Cheneau Brace Research Articles

The Effect of the Cheneau Brace on Respiratory Function in Girls with Adolescent Idiopathic Scoliosis Participating in a Schroth Exercise Program

Objectives: The aim of this study was to evaluate the effect of brace use application and the Schroth intervention on lung ventilation and respiratory muscle strength in patients treated long-term with a Chaneau brace and the Schroth method. Methods: A total of 26 post-menarche females aged 15.7 ± 1.5 years, with a Cobb angle of 18–48° and a diagnosis of AIS in inpatient rehabilitation were examined. All participants received brace treatment for a minimum of 3 months with a dosage of 20–22 h/day. This study protocol was performed three times: 1—brace intervention—first day of the present study; 2—without the brace—second day of the present study; and 3—Schroth intervention on the same day. Results: During the period of brace use, girls treated with a long-term therapy showed significantly reduced values for VC, FVC, and FEV1 and significantly higher values for inspiratory muscle strength PImax compared to values obtained in studies without the brace and after single exercises. Expiratory muscle strength did not differ significantly. Conclusions: The majority showed restrictive lung ventilation disorders and decreased respiratory muscle strength in relation to norms. There was a significant correlation of PImax with the duration of wearing the brace and the duration of therapy.

Comparative analysis of Boston and Cheneau braces in treating scoliosis: A 2-year follow-up study on curve reduction

BackgroundScoliosis, characterized by the lateral curvature of the spine, impacts the spine's alignment in three dimensions. Braces are commonly employed as a conservative treatment for individuals with scoliosis, particularly those with curves ranging from 20 to 40 degrees. This treatment approach's primary objectives include arresting the deformity's progression, enhancing clinical appearance, alleviating pain, improving overall quality of life, and circumventing the need for surgical intervention. The aim of this study was to compare the effectivences of Boston and Cheneau braces in individuals with scoliosis. MethodsIn this retrospective study, 51 subjects were included and monitored over two years. The primary parameters under evaluation encompassed the severity of both primary and secondary curves and compliance with the prescribed treatment. The subjects were classified into two groups: those utilizing the Cheneau brace and those employing the Boston brace. ResultsThe initial mean values of the primary and secondary curves during the first visit were 37.6 (±7.4) and 30.1 (±9.7) degrees, respectively. However, the in-brace curve measurements for the primary and secondary curves were 31.5 (±1.3) and 22.3 (±13.3) degrees, respectively (p-value = 0.0). The mean compliance values of subjects using Boston and Cheneau braces were 16.8 and 17.3 hours per day, respectively (p-value = 0.1). No significant difference was observed in the correction achieved with the Boston and Cheneau braces during the follow-up period. ConclusionsThe results of this study demonstrated a significant reduction in the scoliotic curve while under brace conditions. However, the degree of correction achieved did not significantly differ during the follow-up periods. Additionally, there was no notable variance in the correction obtained between the Boston and Cheneau braces. Short summaryBrace treatment can result in a significant reduction in the scoliotic curve. There was no noticeable difference in the correction achieved between the Boston and Cheneau braces. The degree of curve correction achieved by brace treatment did not vary significantly during the follow-up periods.

The effect of brace use on balance in individuals with adolescent idiopathic scoliosis.

Patients with adolescent idiopathic scoliosis (AIS) have poorer standing balance compared with their healthy peers. However, the immediate effects of the braces used in the treatment on balance remain uncertain. To investigate the effect of brace use on balance and weight-bearing symmetry in patients with AIS and to compare the results of different brace designs. Observational. A total of 21 patients with AIS aged 10-17 years using 10 Boston and 11 Cheneau braces participated. Immediate balance and weight-bearing symmetries of patients with and without their own braces were evaluated. Balance assessment was performed using the Sensory Organization Test (SOT) on a computerized dynamic posturography device. Weight-bearing symmetry was evaluated on the computerized dynamic posturography device with the knees in full extension, with the knees flexed at 30°, 60°, and 90°. Regardless of its design, it was found that brace use had no effect on immediate balance and weight-bearing symmetry ( p > 0.05). Of the patients using a Boston brace, unbraced SOT condition 2, 3, and 5 and composite scores were found to be higher than their braced scores ( p < 0.05). Braced SOT condition 3 scores of the patients using a Cheneau brace were higher than those using a Boston brace ( p = 0.037). Brace use and brace types have no statistical effect on weight-bearing symmetry. It was observed that brace use in patients with AIS has no positive effect on immediate balance and weight-bearing symmetry, and the use of Boston brace negatively affects immediate balance scores and increases visual dependence.

