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     Home   >   SpineCor   >   Pediatric Brace   >   SpineCor Dynamic Corrective Bracce  
 
SpineCor Dynamic Corrective Brace
 
 
Introduction
 

The SpineCor Dynamic Corrective Brace is a flexible brace that is principally prescribed for Idiopathic scoliosis patients with a Cobb angle between 20° and 50°, Risser sign 0 to 3 or pre-menarche.

The brace was invented by a team of 65 researchers led by Professor Charles H Rivard M.D and Dr. Christine Coillard M.D. of the Research Center, Sainte-Justine Hospital (Montreal, Quebec, Canada). It took more than 12 years and millions of dollars in research funding to develop the world's first truly dynamic corrective brace for Adolescent Idiopathic (unknown cause) Scoliosis.

It consists of a pelvic base which is stabilized by two thigh bands and two crotch bands, a bolero made of cotton and four corrective elastic bands. Corrective movements which counteract the direction of curve progression are reproduced by adjustment of the corrective bands. Initial brace fitting and follow-up treatments are supported by the clinical diagnostic software, SpineCor Assistant Software (SAS).

The treatment approach by SpineCor brace is to bring about global postural re-education and progressive correction of curve over time. Unlike rigid brace which "forces" correction, SpineCor brace does not deliver drastic curve correction initially. However, the correction or stabilisation gained by wearing the dynamic brace over time is more stable with lower rate of curve progression post-brace.

The brace is prescribed to be worn by the patients 20 out of 24 hours per day until they have reached skeletal maturity. Radiological evaluations are performed prior to and immediately following the fitting of the brace, and every 4 to 6 months afterwards. To accommodate for growth and postural changes, corrective bands need to be adjusted frequently and require replacement each 6-12 months for optimum brace performance. Major brace components can last from 1.5 - 2 years. A patient manual is provided that guides the patient in properly wearing the brace, as well as maintenance. The brace can only be fitted by SpineCor accredited practitioners.

 
The Components
 

The SpineCor Dynamic Corrective Brace is made up of two components:

The first component consists of the pelvic base, the crotch bands and the thigh bands. Its role is to act as an anchoring point and support for the actions applied to the patient's trunk by the elastic bands. When the pelvic base is stable, traction by the elastic bands is provided along the stable lines. The flexible nature of the pelvic section of the brace permits free movements of the trunk and engagement of the pelvis in the corrective movement.

The second component consists of the bolero and the corrective elastic bands. Its function is directly related to the active principle of the dynamic corrective brace. It allows a custom fitting of the brace aimed at modifying the postural geometry of the moving spinal column. The different lengths of corrective elastic bands allows for many possibilities in brace adjustment for an optimal corrections.

 
Corrective Movements
 

There are specific corrective movement for each class of curve to counteract the direction of curve progression. There are four major corrective movements, namely, detorsion, tilt, lateral flexion and lateral shift. Correction applied to the curve is then held in position by the SpineCor elastic bands. The SpineCor Assistant Software provides the guidelines for the choice of the bands and snaps to use.

 

       
 
 
Class: High Thoracic Curve
Correction: Tilt of the shoulder
 
Class: Thoracic Curve
Correction: Detorsion between
shoulder and thorax
 

Class: Thoracolumbar Curve
Correction: Lateral flexion
of the trunk

         
 
 
Class: Major Double Curve
Correction: Detorsion between
shoulder and pelvis
 
Class: Lumbar Curve
Correction: Lateral shift with
lateral flexion of the trunk
 
 
SpineCor Assistant Software
 
The SpineCor Assistant Software (SAS) was developed to assist doctors, orthotists and physiotherapists using SpineCor to accurately classify the patient's specific curve type and choose the correct brace fitting.

The software also allow for easy patient data collection and storage essential to effective management of the patient's condition.

In addition to being user friendly, another important characteristic of the SAS is that all information related to patient's files and examinations is kept in a database compatible with Microsoft Access and is therefore, easily accessible.

 
 
 
 
 
 
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