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  #1  
Old 16-01-2010, 02:35 AM
Susan Susan is offline
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Default Spinecor Brace

Hi

I wonder if anyone has tried the Spinecor brace and have got feedback in regards to its use and efficacy as opposed to the rigid braces. My daughter has scoliosis and we want to get her on the spinecor brace although she appears to be near the treshold of a spinal operation to correct the curvature. The very thought of the operation scares us not to mention the risks involved.

I have also noticed some websites recommending exercises to alleviate scoliosis such as hanging from a bar (presumably the gravitational pull from bar hanging helps). As such, I wonder if the inverter machine called the teeter hangups will help - has anyone got any comments about this (the exercises/teeter)?
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  #2  
Old 17-01-2010, 12:08 AM
Rodverta Braefusion Rodverta Braefusion is offline
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Default Re: Spinecor Brace

Hi Susan, Welcome to the forum. I had surgery last year in June for a 58 degree thoracolumbar curve. I was never braced and therefore can't give any opinion on either. With regards to the 'hanging/pulling bar' question, are you referring to the Schroth Method? I read up on a treatment called the Dorn Method. The before and after photos looked promising. What are the Cobb angles of your daughters' curves and what are they recommending in terms of treatment. I hope she is not in any pain. The surgery does sound scary, however after being through it, i can honestly say that, its definitely not a 'walk in the park', but its not that bad either. If you have any questions, ask away.
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  #3  
Old 27-01-2010, 08:06 PM
PhysioLarry PhysioLarry is offline
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Default Re: Spinecor Brace

Hi Susan,
there are many different type of bracing and if you daughter is near surgical limits (and depending on her age) then bracing is probably an important intervention to consider. Likewise, as Rodverta suggested, if necessary, surgery might be required as well.

However, specialist conservative scoliosis management is another "tool" in the management and is often implemented in combination with bracing and hopefully instead of but sometimes prior to surgery.

Hanging from a wall bar is a commonly used starting position within Schroth scoliosis therapy BUT this position needs to be fine-tuned to the type of curve, following which specific breathing and muscular exercises need to be performed.

Schroth's textbook info can be found at http://www.schrothmethod.com/

hope this helps...

regards

Larry
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  #4  
Old 08-02-2010, 02:58 PM
Dr Scoliosis Dr Scoliosis is offline
 
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Default Re: A comment on the SpineCor brace

At present, there is insufficient evidence to advise the use of the SpineCor brace. In peer-reviewed literature, there is only one report of a randomised, controlled clinical trial comparing this orthosis with a rigid (Boston) brace (Wong MS et al, Spine 33 (12) 2008). The study showed the Boston brace was significantly more effective in preventing curve progression than the SpineCor orthosis.

On the other hand, there is good evidence that the Boston brace is effective in the management of scoliosis. (Nachemson AL, Peterson LE, JBJS(A) 77 (6) 1995).

As far as I am aware, there is no mainstream, specialist spinal surgeon in Australia who advocates the use of the SpineCor brace.

Effectiveness of Treatment with a Brace in Girls
who have Adolescent Idiopathic Scoliosis


A prospective, controlled study based on data from the brace
study of the Scoliosis Research Society

Nachemson A L, Peterson L-E


The Journal of Bone and Joint Surgery 77-A 1995 815-821

ABSTRACT: In a prospective study by the Scoliosis
Research Society, 286 girls who had adolescent idiopathic
Scoliosis, a thoracic or thoracolumbar curve of 25 to 35
degrees, and a mean age of twelve years and seven months
(range, ten to fifteen years) were followed to determine the
effect of treatment with observation only (129 patients),
an underarm plastic brace (111 patients),
and nighttime surface electrical stimulation (forty-six
patients). Thirty-nine patients were lost to follow-up,
leaving 247 (86 per cent) who were followed until maturity
or who were dropped from the study because of
failure of the assigned treatment. The end point of failure
of treatment was defined as an increase in the curve
of at least 6 degrees, from the time of the first
roentgenogram, on two consecutive roentgenograms.
As determined with use of this end point, treatment
with a brace failed in seventeen of the 111 patients;
observation only, in fifty-eight of the 129 patients; and
electrical stimulation, in twenty-two of the forty-six
patients. According to survivorship analysis, treatment
with a brace was associated with a success rate of 74
per cent (95 per cent confidence interval, 52 to 84) at
four years; observation only, with a success rate of 34
per cent (95 per cent confidence interval, 16 to 49); and
electrical stimulation, with a success rate of 33 per cent
(95 per cent confidence interval, 12 to 60). The thirty-
nine patients who were lost to follow-up were included
in the survivorship analysis for the time-period that
they were in the study.
Treatment with a brace was successful (p < 0.0001)
in preventing 6 degrees of increase or more until the
patients were sixteen years old. Even a worst-case
analysis, in which the twenty-three patients who were
dropped from the study after management with a brace
were considered to have had failed treatment, showed
that the brace prevented progression and that this
effect was significant (p = 0.0005). There was no
difference in the degree of increase in the curve between the
patients who were managed with observation only and
those who were managed with electrical stimulation.
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  #5  
Old 25-02-2010, 05:04 PM
Godiva Godiva is offline
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Default Re: Spinecor Brace

That brace looks like a dream! It must be tempting for your child but in the end you have to choose the best method for the results.
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  #6  
Old 29-03-2010, 04:17 PM
Dr Scoliosis Dr Scoliosis is offline
 
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Posts: 187
Default Re: Hanging from a wall bar in the Schroth method

It is essential that all x-rays on subjects with scoliosis be taken in the standing position as pointed out on this website here.