Internalization of the Western Standard of Beauty and Body Satisfaction: Evaluation Utilizing COPS and SATAQ-3 Questionnaires among Girls with Scoliosis.

Background and Objectives: Patients with adolescent idiopathic scoliosis (AIS) more frequently present significant back-related body image disturbances compared with healthy controls. The study aimed to adapt two screening questionnaires: Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-3) and Cosmetic Procedure Screening Questionnaire (COPS), that could identify AIS patients, especially those threatened with body image disorders and might predict dissatisfaction with a desired-by-patients cosmetic result of treatment. Materials and Methods: In total, 34 AIS patients who undergo Cheneau brace treatment were asked to complete SATAQ-3 and COPS. Results: AIS patients presented a high level of internalization. Clinical and radiological factors that play a crucial role in the evaluation and decision process during brace treatment were not significantly associated with COPS and SATAQ-3 total scores. The SATAQ-3 total score and COPS results were also not related to sociodemographic parameters of the analyzed group. Conclusions: The presented study confirms the usefulness of the questionnaires, which aimed to isolate sociocultural risk factors of body image disorders in scoliosis patients as predictors of treatment dissatisfaction and worse compliance.

Brace and Physiotherapeutic Scoliosis Specific Exercises (PSSE) for Adolescent Idiopathic Scoliosis (AIS) treatment: a prospective study following Scoliosis Research Society (SRS) criteria

BackgroundA growing scientific evidence for conservative treatment of AIS has recently proved that bracing is superior to natural history. Our aim was to investigate the effectiveness of a combined treatment with brace and PSSE for AIS.MethodsProspective study, following SRS research inclusion criteria (> 10 years, 25ο – 40ο, Risser 0–2, < 1-year post-menarche, no prior treatment). 102 consecutive patients (87 females-15 males, mean age 12.8 years, Risser 0.48, Cobb Thoracic 29.2ο, Lumbar 27.8ο) received treatment with Cheneau brace and PSSE. Average follow-up time was 26.4 months. A scale from A to C was used to evaluate compliance with brace and PSSE (A: full-compliant, B: partially compliant, C: non-compliant). 7 subjects dropped-out (6.8%), so finally 95 patients included for statistical analysis, using paired t-test.ResultsSixty-two patients (65.3%) remained stable, 22 improved > 5ο (23.2%) and 11 progressed (11.5%). In-brace correction (IBC) was 49.7% for thoracic and 61.7% for lumbar curves. Analysis of progressed cases revealed that IBC (31.7% for thoracic and 34.4% for lumbar curves) and compliance (81.8% C for brace, 63.6% C for PSSE) was lower than average. Group A for treatment compliance (65.3%), showed significantly better results (70.9% stable, 29.1% improved, 0% progressed).ConclusionA combination of bracing and PSSE can effectively treat AIS, according to SRS inclusion criteria. 88.5% of patients avoided progression > 5ο and only 6.4% overpassed 40ο. IBC and compliance are the most important prognostic factors for successful treatment result. Early detection of AIS is also necessary for increased possibilities of effective conservative treatment.

Shared Decision-Making for Juvenile Scoliosis.

Shared Decision-Making for Juvenile Scoliosis.

