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Back brace
A back brace is a device designed to limit the motion of the spine in cases of bone fracture or in post-operative spinal fusiona, as well as a preventative measure against some progressive conditions or to correct a patient's posture.
Common back braces include:
Back braces are prescribed to treat adolescent idiopathic scoliosis, as they may stop the progression of spinal curvature in a growing child/adolescent. As of 2016, the Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) recommends bracing "is important, but does not have to be applied to all patients with this specific need" for idiopathic scoliosis during growth. Multiple studies have provided strong evidence of bracing as an effective conservative treatment for children and adolescents and may also help decrease the amount of curvature in the spine; with results lasting several decades following the end of treatment and brace weaning. A variety of brace styles are available; the Boston brace is the most commonly used brace for adolescent idiopathic scoliosis (AIS). It is important to note that in-brace correction has been found to be directly related with treatment success, suggesting in-brace correction should be maximized; thus individualized custom braces which maximize in-brace correction show better results. Other designs include the Milwaukee brace, the Charleston bending brace, the Peak Scoliosis Bracing System, and the SpineCor (a soft brace) in the United States, Canada, and Europe. In Europe, however, the SPoRT and Cheneau and Crass Cheneau braces are also used. There has been considerable research and information published in reputable journals on back braces for scoliosis. Issues like patient compliance with treatment, the psycho-social impact of brace use, and exercise with bracing have been looked at. Quality of Life research has been attempted but is difficult due to a current lack of instruments. Bracing is the primary treatment for AIS in curves that are considered to be moderate in their severity and are likely due to progress (determined by curve pattern/type and the patient's structural maturity).
A Boston brace is a form of thoracolumbosacral orthosis (TLSO). It is the most commonly used brace in the United States. It is a symmetrical brace. It corrects curvature by pushing with small pads placed against the ribs, which are also used for rotational correction (here it tends to be slightly less successful, however). These pads are usually placed in the back corners of the brace so that the body is thrust forward against the brace's front, which acts to hold the body upright. The brace opens to the back, and usually runs from just above a chair's seat (when a person is seated) to around shoulder-blade height. Because of this, it is not particularly useful in correcting very high curves. It also does not correct hip misalignment, as it uses the hips as a base point. This brace is typically worn 20–23 hours a day.[citation needed]
This brace was designed with the idea that compliance would increase if the brace were worn only at night. The brace is asymmetrical and fights against the body's curve by over-correcting. It grips the hips much like the Boston brace, and rises to approximately the same height, but pushes the patient's body to the side. It is used in single, thoracolumbar curves in patients 12–14 years of age (before structural maturity) who have flexible curves in the range of 25–35 Cobb degrees.[citation needed]
This brace is designed for use with the Schroth physical therapy method. It utilizes large, sweeping pads to push the body against its curve and into blown out spaces. The Schroth theory holds that the deformity can be corrected through retraining muscles and nerves to learn what a straight spine feels like, and breathing deeply into areas crushed by the curvature to help gain flexibility and to expand. The brace helps patients to keep doing their exercises throughout the day. This brace is asymmetrical, and is used for patients of all degrees of severity and maturity. It is often worn 20–23 hours a day. The brace principally contracts to allow for lateral and longitudinal rotation and movement.[citation needed]
Flexpine brace is a hybrid type of brace for use by non-surgical scoliosis patients. It is of 0.04 inches thickness and uses foldable urethane/plastic as its frame so that the wearer can still move his/her body. It is a customized product made of 3D printing material. It has an elastic band to push the curved part of the spine. This is so patients can bend their spine easier. Patients can do spine realigning exercise while wearing Flexpine brace, so they can reduce their overall treatment time by exercising and conveying the brace treatment simultaneously.[citation needed]
The Milwaukee brace was a very common brace towards the earlier part of the twentieth century in the United States. It is a largely symmetrical brace. The brace is made with a harness-like hip area and metal strips rising to the chin, where a collar (neck ring) is held in place. Between the hips and chin, there are corrective thrusts given with large pads.[citation needed]
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Back brace
A back brace is a device designed to limit the motion of the spine in cases of bone fracture or in post-operative spinal fusiona, as well as a preventative measure against some progressive conditions or to correct a patient's posture.
