%0 Journal Article
%T Correction effects of the ScoliOlogiC£¿ £¿Ch¨ºneau light" brace in patients with scoliosis
%A Hans-Rudolf Weiss
%A Mario Werkmann
%A Carola Stephan
%J Scoliosis
%D 2007
%I BioMed Central
%R 10.1186/1748-7161-2-2
%X The correction effects of the first 81 patients (main diagnosis Adolescent Idiopathic Scoliosis (AIS) [n = 64] or Early Onset Scoliosis (EOS) [n = 15]), treated according to the principle of the £¿Ch¨ºneau light" brace were evaluated after an average treatment time of 6 weeks by a full-body X-ray made in the standing position whilst wearing the brace and compared with the last X-ray before bracing. The average curvature angle of the whole group was 35,6¡ã, the average age was 12,9 years (SD 1,9), average Risser sign was 1,3 (SD 1,5), average Tanner rating 2,75 (SD 0,7).The Cobb angle in the whole group was reduced by an average of 16,4¡ã, which corresponds to a correction effect of 51%. The differences were highly significant in the T-test (T = 17,4; p < 0,001). The best correction effects reported in literature so far are about 40% in two different studies. The correction effect was highest in lumbar and thoracolumbar curve pattern (62 %; n = 18). In thoracic scoliosis the correction effect was 36 % (n = 41) and in double major curve pattern 50 % (n = 22). The correction effect correlated slightly negative with age (r = -0,24; p = 0,014), negatively with the Risser stage (-0,29; p = 0,0096) and correlated negatively with the Cobb angle measured before treatment (r = -0,43; p < 0,0001).The use of the £¿Ch¨ºneau light" brace leads to correction effects above average when compared to the correction effects of other braces described in literature. The reduction of material seems to affect the desired correction in a positive way.The latest developments in the field of bracing, aim at improving specificity [1] and at a proper sagittal realignment [2].Although the effect of brace treatment has been questioned [3] there is evidence that brace treatment can stop curvature progression [4-9], reduce the frequency of surgery [10-12] and improve cosmetic appearance [13-15]. Poor cosmetic appearance for the patient may be the most important problem, which can be solved or at least re
%U http://www.scoliosisjournal.com/content/2/1/2