Use and impact of Cheneau brace in adolescent idiopathic scoliosis: a literature review

&lt;p class="abstract"&gt;The Cheneau brace is the most commonly used rigid thoracolumbosacral orthosis in Europe. It is designed to de-rotate the apical segment of the curve and provide 3D correction of the spinal deformity. In terms of brace application outcomes, the Cheneau brace has been shown to prevent curve progression and decrease axial rotation. The objectives of the Cheneau brace are to achieve a three-dimensional correction of the scoliotic deformity, focusing on the sagittal plane as well as the coronal and transverse planes. This literature review aims to review the impact of Cheneau brace on usage and compliance in adolescent idiopathic scoliosis. PubMed, Cochrane Library, Google Scholar, and reference lists from all retrieved papers were used to conduct an electronic database search. The Cheneau brace may be beneficial in preventing curvature progression in AIS patients. With careful fitting and adjustment of the pads by an experienced Orthotist, the curve should be corrected to the greatest extent possible in the brace. Poor outcomes can also be the result of poor patient management, which can have an impact on compliance. A successful treatment outcome can be achieved with close monitoring of the patient's compliance and in brace correction. According to the literature, the Cheneau brace is an effective treatment for mild to moderate AIS. Starting brace usage at a younger age and taking into account the child's routines and preferences, as well as the treatment plan and prescribed orthosis regimen, can drastically improve compliance.&lt;/p&gt;

Use of torso orthoses in the treatment of congenital spinal deformities: A literature review

BACKGROUND: Congenital malformations of the spine require urgent treatment, despite the popularity of this problem. The choice of the term and method of surgical treatment of congenital spinal deformities with vertebral malformations does not have diametrically opposed views in the domestic and foreign literature, but the scientific discussion continues regarding the use of orthotics. Currently, several designs of orthoses on the trunk are known worldwide, which can be used not only for idiopathic but also for congenital scoliosis. А unified view of the use of this type of complex treatment is necessary, but there are opposite opinions in the scientific literature.&#x0D; AIM: This study aimed to analyze publications that present the use of torso orthoses in the treatment of congenital malformations of the spine.&#x0D; MATERIALS AND METHODS: We searched for data in the open electronic databases of PubMed and e-LIBRARY using the following keywords and phrases: congenital deformity of the spine, congenital scoliosis, orthosis, and effectiveness of orthosis. The search covered 30 years of literature.&#x0D; RESULTS: Several authors have reported a significant correction of the congenital curves using orthotics, but this issue has not been sufficiently studied and is still at the research stage. Some specialists consider the formation or progression after the operation of compensatory counter-curve above or below the established metal structure, which can be corrected not only by repeated surgery, but also by using orthoses.&#x0D; CONCLUSIONS: There is a clear trend toward complex treatment of children with isolated congenital malformations of the spine, including a reasonable combination of surgical treatment and orthotics. In Europe and Russia, preference is given to the Rigo system Cheneau brace.

Long-term Results of Conservative Therapy of Adolescent Idiopathic Scoliosis Using the Cheneau Brace.

Adolescent idiopathic scoliosis is a disease of the growing skeleton. The goal in therapy is to decelerate or to prevent progression of the spinal curve. As part of a retrospective study the patient group of the scoliosis surgery from 1995-2016 was analysed according to the inclusion criteria of the Scoliosis research Society (SRS). 159 of 643 of the patients fullfilled the specific criteria. The assessment of effectiveness was based on the progression of the angle of curvature. If it was ≤5° it was judged positively. The therapy in accordance to Cheneau is a full-time bracing orthosis. Data from 159 patients - 136 fem. (85.5%), 23 male (14.5%) was analysed. The average age at the beginning of treatment was 13.3±1.7 years. The average duration was 3.47±1.2 years. The average Cobb-angle before treatment was 28.39°±9.44°. At the completion is was 27.7°±12.34°. Stabilisation of scoliosis (≤5°) was achieved for 136 of the patients (85.5%). The final follow-up showed a progression of the Cobb angel>5° in 23 cases, of which 19 had to undergo secondary surgery. The length of therapy had a positive influence (p=0.057) on the result. Brace treatment constitutes an effective method of therapy at curvatures between 20-40°. Short duration of therapy correlates with a expressively increased risk towards progression (p=0.057). The Cheneau brace treatment constitutes an effective treatment at curvature angles between 20-40°. The risk of progression can be reduced by a timely and correct identification.

