What is the CMP Brace?
A Rigid, 3D postural over-correcting brace, the CMP Brace is asymmetrical in design. Unlike many other rigid braces in this class, it utilises curve classification and corrective movement principles, offering optimally focused correction.
The CMP Brace optimises in-brace correction. The combination of spinal elongation and realignment provides optimal conditions for curve correction during growth.
Who is the CMP Brace suitable for?
CMP Brace treatment may be suitable for the following conditions:
- Infantile Scoliosis
- Juvenile Idiopathic Scoliosis
- Adolescent Idiopathic Scoliosis
- Neuromuscular Scoliosis
- Congenital Scoliosis
- Syndromic Scoliosis
Specific indications for a given child will vary according to age, curve type, level and magnitude. CMP brace treatment is usually appropriate from 20° upwards in growing children. The upper limit indicated for bracing can vary significantly depending on curve flexibility and age, generally braces may be indicated for higher curve magnitudes in younger immature children with the greatest growth potential in selected cases. The upper limit may be as high as 60° in some cases.
Brace Wear
The CMP Brace is worn for 20 hours/day. The brace may be removed for sports, dance and physical therapy exercises, if prescribed, respecting the maximum 4 hours brace-free time per day.
Treatment Objectives
Treatment objectives vary considerably according to age and condition. It is very important to distinguish between In-Brace Treatment Objectives and Outcomes, as the two can be very different. Generally speaking, rigid braces for children aim to achieve an in-brace curve reduction of around 50%.
Treatment Outcomes
In a recent retrospective review, patients treated with CMP Braces at Sheffield Children’s Hospital demonstrated world leading levels of curve correction.
In-Brace Correction averaged 63%, well exceeding the 48% average achieved by leading international braces.
Out-of-Brace results were even more dramatic, of patients with 20°-40° curves achieving In-Brace correction ≥ 50%.
- 76.9% Experienced Curve Correction
- 23.1% Experienced Curve Stabilisation
- 0% Experienced Curve Progression
Out-of-Brace average correction was 37.6%
In all cases it is necessary to judge outcomes against realistic treatment objectives, these will vary significantly from patient to patient and may include the following:
- Provide curve correction:
- Stable curve reduction in Cobb Angle 2+ years after brace treatment has ended.
- Prevent curve progression:
- Stabilise the curve(s) at pre-treatment levels.
- Slow progression:
- Avoid progression to a surgical level.
- Delay surgery to an optimal age, allowing full growth potential.
- Reduce the degree of surgical intervention, short fusion Vs long fusion, maintaining movement.
- Avoid the need for multiple surgeries:
- Provide physical support. Prevent spinal collapse in Neuromuscular cases.
References
- Optimising Full-time Brace Treatment of Idiopathic Scoliosis (IS) using In-Brace Correction (IBC) as a predictor of brace efficacy. A J Mills, S V Hewitt, A A Cole. British Scoliosis Society November 2022.
- Can Modern Bracing Achieve True Cobb Angle Correction in Idiopathic Scoliosis (IS)? A J Mills, S V Hewitt, A A Cole. British Scoliosis Society November 2022.
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