does SpineCor compare to other braces?
is a dynamic non-rigid brace, meaning it
is flexible. This important feature leads
to numerous benefits:
body movement and promotes corrective growth
whilst continuing normal activities of
be discreetly worn beneath
patient's clothing for optimum
patient's acceptance for the treatment
leading to optimal results;
long-term offers a cost-effective
solution to patient;
stability of treatment results
after bracing discontinued, quite
unlike rigid bracing;
observation shows significant postural
side effects (muscular atrophy).
physical therapy beneficial?
is at this point in time no evidence
to prove scientifically that physical
therapy provided in conjunction
with SpineCor provides any additional
benefit, however, we do advise
its use in certain cases. Physical
therapy does have the potential
mobilize the spine
the corrective movement
with active self correction
consolidate the corrective movement
and gain a neuromuscular integration
(stabilizing the curve)
All published data on SpineCor relates to treatment using the brace alone 20
hours out of 24 following our published treatment protocols. Whilst we cannot
say variations to this protocol may not be positive we have no evidence to
support such variations at this time.
is Vestibular testing for and how does it affect treatment?
testing is claimed to be useful in the evaluation of
balance and central nervous system dysfunction. Because
all scoliosis patients have some degree of abnormal posture
and the vestibular system plays a part in the control
of posture, vestibular tests on scoliosis patients always
show abnormality. This abnormal vestibular function always
improves naturally with use of the SpineCor brace as
the patients posture improves. There is no evidence to
suggest that specific vestibular rehabilitation exercises
play any useful role. The SpineCorporation do not advise
vestibular testing or rehabilitation exercises.
chiropractic treatment helpful in conjunction with
have no data to support the use of any specific Chiropractic care in conjunction
with SpineCor treatment; however techniques which may mobilize hypo-mobile
areas of the spine could be helpful.
might my treatment fail?
treatment like any other treatment is not 100% effective
even in ideal circumstances treatment will not be effective
in 10 – 20% of cases. If you are unlucky enough
to be at the highest risk of progression then your curve
may still progress despite everyone’s best efforts.
Some patients may have or perceive sub-optimal treatment
for one or more of the following reasons:
to establish realistic expectations at the
start of treatment.
to follow the SpineCor Protocols
of confidence in the treatment
It is important to understand that in most cases, treatment failures are attributable
to the nature of idiopathic scoliosis itself and not the doctor, orthotist,
patient or parent failing in some way. The broad range of severity and age
of onset in idiopathic scoliosis put some patients at such high risk of progression
that therapeutic success is not always possible by conservative non-surgical
Studies of different patient populations will show different results: the broader
range of patients included in the earliest studies show a success rate of 89%
in correcting or preventing progression. This group had more patients treated
early (the optimal time for treatment success) and possibly some lower risk
patients. The latest Scoliosis Research Society (SRS) defined study criteria
(including only the highest progression risk patients and excluding early treatment
cases less than 25 degrees) show a lower success rate of 60% in correcting
or preventing progression, however, this compares to a 15% success rate for
Boston type TLSO. Surgery rates in the SRS studies are 4 times less with SpineCor
than Boston type TLSO braces.
many studies have been done to show the long-term effects of the brace?
Clinical Studies are still ongoing and will continue
for many years to come. At present, recently published
data show excellent results with curve corrections stable
at five years after treatment, a phenomena not typical
of rigid bracing.
is the cost of the SpineCor brace?
treatment providers may charge differently for SpineCor
treatment. To prevent excessive pricing, the maximum
recommended retail price is published as $3,500 (€2,270 £1,750)
which is for initial brace assessment, fitting and
first follow-up. This figure does
not include, the prescribing/referring doctor’s
fees, x-rays, further follow-up/brace adjustment visits,
replacement brace parts or any additional therapies
(e.g. physical therapy or chiropractic care).
the patient put the brace on him/herself?
begin with, patients need a prescription from a paediatric
orthopaedic surgeon in order to obtain approval for
treatment. Most of the time, patients are then referred
to an orthotist / physical therapist who will set-up
the SpineCor brace. Information is then provided to
both the patient and his/her family on the use of SpineCor.
It is easy for the patient to put it back on once it
has been set-up and the bands numbered for fastening
sequence and positions.
is the recommended daily use (in hours)?
daily recommended use in brace depends on the pathology
of the patient, his/her age, progression rate and severity
of the scoliosis. In general, it is recommended to
wear SpineCor 20 hours per day.
do we go about washing the brace components?
maintenance of the brace is explained extensively to
patients and their families from the moment that it is
first applied. In addition, a maintenance guide explaining
the washing and drying process of the brace is also provided
to the patients when it is purchased.
are the doctors involved with the brace?
Charles Hilaire Rivard and Dr Christine Coillard have
dedicated over 12 years on research and the development
of the SpineCor treatment system.
any research been done on adults and SpineCor?
yet there are no published Scientific Studies but research
is being carried out into the use of SpineCor for adults.
Preliminary results look very positive.
an adult be fitted
US study is now
use of SpineCor
treatment for adult
patients. The treatment
adults are quite
different to children
but the same principles
of postural re-education
exercise and neuromuscular
feed back still
adults are postural
lead to very small
Cobb angle reductions,
of scoliotic curves
in adults is not
possible and should
never be the treatment
results with adults
are very positive,
with both postural
in all patients
the brace be used
on an adult to
reduce back pain?
in adults is possible,
results do seem
to support the
any thought been given to eventually
having an ''adult'' brace?
for the moment the size range
of the paediatric brace has
been expanded for adult use.
In the near future a specific
adult SpineCor postural rehabilitation
brace (P.R.B.) will be launched.