The WCR brace is a thermoplastic scoliosis brace modeled on a hyper-corrected positive plaster cast of the patient. This is a 3-dimensional correctional brace which has significant pressure and expansion areas built into the brace, which provides correction in all three anatomical planes. It should follow the general correction principle as was written by Dubousset: “detorsion and sagittal plane normalization, which would affect correction of the coronal and transversal planes, resulting in some elongation of the spine, without any significant distraction force,” (Rigo, 2001, Wood 2003). The WCR brace utilizes both X-rays and clinical photos of the patient to determine curve type and brace design.
There are studies completed that have demonstrated that the Rigo brace and Cheneau brace both improve and stabilize the deformity.
Yes, a prescription by an MD is required to have a brace fit and delivered to a scoliosis patient.
Once the patient has completed the 7-day break in period, the brace is normally comfortable for the patient. Most patients do well and tolerate the brace. My experience has been that these braces are more comfortable compared with other braces. This is because the pressures points are located in such a way that it places the body where it should be. As a result, the patient is usually more comfortable in the brace, compared with not wearing the brace.
The Schroth method of therapy and BSPTS Barcelona Scoliosis PT school, are recommended with the WCR brace (Wood Cheneau Rigo). The Schroth therapy must be provided by a Schroth certified physical therapist (PT).
Some brace adjustments are not uncommon, but are normally worked out and the areas of previous discomfort or rubbing are tolerated by patients. Most adjustments if needed, occur during the first weeks or a month after delivery of the brace.
Yes, follow-up X-rays and visits are needed to evaluate fit, function and correction.