Does rigid spinal orthosis carry more psychosocial implications than the flexible brace in AIS patients? A cross-sectional study

A small body of data exists concerning psychosocial issues in adolescent idiopathic scoliosis (AIS) subjected to soft braces. No study was yet performed on the detailed psychosocial implications in AIS patients. To compare the psychosocial implications of the flexible SpineCor with the Cheneau orthosis in AIS females. Patients (aged 10-18 years) deliberately assigned to undergo SpineCor (SC group, 30 patients) or Cheneau brace (Ch group, 41 patients) intervention completed the Scoliosis Research Society-22 (SRS-22), the Spinal Appearance Questionnaire (SAQ), the Brace Questionnaire (BrQ) and the Pediatric Outcomes Data Collection Instrument (PODCI). Concerning the BrQ, study groups differ in regards to emotional functioning (p= 0.014), vitality (p= 0.022) and social functioning (p= 0.048), indicating better functioning in the Ch group. Considering the SAQ, the Ch group assesses body curve (p= 0.024) less critically. Regarding the PODCI, the Ch group scored higher in the Global Functioning Scale (p= 0.023), the Upper Extremity and Physical Function Scale (p= 0.000), the Transfer and Basic Mobility Scale (p= 0.088), the Pain/Comfort Scale (p= 0.009) and the Happiness Scale (p= 0.022). This study shows that patients treated with the rigid brace assess their vitality, physical function, emotional and social functioning better and are less critical towards body curve, in comparison to patients treated with the SpineCor.

The Duration of the correction loss after removing cheneau brace in patients with adolescent idiopathic scoliosis

ObjectiveThe aim of the study was to evaluate the loss of truncal rotation over 54 hours after removing Chêneau brace. MethodsThe studied groups consisted of 39 girls aged 10–18 years old, diagnosed with adolescent idiopathic scoliosis (AIS) and treated with Chêneau brace (CAST) and 20 AIS girls aged 10–18 years old, not treated with bracing. Posterior-anterior radiographs were obtained from the clinical assessment of all subjects and were subsequently used to determine Cobb angles. The measurements of the angle of trunk rotation (ATR) were taken with the Scoliometer® and back-contour device during Adams forward bending test by the two evaluators. The changes in ATRs during 54 hours of observation were performed after the brace had been taken off (0, 2, 24, 30, 48 and 54 hours after debracing). This was described using VATR variable, defined as the change in the absolute Scoliometer® readings in the time intervals against the time interval Δt between the measurements. During back-contour assessment the differential factor (kra) has been used for the digital analysis. The changes in kra over 54 hours of observation were expressed as Vkra factor, defined as the difference in the absolute value of the amplitude differential factor (kra) in the time intervals against the time interval Δt between the measurements. ResultsThe highest changes were observed in the thoracic as well as in lumbar spine in patients with Cobb angle ≥30°, axial rotation of the apical vertebrae within 5–15°, Risser sign 0–2. The biggest change in the trunk rotation after Chêneau brace had been taken off was noted within the first two hours of observation. ConclusionThe patients should be advised to take the brace off for a minimum of two hours before the scheduled x-ray, to allow full relaxation of the trunk in order to obtain reliable radiological images of the deformation. Level of EvidenceLevel III Therapeutic study.

Quality of Life of Children and Adolescents with Idiopathic Scoliosis Treated Conservatively with DoboMed Method

