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3) P&O > 1) Spinal & UE Orthosis > Flashcards

1) Spinal & UE Orthosis Flashcards

1
Q

Why does SI dyfxn commonly occur w/pregnancy?

Why do SIO’s help?

A
  • 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
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2
Q

What do soft corsets do?

A

Splint L/S by improving proprioception & incr intra-abdominal pressure

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3
Q

What condition contraindicates a soft corset?

A

HTN

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4
Q

Pt’s w/what neuromuscular pathology could benefit from a soft corset & why?

A

Pt’s w/new SCI bc it helps w/strength & blood pooling

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5
Q

What material are spinal orthoses typically made of?

A

Thermoplastic

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6
Q

What are some problems associated w/spinal orthoses?

A
  • Edge pressure
  • Slippage
  • Donning/doffing in supine or SL
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7
Q

What does a knight orthosis due?

A

APL control

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8
Q

What dictates the level of the spine that needs bracing?

A

Surgery

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9
Q

W/what procedures are LSO’s given?

A

Lumbar laminectomy & fusion

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10
Q

When are TLSO’s given?

A

Low thoracic & lumbar SC I

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11
Q

When are hyperextension TLSO’s given?

A

Posterior protruding lumbar discs or Partial discectomies

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12
Q

What is the difference between a Boston brace & low-profile TLSO for scoliosis?

A

Boston brace gives less edge pressure; Low-profile TSLO is overall a little more comfortable

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13
Q

What are Milwaukee CTLSO’s used for & how do they work?

A
  • Used for scoliosis
  • Combines T-spine distraction at the occiput w/a 3-point pressure system
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14
Q

Why do Milwaukee CTLSO’s work better on females than males?

A

Bc females have a wider pelvis so its a better “shelf”

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15
Q

What pathology is the Charleston bending brace for & how does it work?

A

Scoliosis → Pt sleeps supine while wearing the brace & their curve gets reversed

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16
Q

Who is the Charleston bending brace good for & why?

A

Kids & teens bc then they don’t have to go out wearing a brace

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17
Q

What do CO’s do?

A

Provide support & unweight the C/S

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18
Q

Why is immobilizing the C/S more difficult than T/S or L/S?

A

Bc there’s a lot of mobility at AO jt & the head is heavy

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19
Q

True or False: Soft cervical collars don’t really unweight or limit C/S motion?

A

True

20
Q

What is a wire head support good for?

A

Limiting capital extension, especially w/ALS

21
Q

If a pt has a halo, what do you need to check for each time they come to see you?

A

Pin-site Infection

22
Q

What things need to be considered for pt’s w/spinal orthoses?

A
  • 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
23
Q

What needs to be discussed during pt ed?

A
  • Donning/doffing
  • Instructions from surgeon
  • Monitor weight changes
  • Monitor for growth
24
Q

Who are tone-inhibiting HFO’s good for & why?

A

Pt’s w/synergies bc they have trouble w/finger extension & abduction

25
Q

How do post-op shoulder immobilizers work?

A

Decr traction on RTC so pt can rest

26
Q

If you’re going to take off a post-op shoulder immobilizer, what do you need to know how to do?

A

Get it back on

27
Q

What are SEWHO’s good for?

A

Frozen Shoulder

28
Q

What does the saeboflex do?

A

Facilitates finger extension

29
Q

What is this?

A

SIO

30
Q

What is this?

A

Soft Corset LSO

31
Q

What is this?

A

Custom fitted LSO

32
Q

What is this?

A

Knight Orthosis LSO

33
Q

What is this?

A

TLSO

34
Q

What is this?

A

Jewitt TLSO

35
Q

What is this?

A

CASH TLSO

36
Q

What is this?

A

Boston Brace TLSO

37
Q

What is this?

A

Low-Profile TLSO

38
Q

What is this?

A

Milwaukee CTLSO

39
Q

What is this?

A

Charleston Bending Brace

40
Q

What is this?

A

Wire Head Support

41
Q

What is this?

A

Philadelphia Collar

42
Q

What is this?

A

SOMI

43
Q

What is this?

A

Minerva HCTLSO

44
Q

What is this?

A

Tone Inhibiting HFO

45
Q

What is this?

A

Dynasplint Active Wrist Extension Orthosis

46
Q

What is this?

A

Resting Splint

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