Side Bending Theory

The factors contributing to the success of time-modified side bending are unclear. Stretching the concavity and possibly a physiological contracture on the convexity of the curvature appears to play a role. Visuospatial impairment, EEG, and learning deficit disorders have all been identified in patients with scoliosis. Vestibular, cerebella and posterior column function may be challenged by re-orientation of body position. In theory, bending of the spinal column should add tensile and opposite compression forces to the vertebral epiphyses compared with forces at work in the upright posture. The benefits of uncompromised postural muscle tone during upright activities and the opportunity for the patient to remain athletically active during their brace treatment may enhance the phenomenon of spontaneous curve correction that occurs on a day-to-night basis.

All bracing systems depend on the nocturnal wear component as part of their programs. There are no harmful physiological, biomechanical, or clinical effects noted in the nocturnal wear program. With documented successful outcomes, the positive aspects of the Charleston Bending Brace system are evident even if the reasons for a success are not entirely clear.