Introduction The purpose of this study was to determine the Quality of Life of children and adolescents with IS (idiopathic scoliosis) treated conservatively with DoboMed method. Material and Methods We examined group of 63 patients (54 girls) with mean age (14,7 years) – 32 were treated with a DoboMed method only and 31 were treated both with DoboMed method and with Cheneau brace. Mean patients' Cobb angle was 24,2° and mean apical vertebral rotation (AVR) was 11,4°. We also analyzed the patients' BMI (body mass index) z-score, the age of the diagnosis, the deformity location and the duration of brace application. Two questionnaires were used: BSSQ-Deformity and BSSQ-Brace, patients were examined twice at the beginning and at the end of hospitalization. Results At the beginning of hospitalization, the median value of BSSQ-Deformity was 18 and for BSSQ-Brace 9,5. Statistically significant correlations between BSSQ-Deformity results and patient's age, BMI z-score and numer of hospitalizations in the Department were observed. In the group of patients treated with a DoboMed method and a brace, we observed the higher level of stress associated with application of the brace (median=9,5) than the level of stress associated with a deformity (median=16) ( p = 0,0001). This group presented also a higher level of stress evaluated with BSSQ-Deformity than group treated only with DoboMed (median=19) ( p = 0,041). Conclusion Children and adolescents with a scoliosis treated with a DoboMed method presented a low or moderate level of stress associated with the deformity. Higher observed the level of stress was significantly correlated with an older age of patients, a higher BMI z-score value and more hospitalizations in the Department. There was no correlation between the patients' quality of life and the duration of a brace aplication. Group of patients treated with both: the physiotherapy and brace presented the higher level of stress associated with deformity. The level of stress associated with the brace usage (BSSQ-brace) is higher than a stress associated with deformity (BSSQ-deformity) in a group treated with the Chenau brace.

The Physical and Mental Health in the Conservative Treatment of the Idiopathic Scoliosis

Introduction Idiopathic scoliosis may lead to physical and psychosocial impairment as it mostly appears before and/or during puberty. Both ability of young patients to confront the stress of a chronic disease and self esteem, affect their psychosomatic development and their future quality of life. Purpose of this study was to describe and evaluate health associated quality of life in patients with idiopathic scoliosis. Material and Methods In this study the physical and mental health of 69 young patients with idiopathic scoliosis was compared with a control group of the same age. The patients were treated with a Cheneau brace because of Idiopathic scoliosis with Cobb angles between 15°and 40°. We used a modified short form 36 questionnaire. We evaluated the eight sections of the SF-36 questionnaire in both groups (vitality, physical functioning, bodily pain, general health perceptions, physical role functioning, emotional role functioning, social role functioning, mental health). The statistical analysis was performed with the Sigma Plot software. Results In comparison to the coeval control group (mean age 17,9 years) the group with idiopathic scoliosis (mean age 18,1 years) showed significant higher bodily pain levels. We did not observe any significant differences between the two groups in the sections of vitality, physical functioning, general health perceptions, physical role functioning, emotional role functioning, social role functioning and mental health. Conclusion According to our results, bodily pain is more intense by conservative treated patients with idiopathic scoliosis as in the control group. Nevertheless, psychological and psychosocial adjustment of these patients is the same as their contemporaries without significant differences.

The new Lyon brace (ARTBrace). New concepts of scoliosis correction

Method The first concept is the mathematical model of circled helicoid. In the torso column, the generating circle is perpendicular to the axis. To obtain a torso column in the opposite side of scoliosis, the superposition of three electronic instantaneous full 3D moldings are necessary: First molding in self active axial elongation for pelvis and shoulders Second molding in lumbar shift and physiological lordosis for the lumbar spine Third molding in thoracic shift and physiological kyphosis for the thoracic spine. The 3 moldings are superposed with specific software OrtenShape. The second concept is the wrench and bolt principle. No more pressure and expansion, no more push and pull, scoliosis is untwisted by the brace. The third principle according to Panjabi is the coupled motion behavior of the spine. When the spine is in a flexed or extended position (non-neutral) sidebending to one side will be accompanied by rotation to the same side correcting scoliosis rotation. Molding is 2D but correction is 3D. These new concepts can avoid the plaster cast or major modifications of the mold like the Cheneau brace. Results Economics: no more plaster cast, no more hospitalization, the life of the brace is greater than that of the plaster. Efficiency: the brace is adjustable in the frontal plane, an additional correction by internal pad is easy (like Sforzesco). Aesthetics: the brace is transparent, almost invisible under clothing. Hygiene: a daily 15-minute shower is possible. Lightness: No more 5-7 kg plaster cast. Originality: This is the first untwisting brace of the whole spine in three planes of space. Simplicity: anyone can make a frontal bending with lordosis or kyphosis, no major correction of the positive mold, a single setting, the protocol is identical to that of plaster cast. Tolerance: Polycarbonate is biologically well tolerated. Universality: It is possible to correct Hyperkyphosis like hypokyphosis.

