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SpineCor Brace
Overview
SpineCor® is a new breakthrough treatment
for idiopathic scoliosis utilizing a dynamic corrective brace
(DCB), clinical assistant diagnostic software (SAS) and
postural measurement equipment (Freepoint). In worldwide clinical
use, this new treatment has been shown to be effective in 89%
of cases (either by stabilization or improvement in (Cobb)
angle of the curve).
The SpineCor® treatment
approach is completely different to that of traditional
3-point pressure rigid braces; it is the first and only true
dynamic bracing system for idiopathic scoliosis. SpineCor®’s unique approach to treatment
by global postural re-education has been shown to give
progressive correction over time which, unlike any previous
brace treatment, is extremely stable post brace weaning.
Clinical experience to date
also shows better compliance and cosmetic results.
SpineCor®:
- Allows patients four hours
per day out of brace
- Allows total freedom of
movement
- Offers better cosmesis
under clothing, and
- Is cooler to wear.
With all of these benefits,
it is not difficult to see why compliance might be better than
with bulky, rigid braces that severely restrict movement and
must be worn 23 hours per day.
Although to date no specific
study has been undertaken to quantify cosmetic improvement,
subjectively, some striking improvements have been observed
clinically. Additionally, some very positive postural
changes have been noted in cases where there has been no
change in Cobb angle.
Summary
SpineCor® offers:
· A much more acceptable treatment
to patients, being cooler to wear, less restrictive, more
easily concealed under clothing and 4 hours of out of brace
time per day.
· No side effects. Rigid braces
cause muscle atrophy and can be
harmful to normal development in a growing child.
· Excellent treatment results, particularly
when treatment is started early.
· Excellent stability of treatment results
post bracing.
· Neuromuscular integration for maintenance of
improved posture.
· Potential to reduce incidence of
surgical intervention.
Conclusion
SpineCor® is a highly effective for the early treatment
of idiopathic scoliosis as demonstrated in the case study and also offers
significant benefits to patients who present late. The
real challenge is, therefore, to increase awareness of the
absolute importance of early diagnosis and, that a viable
treatment for early intervention is now
available.
SpineCor Treatment Procedure
SpineCor Brace
- The first and only truly dynamic brace,
which provides a progressive correction of Idiopathic
Scoliosis from 15º Cobb angle and above.
- Preserves normal body movement and
growth and allows normal activities of daily living.
- It is worn comfortably and easily under
clothing.
- Increases patient's treatment
acceptance leading to better compliance.
Indications
The SpineCor System was designed
for the treatment of Idiopathic Scoliosis only (from 15º and
above). Its efficacy for treating neuromuscular,
neurological or other types of scoliosis is unknown and
generally non Idiopathic Scoliosis is
contraindicated.
SpineCor Components
The SpineCor Dynamic Corrective
Brace is made up of two sections:
- The first section consists of the
pelvic base (1), the crotch bands (2) and the thigh bands
(3). Its role is to act as an anchoring point and
support for the actions applied to the patient's trunk by
the corrective elastic bands.
- The second section consists of the
bolero (4) and the corrective elastic bands (5). This
is the part designed to make the correction of the scoliosis
curve. The fitting of the corrective bands is specific
for each patient and depends on the type of curve.
The use of a bodysuit under the
brace is advised:
- For hygienic reasons; it will help to
keep the brace cleaner for longer
- To add comfort; it will provide a
barrier between the brace and your body, reducing the
likelihood of the brace rubbing.
- To facilitate going to the
toilet; you only need to detach the snaps of the crotch
bands and those of the bodysuit, avoiding removal of the
brace.
1st Visit: Brace
Fitting
In the 1st visit, some evaluations are required in
order to fit the SpineCor® brace.
To help to perform these evaluations, some anatomical
points can be mark on your back with a make-up pencil, which
will be erased at the end of the visit.
For all the evaluations, you will be asked to place
your feet in a foot template to avoid any influence of an
eventual change of your position on the evaluations.
Then, the following evaluations will be performed:
1st.
Clinical Evaluation: to evaluate your growth pattern and any
postural abnormalities.
2nd.
Radiological Evaluation: a radiological study is needed to
evaluate the type of curve and its potential of progression.
The x-rays required for this study are the following:
·
Frontal x-ray
·
Lateral x-ray
·
Bending x-ray
(optional)
Note: All x-rays used for
this study should have been done recently (a maximum of 1
month old) in order to have accurate information to evaluate
the scoliosis curve.
The data resulting from the clinical and radiological
exams are entered in the SpineCor Assistant Software, which
will provide information to fit the brace correctly.
Once the brace is fitted, it is necessary to evaluate
the effectiveness of the brace fitting performing the
following exams:
1st.
Clinical Evaluation in Brace
2nd.
Radiological Evaluation in Brace: 1 new frontal x-ray in brace
is required to confirm the result.
At the end of the visit, all patients/parents will be
shown how to perform their specific Corrective Movement and
shown how to correctly fit the brace, maintaining an optimal
corrective movement position, and how to take it off.
Patients/parents should demonstrate by fitting the brace
independently 2 – 3 times that they fully understand the
correct fitting procedure. Each patient is provided with
a Patient Manual with the instructions to fit the brace
correctly and indications for its correct maintenance.
SpineCor Treatment
The
SpineCor®
brace
is worn for 20 hours per day. The 4-hour out of the brace
period should be taken in two or more intervals during the
least active part of the day. The brace MUST
be worn while sleeping.
The
length of treatment will depend on the severity of the curve,
age at start of treatment and its evolution, but it is always
a minimum of 18 months.
(Average for adolescent scoliosis of 24 months,
Juvenile cases require much longer
treatment times.)
To
optimise the dynamic effect of the brace, patients are
encouraged to perform any type of sport WEARING the brace
(except for swimming).
Patients
may be suggested to undergo a specific SpineCor
Physiotherapy Program in order to complement the
action of the SpineCor brace.
A
shoe lift may be also prescribed at the time of brace supply.
All shoe lifts should be sole and heel, not just heel, and
must be worn during all
activities
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