"Brace Technology" Thematic Series - The ScoliOlogiC(R) Cheneau light(TM) brace in the treatment of scoliosis.
Summary of ""Brace Technology" Thematic Series - The ScoliOlogiC(R) Cheneau light(TM) brace in the treatment of scoliosis."
ABSTRACT:
BACKGROUND:
Bracing concepts in use today for the treatment of scoliosis include symmetric and asymmetric hard braces usually made of polyethylene (PE) and soft braces. The plaster cast method worldwide seems to be the most practiced technique for the construction of hard braces at the moment. CAD (Computer Aided Design) systems are available which allow brace adjustments without plaster. Another possibility is the use of the ScoliOlogiC(R) off the shelf system enabling the Certified Prosthetist and Orthotist (CPO) to construct a light brace for scoliosis correction from a variety of pattern specific shells to be connected to an anterior and a posterior upright. This Cheneau light(TM) brace, developed according to the Cheneau principles, promises a reduced impediment of quality of life in the brace. The correction effects of the first 81 patients (main diagnosis Adolescent Idiopathic Scoliosis (AIS) [n = 64] or Early Onset Scoliosis (EOS) [n = 15]), treated according to the principles of the Cheneau light(TM) brace have shown a satisfactory in-brace correction exceeding 50% of the initial Cobb angle. Brace description The ScoliOlogiC(R) off the shelf bracing system enables the technician (CPO) to construct a light brace for scoliosis correction from a variety of pattern specific shells to be connected to an anterior and a posterior upright. This brace, when finally adjusted is called Cheneau light(TM) brace. The advantage of this new bracing system is that the brace is available immediately, is easily adjustable and that it can also be easily modified. This avoids construction periods of sometimes more than 6 weeks, where the curve may drastically increase during periods of fast growth. The disadvantage of this bracing system is that there is a wide variability of possibilities to arrange the different shells during adjustment.
RESULTS:
The Cobb angle in the whole group was reduced by an average of 16,4 degrees, which corresponds to a correction effect of 51%. The differences were highly significant in the T-test (t = 17,4; p < 0,001). The best correction effects achieved with Cheneau braces reported in literature so far are about 40% in two different studies. The correction effect was highest in lumbar and thoracolumbar curve patterns (62%; n = 18). In thoracic scoliosis the correction effect was 36% (n = 41) and in double major curve pattern 50% (n = 22). The correction effect of the brace was affected in a slightly negative way by age (r = -0,24; p = 0,014), it correlated negatively with the Risser stage (-0,29; p = 0,0096) and correlated negatively with the Cobb angle measured before treatment (r = -0,43; p < 0,0001).
CONCLUSIONS:
The use of the Cheneau light(TM) brace leads to correction effects above average when compared to correction effects of other braces described in literature. The reduction of material seems to increase patient's comfort and reduces the stress patients may suffer from whilst in the brace. 80% of the adolescent population of scoliosis patients can be braced with the Cheneau light(TM) brace. In certain patterns of curvature and in the younger population with an age of less than 11 years, other approaches have to be used, such as plaster based bracing or the application of CAD / CAM based orthoses.
Affiliation
Journal Details
This article was published in the following journal.
Name: Scoliosis
ISSN: 1748-7161
Pages: 19
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20819210
- DOI: http://dx.doi.org/10.1186/1748-7161-5-19
Medical and Biotech [MESH] Definitions
Ring Finger Domains
A zinc-binding domain defined by the sequence Cysteine-X2-Cysteine-X(9-39)-Cysteine-X(l-3)-His-X(2-3)-Cysteine-X2-Cysteine -X(4-48)-Cysteine-X2-Cysteine, where X is any amino acid. The RING finger motif binds two atoms of zinc, with each zinc atom ligated tetrahedrally by either four cysteines or three cysteines and a histidine. The motif also forms into a unitary structure with a central cross-brace region and is found in many proteins that are involved in protein-protein interactions. The acronym RING stands for Really Interesting New Gene.
Thematic Apperception Test
A projective technique which focuses primarily on the dynamics of interpersonal relationships. It consists of a series of 31 pictures that depict various social situations and interpersonal relations. A subset is selected by the examiner and presented to the subject who is asked to tell a story about each picture. The stories are interpreted in terms of the subject's relations to authority figures, to contemporaries of both sexes, and in terms of the compromises between external demands and the needs of the id, the ego, and the superego. (From Campbell, Psychiatric Dictionary, 1996)
Aroclors
Industrial chemicals which have become widespread environmental pollutants. Each aroclor is a mixture of chlorinated biphenyls (1200 series) or chlorinated terphenyls (5400 series) or a combination of both (4400 series).
Prostaglandin H2
A cyclic endoperoxide intermediate produced by the action of CYCLOOXYGENASE on ARACHIDONIC ACID. It is further converted by a series of specific enzymes to the series 2 prostaglandins.
Adaptation, Ocular
The adjustment of the eye to variations in the intensity of light. Light adaptation is the adjustment of the eye when the light threshold is increased; DARK ADAPTATION when the light is greatly reduced. (From Cline et al., Dictionary of Visual Science, 4th ed)
PubMed Articles
The L.A. Brace-Description and discussion.
The L.A. Brace represents a new asymmetrical computer-generated full-time scoliosis brace used in the treatment of idiopathic scoliosis that uses the new system of algorithm-generated predictions for...
ABSTRACT: BACKGROUND: As a result of scientific and medical professionals gaining interest in Stress and Health Related Quality of Life (HRQL), the aim of our research is, thus, to validate into Spani...
Treatment of children scoliosis by corrective brace with regulated force effect.
Rigid structural spine scoliosis of a child and even non progressive congenital scoliosis (e.g. isolated hemivertebra) can be treated by hypercorrective brace in full day regime. The article shows the...
Long-term Results of an Unloader Brace in Patients With Unicompartmental Knee Osteoarthritis.
Previously, we reported a prospective study of 30 patients with unicompartmental osteoarthritis of the knee treated nonoperatively with an unloader brace and average follow-up of 2.7 years. Although t...
Background: Psychopathological symptoms occur more often in chronically ill patients than in healthy populations. The aim of this study was to analyze the associations between different types of treat...
Clinical Trials
Immobilization After an Anterior Glenohumeral Joint Dislocation With a Bankart Lesion
Glenohumeral joint dislocation is the most frequent joint dislocation with a prevalence of 1.7/100000 citizens/year. It is treated by reduction, under sedation or anaesthesia, followed by...
Comparison between immobilisation by a plaster and a rehabilitation brace for the treatment of a fracture of the ankle
Progressive Splinting Status Post Elbow Fractures and Dislocations
The purpose of this study is to help determine if a static stretching brace in addition to physical therapy decreases the incidence of secondary operations, increases range of motion, and...
Brace Versus Casting in Pediatric Low Risk Ankle Fractures
Acute ankle fractures are common in children. Most of these are stable and have a low risk of problems in the future. Even though these fractures are benign, these injuries are often cast...
Knee Bracing for People With Patellofemoral Osteoarthritis
Osteoarthritis, sometimes called degenerative joint disease, is the most common form of arthritis. It occurs when the cartilage in joints wears down over time. Symptoms can include pain, t...