A longitudinal study of alexithymia in relation to physical activity in adolescent females with scoliosis subjected to cheneau brace treatment: preliminary report.

A longitudinal pilot study of changes in levels of alexithymia among females with adolescent idiopathic scoliosis (AIS) under brace treatment. To investigate the prevalence of alexithymia and to evaluate changes in alexithymia levels among female patients with AIS treated with a Cheneau brace, in comparison with healthy female adolescents. Alexithymia is a personality trait incorporating the following core characteristics: difficulty in identifying and describing feelings, difficulty in distinguishing between feelings and the physical sensation of emotional arousal, limited imaginal processes, and an externally oriented cognitive style. Alexithymia can be common among adolescents and young adults with severe idiopathic scoliosis. Thirty-six female patients with AIS, aged 13.4 years (standard deviation [SD], 1.7) at the beginning of the study, completed the Polish version of the Toronto Alexithymia Scale-26 (TAS-26). The second and third evaluations took place at 6 and 12 months, respectively, after the beginning of the study. Thirty-six healthy female controls were also included. The mean TAS-26 total score was 63.4 (SD, 9.3), 59.5 (SD, 12.1), and 59.6 (SD, 12.5) during the first, second, and last patient evaluation, whereas in healthy females 60.0 (SD, 10.9). With regard to the TAS-26 total score, results differed significantly between the first and the second (P = 0.007) and between the first and the third patient evaluation (P = 0.007). Regression analysis revealed that during the second and third patient evaluation, duration of recreational sports activity had a statistically significant (P = 0.029 and P = 0.005, respectively) influence on the probability of females reporting no alexithymia. The prevalence of alexithymia in healthy female controls is the same as in patients with scoliosis subjected to underarm brace treatment. Statistically significant changes with regard to TAS-26 total score and externally oriented thinking domain were found in patient sample. Physical activity in females with AIS treated nonoperatively coexists with lower scores in the TAS-26. 2.

The effect of compliance to a Rigo System Cheneau brace and a specific exercise programme on idiopathic scoliosis curvature: a comparative study: SOSORT 2014 award winner.

BackgroundThere is controversy as to whether conservative management that includes wearing a brace and exercises is effective in stabilising idiopathic scoliosis curves. A brace only prevents progression of the curve and has been shown to have favourable outcomes when patients are compliant. So the aim of this study was to: determine the effect of compliance to the Rigo System Cheneau (RSC) brace and a specific exercise programme on Idiopathic Scoliosis curvature; and to compare the Quality of Life (QoL) and psychological traits of compliant and non compliant subjects.MethodsA pre/post test study design was used with a post study comparison between subjects who complied with the management and those who did not. Fifty one subjects, girls aged 12-16 years, Cobb angles 20-50 degrees participated in the study. Subjects were divided into two groups, according to their compliance, at the end of the study. The compliant group wore the brace 20 or more hours a day and exercised three or more times per week. The non-compliant group wore the brace less than 20 hours a day and exercised less than three times per week. Cobb angles, vertebral rotation, scoliometer readings, peak flow, quality of life and personality traits were compared between groups, using the student’s two sample t-test and an analysis of covariance.ResultsThe compliant group, wore the brace 21.5 hours per day and exercised four times a week, and significantly improved in all measures compared to non compliant subjects, who wore the brace 12 hours per day, exercised 1.7 times a week and significantly deteriorated (p < 0.0001). The major Cobb angles in the compliant group improved 10.19°(±5.5) and deteriorated 5.52°(±4.3) in the non compliant group (p < 0.0001). Compliant subjects had a significantly better QoL than the non compliant subjects (p = 0.001). The compliant group were significantly more emotionally mature, stable and realistic than the non compliant group (p = 0.03).ConclusionsGood compliance of the RSC brace and a specific exercise regime resulted in a significant improvement in curvatures, poor compliance resulted in progression/deterioration. A poorer QoL in the non compliant group possibly was caused by personality traits of the group, being more emotionally immature and unstable.

