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    Default Scoliosis Activity Suit developed by Dr. Mark Morningstar

    This article turned up yesterday: The TornadoSuit

    Can anyone provide more info? A google search didn't turn up much.

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    Last edited by DrStitzel; 02-26-2013 at 03:32 PM.

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    Question Hmmmm.....

    Hmmm.....It may be the perfect tool to use in my Manipulation Under Anethesia (MUA), CLEAR, and Bracing idea for surgical level curves with a significant structural component. Hmmmmmm See below.

    As we all know AIS is further sub-categorized into functional (flexible) and structural (Stiff) curvatures. The functional AIS are often found in smaller curves and become more structural as the size of the curve increases (note: I am basing this off curve size and not patient age which doesn't necessarily correlate with curve flexibility, but the older a person gets the more stiff a curvature usually becomes as a general rule of thumb). A large portion of the correction CLEAR can achieve with it's protocols is directly dependent on how much of the structural portion of the curve we can convert back into the functional/flexible portion.

    Structural AIS curvatures are very resistant to correction, because well they are very stiff and it is hard to move in any direction. There are many aspects that cause a functional curve to become structural, but spinal rotation and soft tissue adaptation (particularly the ligaments on the inside of the curve) are 2 of the main reasons. The CLEAR method attempts to convert the structural portion of the curve back into a functional curvature via focused repetitive stretching treatments, specific vibration therapies, ect.....we call this the "mix" phase of our treatment protocol.

    It works reasonably well, but it is limited to patient tolerance and involuntary muscle guarding. I think we could get a lot more correction out of some of these highly structural curves if we used a manipulation under anesthesia (MUA) protocol to engage the "mix" protocol in a very aggressive manner. It could even be combined with a manual manipulation protocol to lower joint resistance and decrease the amount of spinal torque through manual de-rotation of the spine.

    The problem now becomes "now that we have dramatically increased the flexibility of this curvature, how do we stabilize it at a substantially lower curvature level." Well, that is where the reduction of environmental factors comes in via the CLEAR program, but there is no practical way to engage, retrain, strengthen, and stabilize the soft tissue before the curvature would sag into an even larger cobb angle than we started with, so this could be a practical application for an artificial support device (a brace) to buy us time until the soft tissue and neurology are re-trained.

    Last edited by DrStitzel; 06-21-2011 at 12:29 PM.

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    Quote Originally Posted by DrStitzel View Post
    A-l-t-h-o-u-g-h.....It may be the perfect tool to use in my Manipulation Under Anethesia (MUA), CLEAR, and Bracing idea for surgical level curves with a significant structural component. Hmmmmmm See below.

    ... The problem now becomes "now that we have dramatically increased the flexibility of this curvature, how do we stabilize it at a substantially lower curvature level." Well, that is where the reduction of environmental factors comes in via the CLEAR program, but there is no practical way to engage, retrain, strengthen, and stabilize the soft tissue before the curvature would sag into an even larger cobb angle than we started with, so this could be a practical application for an artificial support device (a brace) to buy us time until the soft tissue and neurology are re-trained.
    If flexible bracing could work in the situation described, then would it not also be beneficial to use it in highly flexible juvenile cases? Isn't the lack of strength and stabilization due to "no practical way to engage, retrain, strengthen, and stabilize the soft tissue before the curvature would sag into an even larger cobb angle than we started with" part of the problem with using Clear with juveniles who do not have the musculature to hold corrections? Couldn't flexible bracing help space out the need for Clear intensive treatments?


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    Hi Proudmom,

    EXCELLENT POST! Your critical thinking ability is fantastic. Bigtime reputation points for that post.

    I think we need to keep in mind that JIS cases are indeed different than AIS cases, not just the same thing in younger patients. With that being said, they don't appear to be completely different either, in the sense that there is nothing "technichally" wrong with the patient's spine prior to develping scoliosis and in all honestly, there is nothing "wrong" with their spine after developing scoliosis (it's just bent and twisted a bit). So the problem in either JIS or AIS cases isn't a lack of spinal strength or stability that is causing the problem.....Therefore a brace isn't indicated.

    Quote Originally Posted by ProudMom View Post
    "no practical way to engage, retrain, strengthen, and stabilize the soft tissue before the curvature would sag into an even larger cobb angle than we started with" part of the problem with using Clear with juveniles who do not have the musculature to hold corrections?
    I wish our "mix" procedures were as effective at increasing the curve flexibility as I suspect MUA would be, but my clinical experience doubts it. Again, this is all speculative at this point, but I have been in discussions with Dr. Morningstar about it in the not too distant past.


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    I saw a picture of the Tornado Suit on a blog : Scoliosis Family Adventures and I wonder how it differs from the SpineCor - it looks like the straps are built into the fabric - but it is hard to tell in the photo. I am all for options for treatment and was excited to read about it just because it shows that the paradigm is shifting - slowly - but shifting none-the-less.
    I continue to believe that juveniles in Clear or other mix/set treatments can only benefit from the extra support of a flexible brace I keep thinking of the old "chocolate in my peanut butter" commercials - two great treatments that go great together. (I'm not saying all Clear patients need a flexible brace - just that highly flexible juvenile cases could benefit)
    Has anyone come up with more info on the tornado suit since the first post?
    Thanks,
    P-M

    Last edited by ProudMom; 02-17-2011 at 12:50 AM.

