Patients with Parkinson’s disease (PD) frequently develop postural deformities such as camptocormia, often resistant to standard treatments like levodopa. Thoracolumbar bracing has been proposed as an alternative therapy, but its use is limited by poor tolerance, commonly attributed to discomfort. Discomfort may relate to increased involuntary muscle contraction, though little is known about trunk muscle activity in PD while bracing. This case report examines muscle activity during brace use to contextualize its physiologic effects.

Findings suggest discomfort during bracing is unlikely due to increased involuntary muscle contraction. Instead, the anterior brace component appeared to restrict mobility and impede daily activities. For this patient with mild camptocormia (24°), functional benefit was limited. However, individuals with more severe camptocormia (>60° flexion) or alternative abnormalities such as Pisa syndrome may derive greater benefit. Further research is warranted to clarify the therapeutic role of thoracolumbar bracing in PD-related postural deformities.