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Home > SpineCor
System > Treatment Procedure |
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TREATMENT
PROCEDURE |
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Brace
Fitting |
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In
the first 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. |
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evaluation |
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Then,
the following evaluations will be performed:
 Clinical
Evaluation - Evaluation will be conducted on your growth
pattern and any postural abnormalities.
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
- Supine 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.
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evaluation
in brace |
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Once
the brace is fitted, it is necessary to evaluate the effectiveness
of the brace fitting performing the following exams:
Clinical
Evaluation in Brace
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.
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Follow-up
Visits |
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Patients will be asked to visit regularly their
bracing practitioner (doctor, orthotist or therapist) along the duration
of the treatment for regular readjustments of the brace and to control
the evolution of the curve. The frequency of the visits and the evaluations
to be performed are as shown in the Standard SpineCor Protocol: The
table below gives a summary of the basic evaluations and their frequency.
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1st
Visit
Brace Fitting
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2nd
Visit
1month after brace fitting
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3rd
Visit
3 months after brace fitting
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Following
visits every 3 months*
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| Verification of brace as worn by the
patient |
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X
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X
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X
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| Clinical evaluation |
X
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X
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X
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X
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| Frontal x-ray without brace |
X
or x-rays < 1 month
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Decision by MD but not normally necessary
until brace weaning |
| Lateral x-ray without brace |
X
or x-rays < 1 month
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Decision by MD according to evolution |
| Supine x-ray without brace |
X
Optional
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| Corrective Movement |
X
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X
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X
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X
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| Brace fitting / readjustment |
X
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X
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X
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X
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P/A x-ray with brace (and shoe lift
if prescribed)
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X
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X
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X
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Decision by MD but normally each 6
months |
| Lateral x-ray with brace (and shoe
lift if prescribed) |
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X
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Decision by MD but normally once per
year |
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* Follow-up visits after the first 3 months of treatment are advised
at 3 month intervals. This review period may be extended to
4 or 5 months only in cases where the prescribing doctor is
confident that the progression risk is low. Extended review
periods are not advised without great experience of SpineCoR
Treatment.
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SpineCor
Treatment |
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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).
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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