台灣脊椎側彎協會

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Cheneau 輕型背架效果研究 譯者:脊椎側彎協會

另外,還有ScoliOlogiC 系統的取模方式,做出的背架取名為Cheneau 輕型背架,據稱材料用的少,品質好,重量輕,但不會降低治療效果,因此,本篇研究的目的為評估和比較Cheneau 輕型背架的治療效果。 方法 81位脊椎側彎患者,側彎角度平均35.6度,Risser sign平均1,3 ,Tanner rating平均2,75,穿戴Cheneau 輕型背架6週後,穿著背架用X光檢查側彎角度。 結果 平均減少側彎16.4度矯正效果51%。 結論 Cheneau 輕型背架的矯正效果高於其他穿統背架。Open Access Correction effects of the ScoliOlogiCR „Cheneau light" brace in patients with scoliosis Hans-Rudolf Weiss*1, Mario Werkmann2 and Carola Stephan1 Address: 1Asklepios Katharina Schroth Spinal Deformities Rehabilitation Centre, Korczakstr. 2, D-55566 Bad Sobernheim, Germany and 2Orthomed Scolicare, Orthopedic Technical Services, D-55566 Bad Sobernheim, Germany Email: Hans-Rudolf Weiss* - hr.weiss@asklepios.com; Mario Werkmann - m.werkmann@online.de; Carola Stephan - arztsekretariat@asklepios.com * Corresponding author Abstract Background: Different bracing concepts are used today for the treatment of scoliosis. The plaster cast method worldwide seems to be the most practiced technique at the moment. CAD (Computer Aided Design) systems are on the market which allow brace adjustments without plaster. The latest development however, is the use of the ScoliOlogiC™ off the shelf system enabling the orthopaedic technician to construct a light brace for scoliosis correction from a variety of pattern specific shells to be connected to an anterior and a posterior upright. This „Cheneau light" brace, developed according to the Cheneau principle, promises a reduced impediment of quality of life in the brace. However, material reduction should not result in reduced effectiveness. Therefore the primary correction effect in the „Cheneau light" brace has been evaluated and compared with that of other braces used today. Methods: 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 „Cheneau light" brace were evaluated after an average treatment time of 6 weeks by a fullbody X-ray made in the standing position whilst wearing the brace and compared with the last Xray before bracing. The average curvature angle of the whole group was 35,6°, 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). Results: The Cobb angle in the whole group was reduced by an average of 16,4°, 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). Conclusion: The use of the „Cheneau 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. Published: 26 January 2007 Scoliosis 2007, 2:2 doi:10.1186/1748-7161-2-2 Received: 31 October 2006 Accepted: 26 January 2007 This article is available from: http://www.scoliosisjournal.com/content/2/1/2 c 2007 Weiss et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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