Boston Brace 3D
The Boston Brace 3D is the next innovation in the non-operative treatment of idiopathic scoliosis. Our clinical experts have combined knowledge of the three-dimensional scoliosis curvature with the latest in shape capture and CAD/CAM technologies to create a brace that delivers superior patient outcomes.
How the Boston Brace 3D Works
Scoliosis is a tri-planar deformity, and the Boston Brace 3D orthosis works to correct the spine in all three planes—coronal, sagittal and transverse. The Boston Brace 3D features an improved brace design with a unique shift/push combination of corrective forces that create a unique force coupler to improve correction. An enhanced anterior lateral relief is added to provide additional room for de-rotation and breathing mechanics.
Custom Fabricated Using CAD/CAM Technology
To ensure maximal curve correction, the Boston Brace 3D is custom-fabricated for each individual patient. Shape capturing technology and precise measurements of the patient are obtained to create a 3D CAD/CAM model. Systematic analysis of the x-ray is performed to optimize the corrective forces (push/shift) creating an asymmetrical shape, while optimizing sagittal plane balance. The corrective forces are created in conjunction with open/void areas that allow for easier breathing mechanics.
Boston Brace 3D Outcomes
Patient outcomes are very important to us at Boston Orthotics & Prosthetics. Initial in-brace x-rays (x-rays with the brace on) show that most patients achieve greater than 50% correction of the primary curve when wearing the Boston Brace 3D. The combination of in-brace curve reduction and adherence to the prescribed wear schedule has been shown in multiple studies to reduce the risk of curve progression. To aid in brace wear compliance, all Boston Brace 3D braces are equipped with the iButton thermal sensor.
Curve Correction is Better Than The Boston Brace Original
Boston Brace 3D FAQ
How is the Boston Brace 3D different from the Boston Brace Original?
The Boston Brace 3D is made from a scan of the patient. Rather than being fabricated over a symmetrical model, it is fabricated over an asymmetrical model. Specific coronal shifts and pushes are built in along with larger relief areas.
What are the primary benefits of the Boston Brace 3D?
The Boston Brace 3D is more aggressive in the transverse plane. By incorporating a selective push/shift combination we are seeing improved corrections. We have found that patients can tolerate more shift/push pressure – we are not flattening their abdomen nor are we adjusting their sagittal profile. In addition, the corrective forces are created in conjunction with open/void areas that allow for easier breathing mechanics.
What type of patient should wear the Boston Brace 3D versus the Boston Brace Original?
All curve patterns and patient presentations are candidates. For mild curves, we may not shift or include as aggressive a push, so the custom fabricated symmetrical Boston Brace Original would work. For out of balance curve patterns, we recommend the Boston Brace 3D.
How does the Boston Brace 3D compare to the Rigo-Cheneau?
The Boston Brace 3D has a number of advantages over the Cheneau brace:
- The Boston Brace 3D is simpler to measure and manufacture so turn around time is far superior
- It has a lower profile so it's less likely to be noticed under clothes
- It costs a fraction of the Cheneau brace, and in nearly all cases is covered by insurance; on the other hand the Cheneau brace is rarely covered by insurance, which means a patient will have a significant bill
- All Boston Brace 3D's made in the USA
As our knowledge of scoliosis improves, we are seeing many of the various brace designs merging more and more. Some of the early designs attempted to do what we are able to achieve through CAD. Cheneau too has large expansion areas. Many are hand modified or do a combination of CAD and hand modifications. The Boston Brace 3D is fabricated in CAD from a scan of the patient. We follow blueprinting principles rather than a classification system.
Is Physical Therapy part of the Boston Brace 3D bracing protocol?
Yes, is it. Physical therapy has always been part of the Boston Brace protocol. Today there are many schools of physiotherapy scoliosis specific exercises such as Schroth, Scientific Exercise Approach to Scoliosis (SEAS), and Barcelona Scoliosis Physical Therapy School (BSPTS) to name a few.
Is the Boston Brace 3D more comfortable for patients?
Yes. Boston O&P incorporates adherence monitors in all our braces so we can objectively review the hours of brace wear. Our data shows that the majority of our patients are able to wear the brace as prescribed. Having a team in place to offer support and answer questions is key. We know that our patients wear the Boston Brace 3D and achieve positive results.
What do I need to do differently when ordering the Boston Brace 3D?
Orthotists need to blueprint the x-ray according to Boston Brace 3D principles and direct the technician on where to shift and push. Also, we will need a scan (.AOP and .STL file formats). Orthotists do not need to own Rodin software to do the scan—you can use Captiva and an iPad.