The Gensingen Brace: Difference between revisions

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==== '''Definition/Description''' ====
==== '''Definition/Description''' ====
[[File:Gensingen brace.png|thumb|529x529px|<ref>Weiss HR. "Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis. Scoliosis. 2010 Oct 13;5:22. doi: 10.1186/1748-7161-5-22. PMID: 20942970; PMCID: PMC2967515.</ref>]]
[[File:Gensingen brace.png|thumb|529x529px|<ref>Weiss HR. "Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis. Scoliosis. 2010 Oct 13;5:22. </ref>]]
The Gensingen brace used to reduce The Cobbs angle in the treatment of Scoliosis by changing the alignment and the curvature of the vertebrae three dimensionally instead of the surgery. also used for reducing pain and improve the cosmetic appearance.  
The Gensingen Brace is used to reduce the Cobbs angle in the treatment of scoliosis by changing the alignment and curvature of the vertebrae three-dimensionally instead of surgery. also used for reducing pain and improving the cosmetic appearance.  


The advantage of the Gensingen brace is easily adjustable to use and comfortable to wear, it has compressive effects on sagital and frontal planes for correction
The advantage of the Gensingen brace is that it is easily adjustable to use and comfortable to wear. It also has compressive effects on the sagittal and frontal planes for correction.


There are many different forms of brace including models for thoracolumbar curve patterns and athletic trunks plus models for small children. so we will not need more than one braces for correction.<ref name=":0">Weiss HR. "Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis. Scoliosis. 2010 Oct 13;5:22. doi: 10.1186/1748-7161-5-22. PMID: 20942970; PMCID: PMC2967515.</ref>
There are many different forms of braces, including models for thoracolumbar curve patterns and athletic trunks, as well as models for small children. so we will not need more than one brace for correction.<ref name=":0">Weiss HR. "Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis. Scoliosis. 2010 Oct 13;5:22. .</ref>


=== How to build the brace ===
== How to build the brace ==
[[File:Brace-Supply Chêneau & Chêneau Light - Scoliocare Orthomed.mp4|thumb]]
[[File:Brace-Supply Chêneau & Chêneau Light - Scoliocare Orthomed.mp4|thumb]]
the trunk of the patient is scanned with a whole trunk optical 3D-scan and the patients' data coming from the clinical measurements are added, So we can create the model of the brace and modify the trunk model of the patient 'on screen' to create an individual brace model with the CAD/CAM tools then choosing a model from the library and re-size it to the patients' models 'on screen'. rarely the Trunk correction scan is used, in curve patterns easy classified , the second procedure is usually chosen. in of the brace advantages, the patient can receive a specially developed brace.<ref name=":0" />
The trunk of the patient is scanned with a whole trunk optical 3D scan, and the patients' data coming from the clinical measurements is added. So we can create the model of the brace and modify the trunk model of the patient 'on screen' to create an individual brace model with the CAD/CAM tools, then choose a model from the library and resize it to the patients' models 'on screen'. Rarely is the trunk correction scan used; in curve patterns that are easily classified, the second procedure is usually chosen. One of the brace benefits is that the patient can receive a specially designed brace.<ref name=":0" />


== Impact of Gensingen brace treatment ==
== Impact of Gensingen brace treatment ==
The aims of treatment in our patients are to reduce of scoliosis curvature and  reduce pain, and to decrease the severity of the Cobb angle
The aims of treatment in our patients are to reduce scoliosis curvature, reduce pain, and decrease the severity of the Cobb angle.


The Gensingen brace has beneficial effects during growth in reducing the progression of the growth and in the improvement of the angle of curvature also in improvement of the cosmetic appearance as well.
The Gensingen brace has beneficial effects during growth in reducing the progression of the growth and improving the angle of curvature, as well as improving the cosmetic appearance.


