axial spine Flashcards
resting
Protect joint
Minimize motion
assistive
Augment weakness
Facilitate movement
functional
Protect joint during ADLs or sport
corrective
Improve ROM
Decreased tone or contracture
Lumbo pelvic
Corsets and abdominal binders
Rigid Lumbo sacral bracing
Sacroiliac belt
thoracic
Boston brace
Cervical
soft collar
Philadelphia collar
Halo
indications for lumbosacral corset and mechanics
Following lumbar surgery or vertebral fracture
restricts lumbar range of motion and frontal and sagittal planes
abdominal binder indications and mechanics
spinal cord injuries
Impaired abdominal
Reduced lung volumes or voice
mechanics- Increased intra-abdominal pressure
special considerations- doffing procedure
Lumbo sacral flexion extension lateral orthosis
A.k.a. knight spinal orthosis (rigid)
Indication - restrict sagittal plane lumbar movement
mechanics - 3 point system, anterior and posterior
Special consideration - limited ability prevent rotation
sacroiliac belt indications
Pregnancy instability about SIJ
Provides compression and stabilization
Special considerations -Assess pelvic floor function and Trial assessment
TLSO Boston brace
idiopathic scoliosis
Kyperkyphosis
applies distraction de rotation, and bending forces
To be worn 18 to 23 hours a day
Soft collar
Acute cervical injury
Resting splint
Limits rental and sagittal range of motion
Should be worn short term and use weaning process
Philadelphia collar
cervical fracture or postoperatively
Limits three planes of movement
consider- Temporomandibular pain
halo and Minerva orthosis indications and mechanics
requires maximum protection
Upper cervical fracture
Halo is external fixation
Minerva is rigid posterior section from head to mid trunk
Consider wound management for halo