Common back braces include:
Back braces are prescribed to treat adolescent idiopathic scoliosis, as they may stop the progression of spinal curvature in a growing child/adolescent. As of 2016, the Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) recommends bracing "is important, but does not have to be applied to all patients with this specific need" for idiopathic scoliosis during growth. Multiple studies have provided strong evidence of bracing as an effective conservative treatment for children and adolescents and may also help decrease the amount of curvature in the spine; with results lasting several decades following the end of treatment and brace weaning. A variety of brace styles are available; the Boston brace is the most commonly used brace for adolescent idiopathic scoliosis (AIS). It is important to note that in-brace correction has been found to be directly related with treatment success, suggesting in-brace correction should be maximized; thus individualized custom braces which maximize in-brace correction show better results. Other designs include the Milwaukee brace, the Charleston bending brace, the Peak Scoliosis Bracing System, and the SpineCor (a soft brace) in the United States, Canada, and Europe. In Europe, however, the SPoRT and Cheneau and Crass Cheneau braces are also used. There has been considerable research and information published in reputable journals on back braces for scoliosis. Issues like patient compliance with treatment, the psycho-social impact of brace use, and exercise with bracing have been looked at. Quality of Life research has been attempted but is difficult due to a current lack of instruments. Bracing is the primary treatment for AIS in curves that are considered to be moderate in their severity and are likely due to progress (determined by curve pattern/type and the patient's structural maturity).
A Boston brace is a form of thoracolumbosacral orthosis (TLSO). It is the most commonly used brace in the United States. It is a symmetrical brace. It corrects curvature by pushing with small pads placed against the ribs, which are also used for rotational correction (here it tends to be slightly less successful, however). These pads are usually placed in the back corners of the brace so that the body is thrust forward against the brace's front, which acts to hold the body upright. The brace opens to the back, and usually runs from just above a chair's seat (when a person is seated) to around shoulder-blade height. Because of this, it is not particularly useful in correcting very high curves. It also does not correct hip misalignment, as it uses the hips as a base point. This brace is typically worn 20–23 hours a day.[citation needed]
This brace was designed with the idea that compliance would increase if the brace were worn only at night. The brace is asymmetrical and fights against the body's curve by over-correcting. It grips the hips much like the Boston brace, and rises to approximately the same height, but pushes the patient's body to the side. It is used in single, thoracolumbar curves in patients 12–14 years of age (before structural maturity) who have flexible curves in the range of 25–35 Cobb degrees.[citation needed]
This brace is designed for use with the Schroth physical therapy method. It utilizes large, sweeping pads to push the body against its curve and into blown out spaces. The Schroth theory holds that the deformity can be corrected through retraining muscles and nerves to learn what a straight spine feels like, and breathing deeply into areas crushed by the curvature to help gain flexibility and to expand. The brace helps patients to keep doing their exercises throughout the day. This brace is asymmetrical, and is used for patients of all degrees of severity and maturity. It is often worn 20–23 hours a day. The brace principally contracts to allow for lateral and longitudinal rotation and movement.[citation needed]
Flexpine brace is a hybrid type of brace for use by non-surgical scoliosis patients. It is of 0.04 inches thickness and uses foldable urethane/plastic as its frame so that the wearer can still move his/her body. It is a customized product made of 3D printing material. It has an elastic band to push the curved part of the spine. This is so patients can bend their spine easier. Patients can do spine realigning exercise while wearing Flexpine brace, so they can reduce their overall treatment time by exercising and conveying the brace treatment simultaneously.[citation needed]
The Milwaukee brace was a very common brace towards the earlier part of the twentieth century in the United States. It is a largely symmetrical brace. The brace is made with a harness-like hip area and metal strips rising to the chin, where a collar (neck ring) is held in place. Between the hips and chin, there are corrective thrusts given with large pads.[citation needed]