Bracing is effective for preventing/ lessening curve progression of scoliosis and kyphosis in growing spines and for postural support and pain relief in adults.​
Scoliosis bracing is a pivotal non-surgical intervention for managing scoliosis clinical features, particularly in growing children and teenagers. This method involves the use of a custom-fitted spine brace for scoliosis, meticulously designed to match the unique body structure of each patient. Through careful adjustments, the brace applies the necessary pressure to either correct, prevent or slow further spinal curvature. While it does not offer a cure for scoliosis, the primary goal of bracing is to control the curvature's progression during critical growth phases, the hours of daily wear depends on a number of factors.​
​
Brace treatment options available at our clinics;​​
-
Scoliosis bracing
-
Night time recumbent bracing
-
Custom spinal braces for neurological, syndromic and congenital spinal conditions
In Queensland, our Orthotist, and those we work closely with, are tertiary qualified Orthotists with a comprehensive understanding of scoliosis and trained in spinal orthosis and the three dimensional aspects of scoliosis bracing. Our orthotist manages the bracing process from start to finish in-house; this includes the assessment, design, fitting and modifications of the brace.
​
Our braces can be assessed within the week of your appointment with us or your specialist and generally are ready for fitting within one month.
​
QLD Scoliosis and Spine Clinics provide world-leading custom orthoses for Scoliosis and Kyphosis treatment in collaboration with Spine Corporation.
Goals of Bracing
Prevent Curve Progression With Bracing
Bracing To Avoid Surgery
Bracing to Improve Quality of Life
The primary goal of scoliosis treatment, particularly through bracing for scoliosis, is to stop the curvature of the spine from worsening. This is crucial during adolescence when the body undergoes rapid growth, which can exacerbate the condition.
By initiating scoliosis when to brace at the appropriate time, it's possible to maintain the curvature at a manageable level.
One of the key benefits of scoliosis bracing is the potential to avoid or significantly delay the need for spinal surgery. This intervention becomes a consideration primarily when the spinal curves approach surgical range.
​
Effective bracing not only helps in controlling the curve but also serves as a non-invasive alternative to surgery.
Utilising a spine brace for scoliosis can have a profound impact on improving the quality of life for individuals dealing with this condition.
By effectively using a spine brace for scoliosis, it's possible to prevent further curvature and avoid complications that may arise if the condition is left untreated.
Understanding the Clinical Features and When to Brace
The decision to use a scoliosis brace stems from a detailed assessment of scoliosis clinical features. These features include the degree of spinal curvature and the patient's growth potential. It is crucial to identify the right timing for scoliosis when to brace, as the effectiveness of bracing significantly depends on the skeletal maturity of the patient. Typically, bracing is considered for individuals with moderate scoliosis, aiming to prevent the curvature from worsening to a point where scoliosis operation or scoliosis surgeries become necessary. Night time or part time bracing is sometimes considered in high risk cases, with possibility of increase to full time wear in case of progression. Full time bracing is usually considered for curves 20-45 degrees, and can be used for curves >45 degrees to control the curve and delay surgery to a later age/ allow for growth.
Evidence Supporting the Efficacy of Bracing for Scoliosis
The support for bracing for scoliosis as an effective treatment option is robust; bracing is the most effective conservative treatment for scoliosis, underscored by numerous studies, including a landmark 2013 research published in the New England Journal of Medicine. This study, known as the Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST), demonstrated that bracing significantly reduced the advancement of high-risk curves to surgical intervention levels in adolescent idiopathic scoliosis cases.
A notable finding was the correlation between the hours a brace was worn daily and the treatment's success rate, indicating a 72% success rate for brace users compared to a 48% success rate for those under observation.
​
Bracing success improves further with use of Cheneau type braces with the rate of success reaching 86-100% in some studies (Lee 2024).
​
Comparing Bracing vs. Surgery
When evaluating scoliosis treatment options, it's essential to compare non-surgical methods like bracing with surgical interventions.
While bracing for scoliosis aims to manage and control the progression of spinal curvature, scoliosis surgeries are typically reserved for severe cases where the curvature significantly impacts the patient's quality of life or poses health risks.
The choice between a back brace for scoliosis and surgery depends on multiple factors, including the severity of the curvature, patient age, and potential for growth.
Not sure if your child requires a brace?
We encourage scheduling an initial assessment with us.
During this comprehensive evaluation, one of our scoliosis therapists will conduct a thorough physical examination, review X-rays, assess skeletal growth potential, evaluate the risk of progression, and provide in-depth education on bracing. Should a brace be deemed necessary, or if alternative treatment avenues are warranted, we'll guide you through the options with care and expertise.
BRACING FAQ
What is a Cheneau brace?
The CMP 3D brace alike other Cheneau braces stands out due to its unique brace measurement, brace design, and brace manufacturing process. This method ensures a 3-dimensional correctional approach, addressing the scoliosis clinical features with precision. The brace is tailored to the specific curve type and needs of the individual, with maximum effect while also ensuring patient comfort and wearability.
Why does the CMP and Corrective Movement Principles of the brace function well with Schroth Therapy?
Integrating the CMP brace with curve specific exercises leverages the brace's large expansion chambers and windows, allowing for dynamic correction of scoliotic deformities. This synergy enhances the patient's ability to optimize breathing and movements, furthering the effectiveness of the treatment and underscoring the importance of a holistic approach in scoliosis when to brace.
How long will the brace last prior to needing a new brace?
Typically, a brace lasts between 12 to 16 months, depending on the patient's growth. The need for a new brace is primarily influenced by increases in height, followed by changes in weight, highlighting the dynamic nature of scoliosis treatment.
Does the brace correct scoliosis?
Evidence supports the efficacy of CMP bracing in improving and stabilizing scoliosis deformities, paralleling the success of other European Cheneau braces. CMP braces achieved 76.9% curve correction, 23% experienced stabilisation and 0% curve progression in recent retrospective analysis. These findings underscore the brace's role in non-surgical scoliosis treatment, offering hope and improved quality of life to those affected.
​
You can view some of the case studies here:
https://cmpbrace.com/case-studies/case-studies-cmp-brace/
Can I claim my brace?
Custom orthosis are usually not covered under private health, sometimes they can be partly claimable through private health if prescribed by a specialist and you can provide a letter of support/ recommendation.