Sunday, May 19, 2024

Re: Copes Scoliosis System

Edsko Hekman

Hi Steve,

Mr. Copes has a web-site at http://www.scoliosis.com/ where the system is

explained. However, I should point out to you that mr. Copes and his

methods are not completely without controverse.

This is not to say that bracing for scoliosis treatment would not be open

for improvement. As you are undoubdedly aware common bracing essentially

comes down to enclosing a person’s body in a rigid shell (e.g. Boston,

Charleston). In engineering terms these braces are ‘displacement driven’.

One of the disadvantages is that if the person assumes another body

position, the forces decrease or diminish. In many cases substantial

correction can only be achieved by regular adjustment of the brace. It

seems that better correction can be obtained if a force-driven orthosis is

applied. That is, the orthosis should be flexible, able to follow body

movements and posture changes, while maintaining the correction forces.

One such system is being developed at (or in cooperation with) the

University of Montreal. There is a working product, marketed by a company

called Biorthex. You can find information at http://www.biorthex.com/ The

system has been tested by a number of scoliotic persons (in the light of

the previous discussion, can I call them ‘patients’ ;-)?).

Another force-driven system is being developed at our university in

cooperation with the university of Groningen by Gert Nijenbanning.

Essentials are high comfort for the wearer due to flexibility and open

structure of the orthosis, and placement of only a few but essential

corrective forces. The orthosis is not yet commercially available; this is

not a marketing speech but it gives an impression of our research. We have

only preliminary results of 6 treatments with the brace, but a larger group

of youngsters will be fitted with it this year. Publications are :

G. Nijenbanning (1998): “Can A dynamic orthosis change neuromuscular

development in idiopathic scoliosis?” Proc. 10th Philip Zorab symposium,

Oxford , pp. 28

G. Nijenbanning (1998): “A new orthosis for scoliosis correction”, Proc. of

the 9th world congress of the ISPO, pp. 439-441

G. Nijenbanning (1998) : “Scoliosis redress”, PhD-thesis, Twente University.

Regards,

Edsko Hekman

…………………………………………………..

.Edsko Hekman .

.Laboratory of Biomechanical Engineering .

.Twente University .

.PO box 217 tel. 31-53-4893173 .

.7500AE Enschede fax. 31-53-4893471 .

.e-mail [email protected] .

…………………………………………………..

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