Chêneau corset

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The Chêneau corset is a corset used to treat scoliosis in adolescents. It was introduced by Jacques Chêneau in 1978 as an "active" inhalation derotation orthosis .

application

It is used in patients who are still growing and who have progressive idiopathic scoliosis with a Cobb angle between 20 ° and 40 °. It can also be indicated for higher Cobb angles if surgical therapy is not desired or if there are no major symptoms. The wearing times of the corset vary, many are only allowed to take it off for personal hygiene.

Manuel Rigo (Barcelona) and Hans-Rudolf Weiß (Bad Sobernheim) have changed the Chêneau corset significantly. Nothing has changed in the way it works. In principle, the correction of scoliosis can only be achieved if it compensates for the three-dimensional deformation of the trunk , i.e. the shortening in the vertical direction, the lateral deviation in the transverse direction and the rotation about the longitudinal axis. The three-dimensional derotation of the spine (and the chest) is made possible by the fact that the Chêneau corset is built asymmetrically and creates free spaces (expansion zones) in addition to pressure zones (pads). The patients should "breathe straight".

For the construction of the corset, a plaster cast of the patient is first made. The orthopedic technician uses this to create the corset with three pressure points (reminder pads). They remind the wearer to actively compensate for the bad posture. This is why the combination of corset treatment and physiotherapy is necessary. The Milwaukee corset was used to treat high levels of scoliosis. The neck ring under the chin forced the children to stretch out of the corset. Today high thoracic colioses are also treated with Chêneau corsets.

The pelvis and upper part of the thorax are fixed. In between, according to the three-surface system, pressure and relief are distributed in such a way that a three-dimensional derotation takes place.

Severe scolioses sometimes need to be corrected and stabilized surgically.

See also : "Spine" in the Orthopedics article

Individual evidence

1. ↑ Manuel Rigo (Barcelona Scoliosis Physical Therapy School) ( Memento of the original from July 27, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.  
2. ↑ Hans-Rudolf Weiss

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