ortho-congress-2019-scientifictracks

3 / 16

Page 20
April 15-16, 2019 | Milan, Italy
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Ortho Congress 2019 Journal of Orthopedic Surgery and Rehabilitation | ISSN: 2630-4473 | Volume 3
ORTHOPEDICS, RHEUMATOLOGY
AND OSTEOPOROSIS
2nd Annual Conference on
PERCEPTIVE AND REHABILITATIVE MUSCLE RECRUITMENT FACILITATION
SECONDARY TO THE USE OF A DYNAMIC AND ASYMMETRIC SPINE BRACE IN THE
TREATMENT OF ADOLESCENT IDIOPATHIC SCOLIOSIS (AIS)
Maurizio Falso, Laura Forti, Silvia Iezzi, Gloria Cottali, Eleonora Cattaneo, Marco Zucchini
and Franco Zucchini
Middle Cares Rehabilitation Unit – Fondazione Madonna del Corlo, Italy
Five patients affected by Adolescent Idiopathic Scoliosis were recruited for the aim of this study. Each patient un-
derwent a first task-specific evaluation at time T0 and T1 and a secondary experimental course at time T2, T3
and T4. After a first postural and total spine X-ray evaluation, recruited patients began to use our innovative spine
brace called BRIXIA (time T0 and T1). During the second experimental phase, a SEMG bilateral activity of the trunk
large rhomboid, the latissimus dorsi and the quadratus lumborum was investigated without spine brace, by using a
common Chenêau brace and afterwards the dynamic BRIXIA spine brace, with the acquisition of the so-called RMS
EMG Ratio value. The SEMG measurements were acquired in six study conditions: SiRP; SiRCP; StRP; StRCP; BA. At the
end of this SEMG evaluation, each patient received the final version of the BRXIA spine brace and began a postural
rehabilitative treatment course (time T2). At time T3 and T4 a second and third SEMG assessment was made with-
out using a spine brace and by using BRIXIA. Finally, functional, radiographic and postural evaluations were made
to define and quantify an amelioration and modification of patient’s postural attitude. We observed at time T2 an
homogeneous grade of paraxial muscle recruitment acquisition, expressed by the RMS EMG ratio index, without
using spine brace (53, 3%) and by using Chenêau and BRIXIA brace (46, 7%); specifically, a (57, 14%) of our patients
used BRIXIA brace and a (42, 86%) Chenêau brace at time T3, an homogeneous grade of symmetric paraxial muscle
recruitment activity, expressed by the RMS EMG ratio index, was observed by using BRIXIA brace (56, 7%); all patients
recruited (100%) showed in SiRCP study condition the most homogeneous and symmetric paraxial muscle recruit-
ment by using BRIXIA brace; at time T4, an immodification of the grade of symmetric paraxial muscle recruitment
acquisition, expressed by the RMS EMG ratio index, was observed in a 56, 7% of patients who were using BRIXIA. In
a comparative and time-related analysis between our clinical and RMS data, Cobb angle trend showed a statistical
significant correlation with RMS data, acquired at time T4 in BARC condition and without BRIXIA brace, and similarly
with RMS data acquired at time T4 with BRIXIA brace. In line with the Visual Postural Analysis Trend, our rehabilitative
model showed a sensible capacity to modify patient’s individual sense of posturality, to increase the acquisition of
cross-linked self-correction strategies and to induce a progressive rebalancing between the anterior and posterior
kinetic muscle chains recruitment.
Maurizio Falso et al., J ortho Rehab Surg. 2019, Volume 3 | DOI: 10.4066/2630-4473-C1-002
Maurizio Falso received his Degree of Medicine in 1999 and his specialization in Physical Medicine and Rehabilitation from the
University of Medicine of Verona, Italy in 2004 followed by a post-specialization research on the management of spasticity and
movement disorders at the Department of Neurological Sciences and Vision of the University of Verona, Italy by using botulinum
toxin and baclofen pumps and analyzing motor patterns with video-surface EMG. He is a Professor at the Physiotherapist School of
the Medicine University of Brescia, Italy and a past-member of the Italian Consensus Table on the use of xeomin in adult spasticity. In
his career he also promoted the use of innovative dynamic carbon-kevlar custommade AFO (DAFONS), innovative postural devices
in patients affected by neurological complex postural needs, the device treatment of idiopathic scoliosis by using an innovative
dynamic spine brace called “BRIXIA” and the device treatment of gait disorders by using an innovative dynamic carbon kevlar foot
insole called “PRODYNAMIC”.
BIOGRAPHY