Results of using a functional corrective Cheneau type brace in complex rehabilitation of children and teenagers with idiopathic scoliosis

• Main Authors: Veniamin F. Nikolaev, Irina A. Baranovskaya, Alla O. Andrievskaya
• Format: Article
• Language: English
• Published: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 2019-09-01
• Series: Гений oртопедии
• Subjects: rehabilitation; idiopathic scoliosis; orthosis; Cheneau brace
• Online Access: http://ilizarov-journal.com/files/2019_3_15.pdf

Introduction Scoliosis is one of the most common and severe deformities of the human spine, ranking first among all orthopedic pathology in children. Idiopathic scoliosis accounts for 70–90 % of all scoliotic deformities. Purpose The article presents the technique of orthosis and the results of using a functionally correcting Cheneau brace in complex rehabilitation of patients with idiopathic scoliosis. Materials and methods Orthotic application in 300 children (over 3 years old) and adolescents (up to 18 years old) with idiopathic scoliosis within the period from October 2013 to October 2017 was analyzed. Patients were divided into three groups depending on the Cobb angle and the features of orthosis: the first group was 100 subjects with the angle of 18°–35°, the second group had the angle of 36°–45° and included 150 patients, and the third one was 50 individuals with the angle of 46° or more. Clinical and radiological methods of examination were used in the study. A functionally correcting brace of the Cheneau type was used for fixation based on the technique of the Center. Results Correction of deformity was achieved in all children (300), and more than one half (53.3 %) had a complete correction. In the group with spinal deformity of 18°–35° according to Cobb, deliberate hypercorrection of -5° was achieved (in 15 patients for three years, and in 5 children also in the fourth year of treatment). Conclusion The use of functional correcting brace of the Cheneau type in the complex rehabilitation of children and adolescents with idiopathic scoliosis provides good outcomes in most patients of all three groups. The best results of treatment were obtained in the first group of patients. Orthosis application should be performed according to the treatment technology, be individual, taking into account the peculiarities of the spinal deformity and the prospects of its progression, age, as well as growth potential of the spine; systematic exercise therapy, including Schroth gymnastics, is necessary.