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    Quote Originally Posted by ProudMom View Post
    I continue to believe that juveniles in Clear or other mix/set treatments can only benefit from the extra support of a flexible brace
    Based off the single experience of your daughter's case?

    As long as the brace allows for a normal amount of intersegmental vertebral motion (aka: doesn't immobilize the individual segments of the spine), it should not increase the amount of structural deformity. Unfortunately, intersegmental immobilization of the spine is the very essense of how bracing is suppose to work. Believe me, I would love it if bracing worked, but the data and clinical theory just don't support that conclusion.


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    Here is the link to the "Scoliosis Family Adventures" blog that discusses Dr. Morningstar's "Tornado Suit".......

    http://scoliosisfamilyadventures.wor...ing-treatment/

    "made of perforated neoprene, this suit is the most comfortable yet to be on the market. It’s a flexible system (like the Spinecor), but what makes it unique is that it doesn’t use the pelvis as an anchor. Many people with Scoliosis have uneven pelvises, so a system that anchors there may be less than effective. The Tornado Suit uses the LEG to anchor, which is the only part of a person that is usually even and stable. This suit works hand-in-hand with the Pettibon system of weights and works to correct both the rotational and horizontal rotation/curvature of the spine (similar to Spinecor and the Cheneau)."

    Last edited by DrStitzel; 02-22-2011 at 02:33 PM.

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    [QUOTE=DrStitzel;2846]Based off the single experience of your daughter's case?

    QUOTE]
    No, not off of our experience alone - I've synthesized that with all of the evidence I've read in this forum that discusses the highly flexible nature of juvenile scoliosis, its highly progressive qualities, the experience of others, and discussions with various doctors who use Clear and similar treatments.
    In earlier posts you comment on the psychological impact of bracing what about the psychological impact of going through treatment, doing two hours of protocols everyday for three months, and being right back where you started in spite of all of the hard work? If a flexible brace can help hold the corrections gained and can make a person feel that what they are doing is working why would a person not want to use the physical and psychological reinforcement?
    I do not see the flexible brace as limiting movement my daughter is highly active and mobile.


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    Hi ProudMom,

    Quote Originally Posted by ProudMom View Post
    what about the psychological impact of going through treatment, doing two hours of protocols everyday for three months, and being right back where you started in spite of all of the hard work?
    The current standards for success in idiopathic scoliosis treatment is curve stabilization....which your daughter sounds like she is acheiving. Great work! Can you imagine where she might be (scoliosis surgery?) with out that 2 hours of hard work a day?

    Quote Originally Posted by ProudMom View Post
    I do not see the flexible brace as limiting movement my daughter is highly active and mobile.
    Do a digital motion x-ray of your daughter's intersegmental motion while in the flexible brace......it isn't going to be highly mobile or active........only immobilized and creating permanent disc kinking, which leads to permanent disc wedging.....A significant risk factor for adulthood progression.


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    Default TornadoSuit(TM) Explanation

    The TornadoSuitTM is a functional brace. It is not a rigid brace. However, it is also not a SpineCor brace. There are some distinct differences.

    We are currently fitting patients in the TornadoSuitTM to evaluate its potential to improve several radiographic and postural factors associated with scoliosis. Obviously this is a brand new device that had been in development for about 18 months, until a working prototype had been manufactured. At this point, we are collecting data over the initial fitting, as well as 3 and 6 month follow-ups.

    The goal of this device is to attempt to take advantage of the benefits of traditional bracing, which are highly important when correctly employed. We also attempt to minimize the drawback of other rigid and dynamic bracing (i.e. impact on daily activities and self-esteem). It is designed to be used with neuromuscular rehabilitation techniques, and for patients with poor spinal muscular endurance whose curvatures impose leverage too significant for the postural muscles to endure over the course of a full day, causing postural collapse. I could provide many a theory as to how I think this brace works from a biomechanical perspective, but the truth is we don't have enough data yet to make any realistic claims.

    A description of the TornadoSuitTM has already been posted on this thread. Once I have clearance from our attorneys, we will be posting detailed pictures and descriptions of the suit, which will be about 3 more weeks.

    Although we have not yet reached our initial data collection goal (which is 500 initial fittings) we are working fervently to get there. Early patient comments are fairly consistent: it is more comfortable than other bracing, patients can perform nearly all ADLs and most sporting activities without restriction, and it does not impede the ability to use the restroom.

    As the previous press release discussed, we are currently seeking patients who would like to try the TornadoSuitTM. Again, it is experimental, and therefore nothing is guaranteed. However, we doctors currently fitting the brace are donating our time to collect this important data. The only cost is for our cost to purchase the brace, which is nominal compared to even the copay for other bracing. Some patients have even been granted a waiver on the cost if there is financial concern.

    Currently people can be fitted in two locations: Grand Blanc, MI and Las Vegas, NV. We will be attempting to establish additional locations in the Midwest and Canada. It is a bit of a task to train physicians, chiropractors, therapists, and orthotists in the fitting process, but are working hard to make this happen. If anyone is interested in being fitted for a TornadoSuitTM, feel free to email me privately at drmorningstar@nwprc.com, or call 810.694.3576. The only criteria is that the patient must have an idiopathic scoliosis (not due to genetic disorder or neurological defect/neoplasm), and be in the age ranges of 6-17 or 50-65.

    Thank you in advance for your kind attention.

    Mark Morningstar, DC
    ARC3D Scoliosis TherapyTM

    www.ARC3DTherapy.com
    www.nwprc.com
    www.theTornadoSuit.com


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