Brace applications are one of the orthotic applications used in the follow-up and management of spinal curvatures (scoliosis). The aim of braces is to help slow the progression of the curvature and to support the balance of the spine. Brace applications are planned only in line with a specialist physician's assessment, prescription and medical report.
How a brace works
Depending on the shape of the curvature, a brace may come in different designs that can extend from the pelvic area to the neck. The aim is usually to support the trunk by applying pressure to the apex of the curvature by means of pads. Current approaches recommend that braces be designed with a three-dimensional correction logic, taking curve patterns into account.
The role of the brace in the process and its effect depend largely on the daily wearing time. In growing children and adolescents, it is important to adhere to the wearing time set by the physician.
Types of braces
There are different types of braces depending on the manufacturing technique and the characteristics of the curvature. Commonly encountered general groups are:
- Thoraco-lumbo-sacral orthosis (TLSO)
- Cervico-thoraco-lumbo-sacral orthosis (CTLSO)
- Bending-type night braces
- Flexible (dynamic) support systems
Which type of brace is appropriate is determined according to the degree of curvature, age and the physician's assessment.
Custom-made manufacturing and follow-up
Braces are usually custom-made based on measurements. In growing children, the brace needs to be reassessed at regular intervals and adapted when necessary due to increases in height or changes in weight. Regular physician check-ups are an important part of the process. For severe curvatures, methods other than bracing may be considered by the physician.
This content is for informational purposes only; you should consult your physician for diagnosis and treatment.
