Scoliosis Brace: An Effective, Age-Old
Method For Managing Scoliosis

Coping with scoliosis can be difficult for a young person in an already complicated stage of life. Teens are bombarded with physical changes and emotional and social challenges. With the added diagnosis of scoliosis, adolescents may feel anger, insecurity and fear.

Back pain is a widespread ailment that affects individuals worldwide, and various factors, like poor posture, prolonged sitting, pregnancy, etc., can contribute to it. To manage this condition, a spine doctor may prescribe back braces, also known as orthotics. These braces support the back and alleviate pain by reducing pressure on the spinal column.

What is a scoliosis brace and how does it work?

A scoliosis brace is mostly a custom made medical device that is recommended by your physician for wearing by children and adolescents with scoliosis, a condition characterized by an abnormal curve in the spine. The brace is worn around the torso, which impedes the worsening of the curve, thereby reducing the likelihood of surgery once bone growth has ceased.

How a scoliolis brace works in impeding scoliosis?

The primary aim of scoliosis management with brace is to stop curvature progression. Improvement of pulmonary function (vital capacity) and treatment of pain are also of major importance.

To slow down or stop the progression of scoliosis, the brace applies pressure on various parts of the spine in rigid braces, while dynamic braces work by retraining the body to maintain a corrective posture, thereby slowing curve progression. 

Types of scoliosis braces

The most common style of brace is the thoracic-lumbar-sacral orthosis (TLSO), the design is Modified cheneau brace ( Gensingen Brace- The original Schroth Brace)  which covers your body from your armpits to your hips and goes from your thoracic spine to your sacral spine. It is typically worn full-time or only while sleeping at night.

Another type of brace is the cervical-thoracic-lumbar-sacral orthosis (CTLSO), which goes from your cervical spine to your sacral spine and braces your spine from your neck to your hips.

Individual Scoliosis curves are also classified according to Augmented Lehnert -Schroth classification:

  • 3CH (functional 3-­‐curve,with hip prominence)
  • 3CTL (functional 3-­‐curve,thoracolumbar)
  • 3CN (functional 3-­‐curve,compensated)
  • 3CL (functional 3-­‐curve with long lumbar countercurve)
  • 4C (functional 4-­‐curve,double curvature)
  • 4CL (functional 4-­‐curve with major lumbar curvature)
  • 4CTL (functional 4-­‐curve with major thoracolumbar curvature)

Full-time scoliosis braces:

Full-time braces come in different styles. 

  • The Gensingen Brace by Dr. Weiss –
  • The Boston brace – It is a TLSO made of lightweight plastic that fits like a jacket. It is customized to your body and spinal curve and is not very noticeable under clothing because it does not have a superstructure.

Nighttime braces:

Charleston bending brace and Providence brace is an example of a nighttime brace typically worn while sleeping. The Charleston bending brace is a custom-made TLSO that puts strong pressure on your spine while you lie down, bending it past the midline of your back. This overcorrection is possible while lying down, making it the most prescribed nighttime brace.

Effectiveness of scoliosis braces (Gensingen Brace by Dr. Weiss) for scoliosis treatment:

Braces have been used for treating scoliosis for over 450 years, but questions still wobble about their effectiveness.

Bracing is considered the most effective non-surgical treatment for scoliosis, particularly in children and adolescents whose bones are still growing. The goal of bracing is to prevent the curve from progressing further and avoid the need for surgery in the future.

Studies have shown that bracing can be effective in stopping or slowing down the progression of scoliosis in many cases. 

The success of bracing largely depends on several factors, such as

  • the severity of the curvature
  • the patient’s age
  • how closely the patient follows the bracing protocol.

While bracing cannot cure scoliosis or completely straighten the spine, it can prevent the curve from getting worse and potentially avoid the need for surgery. In some cases, bracing can even improve the curvature of the spine.

Today with the Gensingen brace according to Dr. Weiss a new area has begun. Scoliosis correction is no more achieved by compressing the patient, but with a corrective movement guided by the brace.

