunk model of the patient 'on screen' to achieve a very individual brace model using the CAD/CAM tools provided or by choosing a brace model from our library and re-size it to the patients' properties 'on screen'. If you need more information, click here to see it recent publication.

e. Progressive action short Brace (PASB): Is a custom-made thoraco-lumbar-sacral orthosis designed to overcome the limits imposed by the trunk anatomy. Indeed, the particular geometry of the brace is able to generate internal forces that modify the elastic reaction of the spine. The PASB is indicated for the conservative treatment of lumbar and thoraco-lumbar scoliosis. If you need more information, click here to see it recent publication.

f. Thoracolumbar lordotic intervention brace:

g. Gomez Brace:

h. LA Brace: If you need more information, click here to see it recent publication.

Strap-based Braces

Spinecor Brace:

Night Braces

Charleston Brace:

Providence Brace:

N-Brace:

Research

Here you will find the link to the original research document and a brief detail of its conclusions:

Effects of Bracing in Idiopathic Scoliosis.

Conclusions:

Bracing is effective in stopping or slowing the progression of curves. Bracing significantly decreased the progression of high-risk curves to the threshold for surgery. 72% of all braced participants had a successful outcome (stabilized or improved curves were considered success)

A significant positive association between hours of brace wear and rate of success exists.

There is a correlation between bracing outcome and Orthotist skills and competence. With a better in-brace correction, the outcome will be better. Highlights need for advancement in research, Orthotist training, and brace design.

 

 

 

Do you want to learn, in a practical way, the most updated evidence based clinical practice for your scoliosis patients using the best e-learning educational tools, and without moving from your busy office?

The FIRST online MASTER COURSE on CONSERVATIVE TREATMENT OF SPINAL DEFORMITIES offers you this great opportunity! 

In 2016 we will start the first Master Course on the conservative treatment of spinal deformities: an online distance learning Course accessible from everywhere through the online learning platform.

36 lectures provided by the most recognized experts in this field, focus groups, live tutoring sessions delivered from the 4th of February to the 24th of November 2016.

Don't miss this great training opportunity, and register until the 15th of December 2015 to take advantage of the extra-discounted fee recognized only for this first edition!

Detailed information on the Course webpage, where also the Program Schedule and the Application form are available. 

The Faculty:

  • Aulisa Angelo Gabriele (Ita)
     
  • D'Agata Elisabetta (Spa)
     
  • De Mauroy Jean-Claude (Fra)
     
  • Donzelli Sabrina (Ita)
     
  • Grivas Theodoros B. (Gre)
     
  • Kotwicki Tomasz (Pol)
     
  • Negrini Stefano (Ita)
     
  • O'Brien Joe (USA)
     
  • Rigo Manuel (Spa)
     
  • Romano Michele (Ita)
     
  • Wynne James (USA)
     
  • Zaina Fabio (Ita)

Secretary of the Course:  Gaby Engelhorn - This email address is being protected from spambots. You need JavaScript enabled to view it.