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"Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis.

Weiss HR - Scoliosis (2010)

Bottom Line: A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately.As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1 Orthopedic Rehabilitation Services, D-55457 Gensingen, Alzeyerstr, 23, Germany. hr.weiss@skoliose-dr-weiss.com.

ABSTRACT

Background: Bracing concepts in use today for the treatment of scoliosis include symmetric and asymmetric hard braces usually made of polyethylene (PE) and soft braces. A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.

Brace description: This CAD/CAM Chêneau derivate has been called Gensingen brace™, a brace available to address all possible curve patterns. Once the patients' trunk is scanned with the help of a whole trunk optical 3D-scan and the patients' data from the clinical measurements are recorded, a model of the brace can be created by (1) modifying the trunk model of the patient 'on screen' to achieve a very individual brace model using the CAD/CAM tools provided or by (2) choosing a brace model from our library and re-size it to the patients' properties 'on screen'.

Results: End-result studies have been published on the Chêneau brace as early as 1985. Cohort studies on the Chêneau brace are available as is a prospective controlled study respecting the SRS criteria for bracing studies, demonstrating beneficial outcomes, when compared to the controls using a soft brace. Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately. As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well. Case reports with high in-brace corrections, as shown within this paper using the Gensingen brace™ promise beneficial outcomes when a good compliance can be achieved.

Conclusions: The use of the Gensingen brace™ leads to sufficient in-brace corrections, when compared to the correction effects achieved with other braces, as described in literature.According to the patients' reports, the Gensingen brace™ is comfortable to wear, when adjusted properly.Further studies are necessary (1) in order to evaluate brace comfort and (2) effectiveness using the SRS inclusion criteria.

No MeSH data available.


Related in: MedlinePlus

Whole trunk scan of a patient with right thoracic scoliosis. The decompensation is clearly visible. To paste some markers on the trunk before the scan is taken makes it easier to identify special landmarks of the trunk while modifying the trunk model in the computer with the help of the CAD/CAM tools provided.
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Figure 10: Whole trunk scan of a patient with right thoracic scoliosis. The decompensation is clearly visible. To paste some markers on the trunk before the scan is taken makes it easier to identify special landmarks of the trunk while modifying the trunk model in the computer with the help of the CAD/CAM tools provided.

Mentions: With this Chêneau prescription, the patient can go to any workshop near home to get his or her brace done using plaster casting, CAD/CAM system braces or Chêneau light braces. If the patient makes the decision to go to the workshop in Gensingen, the CPOs show diverse possible Chêneau derivates so as to enable the patient to decide on the brace type her- or himself. When the Gensingen brace™ has been chosen the CPO firstly performs a trunk scan (Fig. 10) and then starts to take the measurements necessary for proper brace adjustment as has been demonstrated on the linked video: http://www.youtube.com/watch?v=0P9eKW0Fpis.


"Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis.

Weiss HR - Scoliosis (2010)

Whole trunk scan of a patient with right thoracic scoliosis. The decompensation is clearly visible. To paste some markers on the trunk before the scan is taken makes it easier to identify special landmarks of the trunk while modifying the trunk model in the computer with the help of the CAD/CAM tools provided.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2967515&req=5

Figure 10: Whole trunk scan of a patient with right thoracic scoliosis. The decompensation is clearly visible. To paste some markers on the trunk before the scan is taken makes it easier to identify special landmarks of the trunk while modifying the trunk model in the computer with the help of the CAD/CAM tools provided.
Mentions: With this Chêneau prescription, the patient can go to any workshop near home to get his or her brace done using plaster casting, CAD/CAM system braces or Chêneau light braces. If the patient makes the decision to go to the workshop in Gensingen, the CPOs show diverse possible Chêneau derivates so as to enable the patient to decide on the brace type her- or himself. When the Gensingen brace™ has been chosen the CPO firstly performs a trunk scan (Fig. 10) and then starts to take the measurements necessary for proper brace adjustment as has been demonstrated on the linked video: http://www.youtube.com/watch?v=0P9eKW0Fpis.

Bottom Line: A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately.As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1 Orthopedic Rehabilitation Services, D-55457 Gensingen, Alzeyerstr, 23, Germany. hr.weiss@skoliose-dr-weiss.com.

ABSTRACT

Background: Bracing concepts in use today for the treatment of scoliosis include symmetric and asymmetric hard braces usually made of polyethylene (PE) and soft braces. A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.

Brace description: This CAD/CAM Chêneau derivate has been called Gensingen brace™, a brace available to address all possible curve patterns. Once the patients' trunk is scanned with the help of a whole trunk optical 3D-scan and the patients' data from the clinical measurements are recorded, a model of the brace can be created by (1) modifying the trunk model of the patient 'on screen' to achieve a very individual brace model using the CAD/CAM tools provided or by (2) choosing a brace model from our library and re-size it to the patients' properties 'on screen'.

Results: End-result studies have been published on the Chêneau brace as early as 1985. Cohort studies on the Chêneau brace are available as is a prospective controlled study respecting the SRS criteria for bracing studies, demonstrating beneficial outcomes, when compared to the controls using a soft brace. Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately. As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well. Case reports with high in-brace corrections, as shown within this paper using the Gensingen brace™ promise beneficial outcomes when a good compliance can be achieved.

Conclusions: The use of the Gensingen brace™ leads to sufficient in-brace corrections, when compared to the correction effects achieved with other braces, as described in literature.According to the patients' reports, the Gensingen brace™ is comfortable to wear, when adjusted properly.Further studies are necessary (1) in order to evaluate brace comfort and (2) effectiveness using the SRS inclusion criteria.

No MeSH data available.


Related in: MedlinePlus