09.12.2012 Views

Ortopedická protetika Praha sro - Společnost pro pojivové tkáně

Ortopedická protetika Praha sro - Společnost pro pojivové tkáně

Ortopedická protetika Praha sro - Společnost pro pojivové tkáně

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!