Evaluating the Efficiency of Milwaukee Brace on Scoliosis Deformity: A Systematic Review of Literature Publisher



Karimi MT ; Ansari M ; Jouibari MF
Source: Iranian Rehabilitation Journal Published:2025

Abstract

Objectives: Scoliosis is a three-dimensional deformity of the spine that can be treated using various treatment approaches. The use of braces is one of the most commonly used treatment methods for controlling curve progression. This study aimed to evaluate the effectiveness of the Milwaukee brace (MB) in controlling scoliosis curve progression, based on available literature. Methods: This study was conducted using several databases, including ISI Web of Science, PubMed, Google Scholar, Ebsco, and Scopus. Some keywords, such as MB, were used in combination with Milwaukee orthosis and scoliosis. Down and Black tool evaluated the quality of the studies. Results: Based on the keywords, 18 papers were selected, including 11 on the efficiency of MB, three on psychological issues and quality of life (QoL), one on the combination of exercise and brace, and three on the comparison between braces. The quality of the studies ranged from 6 to 18. Various studies have shown that MB controls the progression of the curve in scoliosis deformity and influences the natural history of scoliosis. Discussion: The results of various studies confirmed that although MB controls the progression of scoliosis curve, it is not comparable with other available braces, which may be due to the mechanism of action. It is recommended that, due to the advantages of MB, a combination of transverse and traction forces be used to control and decrease scoliosis deformity. Cpyright © 2025 The Author(s); This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC: https://creativecommons.org/licenses/by-nc/4.0/legalcode.en), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.