Cheneau mider u liječenju idiopatskih skolioza

Introduction. Scoliosis is a three-dimensional deformity of the spine that requires a three-dimensional correction. The aim of the paper. The aim was to evaluate the effectiveness of the Cheneau brace in the treatment of idiopathic scoliosis. Patients and Methods. The retrospective study included 20 girls treated by the Cheneau brace. The criteria for inclusion were: double idiopathic thoracolumbar scoliosis over 20 degrees as measured by Cobb at the beginning of the treatment, continuous treatment with a brace and exercises controlled by an expert team until the end of growth and upon reaching skeletal maturity (Risser 5). The data were collected from medical records: age, the value of Cobb's angle and degree of bone maturity at the beginning and end of treatment. We analyzed changes in scoliosis at the end of treatment compared to the initial curve by examining the two radiographs made at the beginning and end of treatment. The change of scoliosis is described as: reduced, stabilized or worsened curvature. The success of the treatment is considered to be the reduction and stabilization of scoliosis. Statistical analysis tool SPSS was used for result presentation and statistical inference. Values p<0.05 were considered statistically significant differences. Results. Success in treatment (reduction / stabilization of scoliosis) was noted in 90% of the respondents. Thoracic scoliosis was reduced in 50% of patients, stabilized in 40%, worsened in 10% of children. Reduction of lumbar scoliosis is in 70% and stabilization in 25% of patients. The average correction of thoracic scoliosis is six degrees (p <0.002) and correction of lumbar scoliosis is eight degrees (p <0.001). The average age at baseline was 12.7 years; girls have had approximately five braces changed during 4.5 years of treatment. Conclusion. The results of this study confirm the efficiency of the Cheneau brace in the treatment of idiopathic scoliosis in 90% of patients.

Exercise efficiency of adolescents with idiopathic scoliosis in and without Cheneau brace

Background Untreated idiopathic scoliosis (IS) may lead to large deformations of the trunk, limiting capacity and biomechanics functions of the chest and exercise capacity, which is closely related to changes in the functioning of the cardio-pulmonary system. The conservative treatment of IS is applied in a brace treatment and various methods of physiotherapy. However, the usage of the brace may additionally decrease the cardio-pulmonary efficiency, regardless of what the beneficial effects of persistent brace therapy might be. Purpose The goal of this study was to observe whether a Cheneau brace (ChB) affects the exercise capacity (ExC) among the patients with IS based on the analysis of the two forms of exercise: Cycle Ergometer Test (CET) and the 6-Minute Walk Test (6MWT). Additional goals were to determine the relationship between factors such as curvature size (Cobb), the deformation extent and the degree of a direct effect of the ChB on ExC. Methods Fifty-Six patients (10-18 years) with diagnosed IS, who passed through the CET and the 6MWT. Tests were performed twice: once in a brace and once without it. Design: A randomized, controlled trial. Results The study showed a disability of the exercise test parameters on the CET during the test with a ChB compared to the test without a ChB. The search for a correlation between the degree and location of the scoliosis, the thoracic kyphosis degree, children’ sa ge and the CET parameters exercise test failed in most cases. The significantly shorter average distance of 6MWT was founded in the children’s group wearing a brace compared to the group without the brace. Conclusions and discussion A ChB significantly limits the ExC. The impairment of this capacity has been demonstrated in both tests for CET and 6MWT. Both exercise tests had limited utility in assessing the negative effect of the degree and location of scoliosis on some parameters in these trials. More useful in this aspect was a 6MWT, in which was found a significant inverse correlation between the thoracic kyphosis degree and the difference in march distance with and without a brace.

