Scoliosis therapy – brace technique

Development from the Chêneau brace to the RSC® Brace. (Rigo® System Cheneau®)

A scoliosis brace that works in three dimensions.

The provision of braces for scoliosis patients is a responsible task for specialised orthopaedists and orthopaedic technicians. If it is well fitted, a brace can prevent the trunk from being further deformed. Considerable cosmetic improvements can be achieved if the adolescent is still growing.

three dimensional scoliosis rsc brace after rigo cheneau principles

The biomechanical mechanisms to correct a scoliosis have to be three-dimensional – like the deformity but the opposite

However, such improvements can only be achieved if the three-dimensional trunk deformation with a scoliosis is optimally taken into account. This article describes what actually matters with a scoliosis brace.

What is important about a scoliosis brace?

There are various treatment concepts with regard to trunk orthoses. Most provide only slight to moderate treatment success. Treatment teams which achieve good corrective effects and sustainable results in the provision of braces are rare.

Treatment teams with above-average success previously attempted to achieve an optimal corrective effect in the radiographic image with their braces and at the same time to train their patients so that they can wear the brace all day long during the main growth phase.

The three dimensional mirror effect of the original Ortholutions RSC® Brace is to correct the scoliosis properly

However, what looked quite good on the X-ray screen did not always render the desired results. The curvature was considerably corrected in the radiographic image after the conclusion of treatment, but nevertheless a rib hump was still often recognisable among patients.

A cosmetically disturbing and ramrod flat back even appeared with some braces. The radiographic image merely depicts the scoliosis in one plane, whereas it is actually three dimensional.

Since the radiographic image was such a priority in the evaluation of different treatment strategies up to now, the conservative (non-surgical) treatment of scoliosis regularly contributed to the formation of a flat back.

Not only has the so-called “Boston brace” regularly led to formation of a flat back. German treatment concepts which have been derived from the provision of braces according to Chêneau also cause this functional disorder, although the curvature appears to be corrected in the radiographic image.

Dr. Rigo and the RSC® Brace by Ortholutions.

Since the objective during the provision of braces cannot be to straighten the radiographic image (x-Ray) and to discharge the patient back home with a stiffened flat back, Dr Manuel Rigo from Barcelona considered what could be done.

ortholutions rigo cheneau rsc brace in cad cam technique

The original RSC® Brace for scoliosis treatment after Rigo Cheneau principles is manufactured after the patented CAD CAM method by Ortholutions

He took the Chêneau brace that French
doctor Jacques Chêneau had invented in1978 and improved it.

What emerged was the RSC® (Rigo System Chêneau) Brace, a further development of the original Chêneau provision of braces. It stands out due to the fact that it takes fifteen different curvature patterns into consideration. As a result, braces can be made which derotate the body much better around the longitudinal axis than the forerunner models.

He further developed the biomechanical design of the orthoses based on the physiotherapeutic principles of Schroth therapy. In contrast to Chêneau who brought about anatomical principles for correction, Rigo included biomechanical principles based on the proven therapy in the form of corsets according to Katharina Schroth.

At the same time, Ortholutions developed a patented CAD CAM technique. It enables the reproduction of standardised forms of corsets based on the type of scoliosis. These braces can be individualised for scoliosis patients. The hand-modelled brace models by Rigo are to this day permanently inserted in the reproduction system for scoliosis patients worldwide.

What emerged was the RSC® (Rigo® System Chêneau®) Brace – a further development of the original Chêneau brace (corset) fitting. It stands out due to the fact that it takes different curvature patterns into consideration. As a result, braces can be produced which are specifically adapted to the individual scoliosis curvature pattern and the patient’s body structure (morphology).