Spinecor brace
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Contents |
INTRODUCTION
The SpineCor system is a flexible brace that is principally prescribed for Idiopathic Scoliosis patients with a Cobb angle between 15° and 50° and Risser sign 0 to 2. The brace is fitted on the patient in accordance to a sub-classfication of the traditional SRS definition of curve types. The SpineCor Assistant Software guides the therapist through the fitting process. The brace is prescribed to be worn by the patients 20 out of 24 hours per day until they have reached maturity, with radiological evaluations performed prior to and immediately following the fitting of the brace, and every 4 to 6 months afterwards. To accommodate for the growth of the patient, components to the brace are expected to be changed every 1.5 to 2 years. A patient manual is provided that guides the patient in properly wearing the brace, as well as maintenance. The orthotist is suggested to follow a 2day training program to learn the the proper fitting of the SpineCor brace.
INDICATIONS
The SpineCor System was designed, developed, and tested for the treatment of idiopathic scoliosis only.
CONCEPT
The new therapeutic approach is based on a new concept upon the etiology and pathogenesis of idiopathic scoliosis. It is a pathology of the neuro-musculoskeletal system in growth and maturation. The cause is genetic, and the pathogenesis involves a three-dimensional deformation of the spine, postural disorganization, unsynchronized growth and particular movement pattern of the body.
DIAGNOSIS
In order to obtain an accurate diagnosis, that would specify a particular class and subclass for the patient, the evaluation combines a clinical exam, radiological and postural evaluation.
TREATMENT
A specific corrective movement is performed, and the brace is applied according to the SpineCor Assistant Software instructions. The moderate tension in the elastic bands allows the repetition and amplification of the corrective movement as the child undertakes everyday activities. This results in a progressive curve reduction. The brace is worn 20 hours out of 24. The four hours out of the brace must not be taken at once, usually the patient divides them into two breaks: morning and evening. Sports are to be encouraged and done while wearing the brace. To obtain a neuro-muscular integration of the new strategy of movement, the average duration of the treatment is 18 months. Because of the progressive changes, absence of external support during the treatment, and intact muscles, there is no loss of correction after the brace discontinuation. Physical therapy is NOT a necessity in the SpineCor program (SpineCor itself may be considered a physiotherapy 20 hours out of 24). However, when the patient is willing to undergo a physio program, or a faster consolidation of the reduction of the curve is desired, the Global Postural Reeducation (GPR) program is considered. For the patients at the beginning of the treatment, the physio is carried out with the brace on; for the patients in the weaning period the exercises are done without the brace.
More info can be found here Brace Manual - SpineCor Brace
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