RSC in practical use

The goal of this study was to determine the primary correction of the Cobb angles of idiopathic scoliosis subjects wearing the Rigo System Cheneau (RSC) brace. The RSC brace is a scoliosis brace that incorporates expansion and pressure areas to treat all aspects of the 3-dimensional scoliotic deformity not only in the frontal plane but also in the sagittal and transverse planes. After years of treatment without looking at the interdisciplinary way of bracing, we decided to change our method of bracing. There are different philosophies and design possibilities in the conservative treatment of idiopathic scoliosis (IS) and lots of CPO’s worldwide have an opinion about the best brace or best method to treat IS. It is important that the goals of treatment are clearly defined and every effort is made to prevent the progression of the scoliotic deformity throughout treatment. Some braces can not only be ineffective, but may be harmful. . In certain cases, damage occurs if the patient is wearing an ill-fitting brace or if the treatment is not combined with physiotherapy. Often, the patients and their families are not provided information or assistance with the subsequent diagnosis and therapy. Sometimes, patients and their families contact doctors who do not have much experience with treating IS. Often, patients do not recognize the scoliosis until it is more severe, so treating the scoliosis becomes a more serious problem. However, the importance of providing adequate scoliosis information and a solid treatment plan for scoliosis physical therapy has recently become recognized. In Germany, especially, which has its own unique reimbursement system, the CPO’s are not pressured to improve their quality or way of treatment. Often, these CPOs are paid by health insurance providers without adequate follow-up, or the braces are not appropriate or do not conform to SOSORT guidelines. Until now, there was no institution to prove or allow the bracing or any CPO treatment in Germany because of missing studies of properly fitted braces and treatment. It is one thing to provide a patient with a prosthetic leg with numerous issues with the socket, but it is an entirely different issue to provide an ill-fitting brace to an infant or adult patient without concept of treatment. Scoliosis is a multifactorial deformity that affects all three body planes of the trunk and spine. It presents a lateral curvature with torsion of the spine and chest, often associated with abnormal sagittal profile, such as flatback. I want to discuss the brace form or correct manner of modelling the brace, which is surely very important; however, the full concept, such as RSC, is also very important in providing good results. Since 2001, the RSC Management System is a patented method for producing computer-standardized custom-molded scoliosis orthoses for patients with scoliosis. This brace system is based off handmade molds from MR dating back from the early 1990s to the present. Treatment using a RSC brace involves a medical team collaboration among MR in Spain, Ortholutions in Germany, and the exclusive RSC brace treatment center. The RSC brace is a scoliosis corset produced by computer technology according to the Ortholutions patented method. It is supplied exclusively to specialist firms trained for this. The concept is not only logical but also holistic, according to further development of the original Cheneau Brace by international scoliosis experts and Ortholutions. The model data bank grows continuously with the latest scientific knowledge. Each RSC brace is produced according to the unique Ortholutions patented method. One of the many special features is the individual diagnosis and brace design for each individual patient. The main goal is to provide valuable treatment with a high rate of correction. All patients are seen and classified by two MDs, two CPOs and one physiotherapist. Every patient has their own database, where all data is stored and can be viewed and evaluated by the team or health insurance provider.

Patients' and Parents' Perceptions of Appearance in Scoliosis Treated with a Brace: A Cross-Sectional Analysis.

The perspective of trunk deformity is a matter of special concern for adolescent idiopathic scoliosis (AIS) patients. No research group has ever reported interviewing patients and their parents regarding differences in perception of body appearance in the course of Cheneau brace treatment. We aimed to investigate the level of agreement in the field of concerns and perceptions of spinal appearance in relation to brace- and scoliosis-related data between parents and female patients with AIS, treated with a Cheneau brace, by means of the Spinal Appearance Questionnaire-pl (SAQ-pl). In this cross-sectional study forty-one pairs of parents and female patients with AIS were asked to separately complete the Polish versions of the Spinal Appearance Questionnaire-pl patient form (SAQ-pl patient form) and the SAQ-pl parent form. Age of patients was 13.60 years SD 1.60 (range 10–17). Patients scored 2.70 (SD 0.60) and parents scored 2.70 SD 0.60 in the total score of the SAQ-pl. The study groups do not differ significantly in regards to the SAQ-pl results. The percentage of consistent answers on SAQ-pl items ranges from 34.10 % (item 20) to 78 % (item 8). Height, age and brace-wearing time per day, were significantly related to the differences in the patient-parent General perception of body shape (rs = −0.51, rs = −0.34, rs = 0.36, respectively). Parents and female patients with AIS have similar concerns and perceptions of spinal appearance. The discrepancies in General perception of spinal appearance between parents and AIS females decrease with age of patient. Parental emotional support may contribute to minimizing the risk factors of psychological impairment, especially in late adolescents with AIS.