Brace treatment can effectively halt progression. A recent randomized controlled trial demonstrated that 72% of the United States and Canadian population compliant with SRS inclusion criteria on bracing did not progress using the standard thoracolumbosacral orthosis (TLSO, mainly Boston type).

A retrospective series using CBA (classification based approach = Gensingen brace according to Dr. Weiss) in a sample fulfilling the SRS inclusion criteria of the studies on bracing revealed a success rate exceeding 95%]. This was confirmed in another study using the correction principles according to Cheneau. Recently, it was reported that 33% of a population demonstrating improvements of Cobb angle exceeding 5 degrees after weaning off the CBA braces, with none of the subjects requiring surgery.

With this new approach (Gensingen Brace according to Dr. Weiss / GBW) we achieve the best possible corrections with the smallest and most comfortable bracing series as available today. Patients in the range of the SRS inclusion criteria for brace treatment (20 – 40° Cobb) usually find the brace far more comfortable than other braces available today. And the patients treated with the GBW after treatment show a very good quality of life. With this new approach (GBW) we are able to not only stop curvature progression, but we may aim at final improvements as can be seen.

The GBW(Gensingen Brace by Dr. weiss)  is a CAD / CAM brace provided by Koob GmbH & Co KG, Germany, constructed on the basis of a simple classification. Only these standardized CAD / CAM braces may be distributed using the trademark Gensingen Brace™! All official distributors can be found on the Schroth Best Practice Academy list. It can be made according to measurements and / or based on a patients’ scan.

Some Examples of GBW Bracing :

Here are some ways to increase the effectiveness of braces in scoliosis:

  • Wear the brace as directed by your doctor. Full-time braces are typically worn for 16-23 hours a day, while nighttime braces are worn during sleep. Following the prescribed wearing schedule is important to achieve the best results.
  • Make sure the brace fits properly. A well-fitted brace is crucial for its effectiveness. The brace should be customised to fit your body and spinal curve and be checked regularly for any adjustments needed.
  • Maintain good posture while wearing the brace. Proper posture helps the brace do its job in preventing the curve from worsening. Follow the instructions of your doctor or physical therapist to maintain good posture while wearing the brace.
  • Stay active. Exercise and physical activity can help improve the brace’s effectiveness by strengthening the muscles surrounding the spine. Your doctor or physical therapist can recommend appropriate exercises while wearing the brace.
  • Monitor your progress. Regular check-ups with your doctor are important to monitor your scoliosis’s progress and the brace’s effectiveness. X-rays may be taken to determine if the curve is stable or improving, and adjustments to the brace may be made if necessary.
  • Stay positive and committed. Wearing a brace can be challenging, but staying positive and committed to the treatment plan is important. Surround yourself with supportive family and friends and seek out a support group for others going through the same experience.
  • Why choose Xtremity for scoliosis braces?

The prescription of your scoliosis brace heavily relies on the diagnosis and quality of orthotics for Scoliosis treatment.

At Xtremity, we use a contactless handheld scanner to obtain a precise 3D scan of the torso, which captures anthropometric measurements that are then processed on CAD/CAM to design the final shape of the brace for correcting the specific curve.

Also, we offer a unique “Modified Cheneau” design customised based on computer-aided design/manufacturing (CAD/CAM) technology. It can be refined for optimal comfort and effectiveness. Our Cheneau brace has helped many patients in Dubai. To further improve comfort and correction, we incorporate a pattern-specific curve, ALS Classification. 

 Xtremity offers a range of back braces that cater to different needs, including belts and other products that offer flexible lumbar support and lower back pain relief.

Before recommending braces, our specialists consider material, sizing, and support level for your unique medical conditions or athletic requirements. 

Treat scoliosis effectively with braces of scoliosis. Contact us to schedule an appointment with the best orthotist in Dubai.

About Us

Xtremity Prosthetics and Orthotics is a specialized health clinic where treatment is provided by a specialized team which comprises allied health professionals as well as medical professionals giving a multidisciplinary approach towards prosthetic and orthotic rehabilitation care.

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