Custom Dynamic Chest Compressor
The Dynamic Chest Compressor (DCC) is a custom made orthosis (or brace) that treats a pectus deformity by applying pressure over areas of the skeleton to re-align the chest and rib bones. This concept is based on Wolff's law which states that "the bone tissue is a dynamic structure that can be remodelled according to external forces".
Advanced Orthodynamics works with Dr. Paul Missiuna in treatment of children with pectus deformities based on the work done by Dr. Sydney A. Haje M.D. and Dr. J. Richard Bowen M.D., at the Fundacao Hospitalar do Distrito Federal, Brasilia, Brazil and the Aflred I. DuPont Institute, Wilmington, Delaware respectively. Patients have come from Canada, the U.S. and abroad to seek the medical advice of Dr. Missiuna and the bracing expertise of our Certified Orthotist, Eric Bapty.
We have modified the design of the DCC to make the device more attractive to teenagers by making the device as light and inconspicuous as possible -- allowing the teen or child to wear the brace under a loose fitting T-shirt.
What are pectus deformities?
Pectus carinatum, also called pigeon chest, is a deformity of the chest characterized by a protrusion of the sternum and ribs. Children with pecuts carinatum usually develop normal hearts and lungs, but the deformity may prevent these from functioning optimally.
Pectus excavatum, also known as sunken or hollow chest, cobbler's chest or funnel chest, is a congenital deformity of the anterior thoracic wall in which the sternum and rib cage grow abnormally, producing a caved-in appearance. While it is sometimes considered to be cosmetic, it can impair cardiac and respiratory function and cause pain in the chest and back.
What are the treatment goals?
We book an hour for your first appointment at which time, Eric Bapty, our Certified Orthotist will take a medical history and measurements before suggesting a Treatment Plan (TP) based on his assessment and the prescription from your doctor.
How is it made?
To fulfill your Treatment Plan (TP), our Orthotist will perform shape capture by taking measurements of your chest. The DCC is then manufactured in our facility using a support frame and a combination of corrective pads. A fitting is performed to ensure appropriate corrective force application. Our Certified Orthotist makes the final adjustments so that the fit is perfect for you.
How to use your Brace
Our Certified Orthotist will ensure that the fit is correct, explain the wearing protocol and how to sleep with your brace, and offer information on any additional modalities appropriate for treatment. The key to a successful outcome is wearing the DCC according to recommended protocol, along with the exercises given.
While the correction provided may take some time to get used to, the brace should not be painful. If you experience redness or have a concern, please book a follow-up appointment. As the brace will need to be worn through skeletal maturity, you may require more than one brace due to growth. As it it important that the DCC fit optimally, it should be replaced once it can no longer be expanded . Please Contact Us if you have any questions or concerns.
What funding is there?
The Ontario Assistive Devices Program (ADP) will fund up to 75% of the cost of the AFO provided that:
Private Insurance may pay for all or a portion of the cost not covered by ADP. It is important to consult your insurance company to determine what coverage you may have. Most companies require a physician's prescription in order to access funding. Some may request an extensive bio-mechanical analysis from the Certified Orthotist, which we provide at no additional charge.
There may also be coverage by:
For more information, visit our Funding Page.
Guidelines for your DCC