1) Spinal & UE Orthosis Flashcards
Why does SI dyfxn commonly occur w/pregnancy?
Why do SIO’s help?
- COM shifts anteriorly, causing hyperlordosis
- Relaxin incr SIJ motion
- This places strain on SIJ-supporting ligaments
- SIO orthoses can put compression over sacrum, which decr hypermobility
- Diagonal support under abdomen supports the belly to decr lordosis
What do soft corsets do?
Splint L/S by improving proprioception & incr intra-abdominal pressure
What condition contraindicates a soft corset?
HTN
Pt’s w/what neuromuscular pathology could benefit from a soft corset & why?
Pt’s w/new SCI bc it helps w/strength & blood pooling
What material are spinal orthoses typically made of?
Thermoplastic
What are some problems associated w/spinal orthoses?
- Edge pressure
- Slippage
- Donning/doffing in supine or SL
What does a knight orthosis due?
APL control
What dictates the level of the spine that needs bracing?
Surgery
W/what procedures are LSO’s given?
Lumbar laminectomy & fusion
When are TLSO’s given?
Low thoracic & lumbar SC I
When are hyperextension TLSO’s given?
Posterior protruding lumbar discs or Partial discectomies
What is the difference between a Boston brace & low-profile TLSO for scoliosis?
Boston brace gives less edge pressure; Low-profile TSLO is overall a little more comfortable
What are Milwaukee CTLSO’s used for & how do they work?
- Used for scoliosis
- Combines T-spine distraction at the occiput w/a 3-point pressure system
Why do Milwaukee CTLSO’s work better on females than males?
Bc females have a wider pelvis so its a better “shelf”
What pathology is the Charleston bending brace for & how does it work?
Scoliosis → Pt sleeps supine while wearing the brace & their curve gets reversed
Who is the Charleston bending brace good for & why?
Kids & teens bc then they don’t have to go out wearing a brace
What do CO’s do?
Provide support & unweight the C/S
Why is immobilizing the C/S more difficult than T/S or L/S?
Bc there’s a lot of mobility at AO jt & the head is heavy
True or False: Soft cervical collars don’t really unweight or limit C/S motion?
True
What is a wire head support good for?
Limiting capital extension, especially w/ALS
If a pt has a halo, what do you need to check for each time they come to see you?
Pin-site Infection
What things need to be considered for pt’s w/spinal orthoses?
- Compliance will prob be poor
- Cosmesis
- Respiration needs to be monitored bc the brace doesn’t leave much space for chest expansion
- BP monitor
- They’re hot & make pt’s sweat so the brace can be smelly & hard to keep clean
- Hypermobility can devo prox/distal to brace
What needs to be discussed during pt ed?
- Donning/doffing
- Instructions from surgeon
- Monitor weight changes
- Monitor for growth
Who are tone-inhibiting HFO’s good for & why?
Pt’s w/synergies bc they have trouble w/finger extension & abduction