Scoliosis affects the sagittal profile and also leads to thoracic flattening and lumbar kyphosis. In scoliosis with high 3D spinal deviations, Chêneau style braces (Rigo brace or GBW) are used as braces to improve the sagittal plane deformity that is found in patients with idiopathic scoliosis (loss of thoracic kyphosis, loss of lumbar lordosis, flat back deformity.
Scoliosis affects the sagittal profile and also leads to thoracic flattening and lumbar kyphosis. In scoliosis with high 3D spinal deviations, Chêneau style braces (Rigo brace or Gensingen brace GBW) are used as braces to improve the sagittal plane deformity that is found in patients with idiopathic scoliosis (loss of thoracic kyphosis, loss of lumbar lordosis, flat back deformity).


The GBW is be designed in  way to stabilize the lumbar segment with a 3D correction.
The Gensingen Brace (GBW)is designed in a way to stabilize the lumbar segment with a 3D correction.


In many studies that is made on patients who used the GBW we found that there are an improvement in trunk rotation as measured in ATR and an improvement in pain symptoms. <ref>Widjaja BS, Varani R. Impact of Gensingen brace treatment on Lenke 5 curvatures and chronic low back pain in late adolescent and adult scoliosis patients. S Afr J Physiother. 2022 Mar 25;78(1):1585. doi: 10.4102/sajp.v78i1.1585. PMID: 35402746; PMCID: PMC8991184.</ref>
In many studies that were made on patients who used the GBW, we found that there was an improvement in trunk rotation as measured in ATR and an improvement in pain symptoms.<ref name=":1">Widjaja BS, Varani R. Impact of Gensingen brace treatment on Lenke 5 curvatures and chronic low back pain in late adolescent and adult scoliosis patients. S Afr J Physiother. 2022 Mar 25;78</ref>[[File:GBW effects.png|thumb|center|500x500px|<ref name=":1" />]]
[[File:GBW effects.png|thumb|center|500x500px]]




===== References =====
 
== References ==

Revision as of 12:08, 30 November 2023

Definition/Description[edit | edit source]

The Gensingen Brace is used to reduce the Cobbs angle in the treatment of scoliosis by changing the alignment and curvature of the vertebrae three-dimensionally instead of surgery. also used for reducing pain and improving the cosmetic appearance.

The advantage of the Gensingen brace is that it is easily adjustable to use and comfortable to wear. It also has compressive effects on the sagittal and frontal planes for correction.

There are many different forms of braces, including models for thoracolumbar curve patterns and athletic trunks, as well as models for small children. so we will not need more than one brace for correction.[2]

How to build the brace[edit | edit source]

The trunk of the patient is scanned with a whole trunk optical 3D scan, and the patients' data coming from the clinical measurements is added. So we can create the model of the brace and modify the trunk model of the patient 'on screen' to create an individual brace model with the CAD/CAM tools, then choose a model from the library and resize it to the patients' models 'on screen'. Rarely is the trunk correction scan used; in curve patterns that are easily classified, the second procedure is usually chosen. One of the brace benefits is that the patient can receive a specially designed brace.[2]

Impact of Gensingen brace treatment[edit | edit source]

The aims of treatment in our patients are to reduce scoliosis curvature, reduce pain, and decrease the severity of the Cobb angle.

The Gensingen brace has beneficial effects during growth in reducing the progression of the growth and improving the angle of curvature, as well as improving the cosmetic appearance.

Scoliosis affects the sagittal profile and also leads to thoracic flattening and lumbar kyphosis. In scoliosis with high 3D spinal deviations, Chêneau style braces (Rigo brace or Gensingen brace GBW) are used as braces to improve the sagittal plane deformity that is found in patients with idiopathic scoliosis (loss of thoracic kyphosis, loss of lumbar lordosis, flat back deformity).

The Gensingen Brace (GBW)is designed in a way to stabilize the lumbar segment with a 3D correction.

In many studies that were made on patients who used the GBW, we found that there was an improvement in trunk rotation as measured in ATR and an improvement in pain symptoms.[3]


References[edit | edit source]

  1. Weiss HR. "Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis. Scoliosis. 2010 Oct 13;5:22.
  2. 2.0 2.1 Weiss HR. "Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis. Scoliosis. 2010 Oct 13;5:22. .
  3. 3.0 3.1 Widjaja BS, Varani R. Impact of Gensingen brace treatment on Lenke 5 curvatures and chronic low back pain in late adolescent and adult scoliosis patients. S Afr J Physiother. 2022 Mar 25;78