Biomechanical action of a corrective brace on thoracic idiopathic scoliosis: Cheneau 2000 orthosis

Abstract

Contemporary corrective orthosis for idiopathic scoliosis should take advantage of specific passive and active mechanisms. Preservation of the function of the vertebral column as a flexible framework for the human body, as well as the preservation of the respiratory function of the thorax stay ambitious goals to approach, and a significant progress over recent years has been observed.

Chêneau brace for adolescent idiopathic scoliosis: long-term results. Can it prevent surgery?

“…The major mechanism of this orthosis consists of a three-dimensional correction of the spine deformity by a system of multipoint pressure zones and expansion chambers [4,5]. The Chê-neau brace creates pressure on the convexity of the curve, and, on the opposite side, there are wide expansion chambers in the frontal, sagittal and horizontal planes, where the patient has to put his body mass through physiotherapy of deviation from pushes and respiratory kyphotic exercises for at least 1 h every day [6][7][8]. To correct the flat back, commonly associated with scoliosis [9], a gypsotomy on the cast at T8 is performed and a sternal kyphotic push is applied during the preparation of the brace.…”

Long-term effects of the Chêneau brace on coronal and sagittal alignment in adolescent idiopathic scoliosis

“…9 Regarding the outcomes of brace application, the Chêneau brace has been found to prevent curve progression and to decrease axial rotation.…”

An advanced compliance monitor for patients undergoing brace treatment for idiopathic scoliosis

“…This active curve correction effect has been suggested in literature [28]. Future work might investigate this possibility further by installing multiple force sensors at opposing sites in braces to capture a complete force distribution.…”