SPINECOR PAIN RELIEF BACK BRACE (Adult Treatment)
The SpineCor Pain Relief Back Brace is a neuro-muscular-skeletal rehabilitation tool for treating abnormal spinal loading and abnormal posture; it is not a simple back support brace.

• Corrective movements gently guide the posture and spinal alignment into the optimal direction.
• The elastic corrective bands act to resist the body’s movement back to the abnormal position.
• This constant correction, relaxation, correction, relaxation is in reality a corrective postural exercise.
• The brace is able to put a patients body through 10’s of 1000’s of repetitions per day instead of the10-50 repetitions typically possible with other rehabilitation techniques.
• It creates dynamic spinal offloading and neuromuscular rehabilitation with the ultimate goal of neuromuscular integration.

• Scoliosis and other Spinal conditions can affect the “balance” of body posture and spinal alignment.
• A loss of normal spinal balance creates abnormal loading on the vertebra, discs, ligaments, joints, tendons, muscles and nerves.
• Over a period of time the abnormal loads on the body tissues abnormally alter their functions.
• Over a long enough period of time the structure of body tissues will change in response to the abnormal loading and abnormal function.
• These changes can damage the body .i.e. facet joint arthrosis, disc degeneration, nerve root irritation, spinal stenosis, leading to pain.
• Promoting a change in the balance of the posture and the spine can help to correct the abnormal loading.
o This can have an immediate effect on pain
o And longer term effect on degenerative changed caused by abnormal loads .

1. Pain: The primary treatment objective of the SpineCor® Pain Relief Back Brace is most often pain relief; however, postural improvement is directly related to pain relief and therefore should also be considered as a secondary objective.
2. Posture: clinically appraised desirable postural changes will be patient specific and defined by both clinical and radiological features of their condition. Often the posture changes seen, such as improvements in Spinal decompensations, are responsible for, stabilization or correction of Progression and reductions in Pain. Postural elevations are made first visually and then quantified by clinical measurements with the aid of a scoliometer and laser line.
3. Progression: Correction/Stabilization of Spinal Deformities/Misalignments. In such cases, radiological evaluations are advised to optimize treatment. Radiological objectives may include optimization of spinal balance, reduction of spinal decompositions and reduction of Cobb angles. Please note significant correction of Cobb angles in adults will rarely be possible and therefore should not be the primary or only treatment objective.

These include but are not limited to the following:
• Adult De-novo Scoliosis
• Degenerative Adult Adolescent Idiopathic Scoliosis
• Hyper Kyphosis
• Postural Scoliosis
• Chronic Antalgic Scoliosis
• Post Traumatic Scoliosis
• Spinal Stenosis related to spinal misalignment
• Poor posture Treatment Protocols:
A. Patient suitability for treatment
B. Scoliosis/deformity classification
C. Patient specific treatment objectives
The indications provided are guidelines and not absolute, co-morbidities must be considered and may contraindicate bracing.
SpineCor Assistant Software (SAS) is required for scoliosis classification, as well as detailing the appropriate corrective movement and brace fitting. This is the same clinical assistant software used for the SpineCor (pediatric) Dynamic Corrective Brace.
During treatment, x-rays may be required to optimize treatment in relation to spinal deformity correction/stabilization. Where the primary or only treatment objectives are pain reduction or postural improvement, x-rays of the patient in the brace are not essential.
Initially, the brace is worn 8 – 16 hours per day in order to initiate postural changes. After several months of wear, it is often possible to reduce wearing time while maintaining the same pain relief effect. Initial follow-up for brace adjustment is recommended at 4 – 6 weeks with further follow-ups at 3 – 6 months dependant on individual patient needs.
The SpineCor Pain Relief Back Brace should always be prescribed by a doctor, physician or spinal surgeon who can determine that no contraindications exist prior to brace treatment.

During a two-year development process, the SpineCor Pain Relief Back Brace was clinically tested on over two hundred patients. A multi-centre retrospective case series investigating the efficacy of the SpineCor Pain Relief Back Brace in adult scoliosis patients suffering from back pain is now in progress.
Initial results from the first 26 patients fitting the inclusion criteria at twelve months follow-up demonstrated significant reduction in their numerical pain scores (NPS). 90% of patient’s achieved and maintained a mean pain reduction of 70%. Patient’s achieved an average Cobb angle reduction of 4.41° ranging from 12° to +3°. There was no statistically significant correlation between Cobb angle reduction and pain intensity.
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