Ortopedická protetika Praha sro - Společnost pro pojivové tkáně
Ortopedická protetika Praha sro - Společnost pro pojivové tkáně
Ortopedická protetika Praha sro - Společnost pro pojivové tkáně
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Republic was the form of brace modified<br />
according to clinic claims and technology<br />
possibility of our workshop. We have used<br />
lower version of Chêneau brace type I for<br />
chest curves too.<br />
We have developed in 1995 a dynamic<br />
correction spinal orthosis type Cerny, in<br />
2000 a dynamic correction spinal orthosis<br />
for sitting type Kosteas and in 2002 a dynamic<br />
night-time correction spinal orthosis.<br />
The dynamic spinal orthosis of the Cerny<br />
type has connected with a dorsal joint<br />
allowing for inclination and the night-time<br />
adjustment in hyper-correction.<br />
Since 1998, we have been regularly meeting<br />
doctor J. Chêneau in Prague on symposiums<br />
as well as in our specialised facility<br />
where we exchange valuable experience<br />
which cannot be gained otherwise than<br />
by many-year and intensive practicing. It is<br />
admirable and unique that Dr. J. Chêneau<br />
has worked and still works at his age in the<br />
field of scolioses in such a self-sacrificing<br />
and assiduous manner, both in theory and<br />
practice, not only in his homeland but also<br />
all over the world, and he would certainly<br />
deserve gratitude from everyone engaged<br />
in the conservative treatment of scolioses.<br />
ORTHOTIC TREATMENT<br />
OF SCOLIOSIS IN SLOVAKIA<br />
Brozmanová B.², Rehák Ľ.¹, Juríček M.¹, Koreň J.²,<br />
Olexík J.²<br />
1 1 st Department of Orthopedic and<br />
Traumatology, Comenius university,<br />
Bratislava, Slovakia<br />
2 Specialized Hospital for Orthotic and Prosthetic<br />
Bratislava, n.o., Záhradnícka 42, 821 08<br />
Bratislava, Slovakia<br />
Key words: scoliosis, spinal brace, orthosis,<br />
conservative treatment<br />
Background<br />
Orthotic bracing is the most common<br />
non-surgical treatment for scoliosis, either<br />
alone or in combination with exercises.<br />
Efficiency of bracing is controversial (3,<br />
8, 14) – we can find out some negative<br />
reports (5, 6, 12), but also reports where<br />
bracing treatment change the natural history<br />
of scoliosis (11, 15, 19) and reduce the<br />
incidence of surgery (9, 13, 16). However,<br />
the mechanism of action by which braces<br />
prevent curve <strong>pro</strong>gression, is not well<br />
understood. Design principles of many<br />
braces are very different, and very often<br />
empirical.<br />
Despite this controversy and very dynamic<br />
research in biomechanics of bracing,<br />
we still strictly adhere on principles of<br />
bracing, most important 3-D correction of<br />
spine, established by <strong>pro</strong>fessor J.Chêneau.<br />
Objectives<br />
Objectives to report the authors experiences<br />
with a treatment and bracing of<br />
scoliotic patients in Slovakia.<br />
Study design<br />
Retrospective study<br />
Material and Methods<br />
We analysed data from the years 2001–<br />
2006 to obtain:<br />
1. number of patients with scoliosis we<br />
treated<br />
2. number and types of braces we used<br />
3. evaluation of the treatment for the<br />
further therapy strategy<br />
POHYBOVÉ ÚSTROJÍ, ročník 14, 2007, č. 3+4 247