From armorer corset Ambroise Pare to dynamic corset - supply rehabilitation in the treatment of scoliosis

Stanisław Kijowski
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Instytut Fizjoterapii Politechniki Opolskiej w Opolu, Polska

Abstract

Lateral curvature of the spine is still one of the most difficult challenges in physiotherapeutic and orthopedic procedures. There are basically two methods of treatment in the treatment of scoliosis: surgical or conservative treatment. In both processes, the use of orthopedic appliances, such as corsets or orthoses, is recommended. The work aims to show technical thought in the construction of supplies rehabilitation and methods of scoliosis therapy throughout history, from the 16th century, to the modern day - the 21st century. It is a long way from the primitive heavy blacksmith corsets of the times of Ambrose Pare through a cot and gypsum corset, distraction corsets, corsets designed in X-ray photos, corsets worn only at night, to the newest and most practical to use, corsets dynamic. Corsets and orthoses in conservative therapy fulfill three basic tasks: - first - inhibition of the deepening of curvatures in the phase of growth spikes in children, - second - applying constant pressure to correct the spine, - thirdly - stabilization and prevention of lateral and rotational deviations of the spine. The corset and orthosis, apart from systematic exercises, is supposed to counteract deformations of the spine through correction of permanent repair forces in three positions: standing, sitting and lying. At the same time you should emphasize that it is an important factor in the treatment of lateral curvatures of the spine with the use of corsets, it plays the quality of life and the cosmetic and utility comfort of the aids used. This is very essential in long-term conservative procedure, because bad orthosis, stiff, pinching and not permitting freedom of movement corset cause the effect of overheating the body, and at the same time result in atrophy of the dream muscles. This becomes the reason why children and adolescents become discouraged from this method of therapy and refrain from using the recommended rehabilitation aids. 

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