Click image for larger version

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The example shown in the image/link above provides the reason as both x-rays were taken on the same day, one lying down and the other standing. The difference, 14 degrees, would have been demonstrated if the standing x-ray had been taken "hanging from a wall bar", the weight of the body making the difference. Click on the image to enlarge it.

All spinal curves have a degree of inherent mobility in them, at least early in their development. They do become more stiff with ageing. Congenital curves are more rigid (less flexible) than the commoner idiopathic curves (AIS). In this context some who read this post and who have had surgical correction, will recall that they had pre-operative, side-bending x-rays performed to demonstrate the degree of mobility in their curve, which is central to surgical planning.

When a curve is put in a brace and some correction is obtained, this occurs on the basis of the inherent mobility in the curve. As stated elsewhere the aim of bracing is to hold the spine in an acceptable position through the growth spurt.

Pre-operative traction has long since been abandoned by spinal surgeons except in rare, very special circumstances. It has been conclusively shown that traction, a procedure which does in itself have some complications, does not improve the degree of correction obtained by instrumentation (rods etc.).

Scoliosis is best viewed as a contracture of the spine but the terminology has firm roots in medical history, like so many medical terms, and cannot be dislodged. An analogy is useful – if there is scarring around the knee joint and the knee cannot be fully straightened, a contracture exists. The tissues around the joint, especially the ligaments and tendons, become shortened. The cause of this is the fibrous (scar) tissue which is extremely strong. It is made up of the fibrous protein collagen, which is also the major constituent of ligaments and tendons. Tendons transmit the tension created by muscle contraction and to do this efficiently they must be inextensible. In scoliosis the ligaments close to the spine are shortened (in contracture) and traction will not lengthen them. That is why surgery for the average case of AIS obtains only about 70 percent of correction.

Voluntary exercises and even passive stretching have never been shown to correct a true contracture of a joint and the spine is a complex array of joints joined closely together. A mechanical term for this arrangement is 'coupled'.
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  #7  
Old 29-03-2010, 07:18 PM
sam sam is offline
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Default Re: Spinecor Brace

Hi
my daughter aged 12 has just gone into the brace. It is week 3 and we can see a difference in the size of her lumbar hump already. It too is not the most comfortable thing. At the moment she has a welt about 10cm long and 1cm wide that is irritating her on the site of one of the elastic straps. But it does allow her freedom of movement to some extent. She is a dancer and can do her ballet classes in the brace. She takes it off for jazz more because of the fact that she sweats so much.

We did find the body suits that came with it not adequate so I made two from scratch with padding where she needs it and modified the two that came with the brace so that they are less like g-strings.

But she does wear it 20 out of 24 hours without too much hassle. Clothes wise you have to be smart. We have found that tights with minidresses are the way to go. As for the boston brace being better - well define better. If your child won't wear it, or if their rib cage becomes undeveloped from being restricted or they end up with a worse curve because it does not actually teach the spine to work in a different way then how is it better.

It is a personal choice but we thought that the risks of the Boston developed in 1911 far outweighed its advantages. If your child's self esteem is so low that they won't wear the thing then what have you achieved.

My daughter was actually fitted by (edited by Admin to remove name) who is the chief supplier of the brace in Australia and actually trains others to fit it in Australia. He was wonderful as was his chiropractic father who introduced us. They were very respectful of the fact that they were dealing with a young girl on the cusp of puberty, treating her with dignity at all times.

The measure and fitting took about 4 hours - it was a big day. And at no time during that period did they treat her like anything less than a human being. Which is more to be said than for the orthopedic surgeon who bluntly announced that I need to take my daughter home and prepare her for a brace and that one day she would need surgery. This was after he had asked her to remove the majority of her clothing - no gown offered!

What this brace also does is make the spine work - that is the part of the spine that is contracting to cause the curve is stimulated in the opposite direction. Growth here would mean a straightening of the spine or at least a reduction in worsening. does it work? Well there are no guarentees but then neither are there with the Boston. I guess its up to the individual to decide what is best for them or their child.

Hope this helps. The spinecor website is quite good. Good luck

Sam
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  #8  
Old 06-09-2010, 10:48 AM
claudia1234 claudia1234 is offline
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Default Re: Spinecor Brace

Hi
My daughter is 11 1/2 and has three curves - 27, 39 and 32.
I would be interested to know if the spinecor brace would be more suitable for her, she also does ballet and am a bit worried about the boston brace - it looks so harsh for a growing girl and entering high school etc., eventhough she has been very good about it all, I think its us as parents that cant help but worry. I would be interested to know where your daughter was fitted. Could I ask how long does your daughter need to wear the brace and what is her curve degree. Many thanks - I feel little bit better that there are other people in our situation and that we can obtain information from them.
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  #9  
Old 22-09-2010, 09:59 AM
sam sam is offline
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Default Re: Spinecor Brace

HI Claudia1234

My daughter will need to wear the brace for a minimum of another 18months she has just started her periods. Her curves are 24 primary lumbar and 20 upper thoracic without the brace but last xrays in the brace showed they were stable at 8 and 12.
The brace has caused some chaffing usually when she exercises in it. We are not looking forward to summer but we chose the brace because it is so much more flexible than the others out there and she can choose do do her dance classes in it and save her free time out of the brace for other things like swimming or relaxing.
Hope all goes well for you.

Cheers Sam
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  #10  
Old 23-12-2010, 08:45 PM
Taniao Taniao is offline
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Default Re: Spinecor Brace

Hi, my daughter has just gone into the spinecor brace. She has had it on a week now and so far so good. She is also a very keen ballet dancer which is why she chose this brace, she wouldn't even mention the Boston brace. In regards to the bodysuits we were given two when we had the brace fitted, can anyone tell me where I can get more or something similiar.
Tania
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