does SpineCor compare to other braces?
is a dynamic non-rigid brace, meaning it
is flexible. This important feature leads
to numerous benefits:
body movement and promotes corrective
growth whilst continuing normal
activities of daily living;
be discreetly worn beneath patient's
clothing for optimum self-image;
patient's acceptance for the treatment
leading to optimal results;
long-term offers a cost-effective
solution to patient;
stability of treatment results after
bracing discontinued, quite unlike
observation shows significant postural
side effects (muscular atrophy).
physical therapy beneficial?
is at this point in time no evidence
to prove scientifically that physical
therapy provided in conjunction with
SpineCor provides any additional
benefit, however, we do advise its
use in certain cases. Physical therapy
does have the potential to;
mobilize the spine
the corrective movement
with active self correction
consolidate the corrective movement
and gain a neuromuscular integration
(stabilizing the curve)
All published data on SpineCor relates to treatment using the brace alone 20
hours out of 24 following our published treatment protocols. Whilst we cannot
say variations to this protocol may not be positive we have no evidence to
support such variations at this time.
is Vestibular testing for and how does it affect treatment?
testing is claimed to be useful in the evaluation of
balance and central nervous system dysfunction. Because
all scoliosis patients have some degree of abnormal posture
and the vestibular system plays a part in the control
of posture, vestibular tests on scoliosis patients always
show abnormality. This abnormal vestibular function always
improves naturally with use of the SpineCor brace as
the patients posture improves. There is no evidence to
suggest that specific vestibular rehabilitation exercises
play any useful role. The SpineCorporation do not advise
vestibular testing or rehabilitation exercises.
chiropractic treatment helpful in conjunction with SpineCor
have no data to support the use of any specific Chiropractic care in conjunction
with SpineCor treatment; however techniques which may mobilize hypo-mobile
areas of the spine could be helpful.
might my treatment fail?
treatment like any other treatment is not 100% effective
even in ideal circumstances treatment will not be effective
in 10 – 20% of cases. If you are unlucky enough to
be at the highest risk of progression then your curve may
still progress despite everyone’s best efforts. Some
patients may have or perceive sub-optimal treatment for
one or more of the following reasons:
to establish realistic expectations at the
start of treatment.
to follow the SpineCor Protocols
of confidence in the treatment
It is important to understand that in most cases, treatment failures are attributable
to the nature of idiopathic scoliosis itself and not the doctor, orthotist,
patient or parent failing in some way. The broad range of severity and age
of onset in idiopathic scoliosis put some patients at such high risk of progression
that therapeutic success is not always possible by conservative non-surgical
Studies of different patient populations will show different results: the broader
range of patients included in the earliest studies show a success rate of 89%
in correcting or preventing progression. This group had more patients treated
early (the optimal time for treatment success) and possibly some lower risk
patients. The latest Scoliosis Research Society (SRS) defined study criteria
(including only the highest progression risk patients and excluding early treatment
cases less than 25 degrees) show a lower success rate of 60% in correcting
or preventing progression, however, this compares to a 15% success rate for
Boston type TLSO. Surgery rates in the SRS studies are 4 times less with SpineCor
than Boston type TLSO braces.
many studies have been done to show the long-term effects
of the brace?
Clinical Studies are still ongoing and will continue
for many years to come. At present, recently published
data show excellent results with curve corrections stable
at five years after treatment, a phenomena not typical
of rigid bracing.
is the cost of the SpineCor brace?
treatment providers may charge differently for SpineCor
treatment. To prevent excessive pricing, the maximum
recommended retail price is published as $3,500 (€2,270 £1,750)
which is for initial brace assessment, fitting and first
follow-up. This figure does
not include, the prescribing/referring doctor’s
fees, x-rays, further follow-up/brace adjustment visits,
replacement brace parts or any additional therapies (e.g.
physical therapy or chiropractic care).
the patient put the brace on him/herself?
begin with, patients need a prescription from a paediatric
orthopaedic surgeon in order to obtain approval for treatment.
Most of the time, patients are then referred to an orthotist
/ physical therapist who will set-up the SpineCor brace.
Information is then provided to both the patient and
his/her family on the use of SpineCor. It is easy for
the patient to put it back on once it has been set-up
and the bands numbered for fastening sequence and positions.
is the recommended daily use (in hours)?
daily recommended use in brace depends on the pathology
of the patient, his/her age, progression rate and severity
of the scoliosis. In general, it is recommended to wear
SpineCor 20 hours per day.
do we go about washing the brace components?
maintenance of the brace is explained extensively to patients
and their families from the moment that it is first applied.
In addition, a maintenance guide explaining the washing
and drying process of the brace is also provided to the
patients when it is purchased.
are the doctors involved with the brace?
Charles Hilaire Rivard and Dr Christine Coillard have dedicated
over 12 years on research and the development of the SpineCor
any research been done on adults and SpineCor?
yet there are no
Studies but research
is being carried
out into the use
of SpineCor for adults.
look very positive.
an adult be fitted
US study is now evaluating
the use of SpineCor
treatment for adult
patients. The treatment
objectives for adults
are quite different
to children but the
same principles of
through dynamic exercise
feed back still apply. Treatment
objectives for adults
are postural improvement
and pain reduction.
Whilst postural improvements
may lead to very
small Cobb angle
correction of scoliotic
curves in adults
is not possible and
should never be the
Early results with
adults are very positive,
with both postural
pain reduction in
all patients to date.
the brace be used on an adult
to reduce back pain?
pain reduction in adults is possible,
early treatment results do seem
to support the hypothesis.
any thought been given to eventually
having an ''adult'' brace?
for the moment the size range of the paediatric brace has
been expanded for adult use. In the near future a specific
adult SpineCor postural rehabilitation brace (P.R.B.) will