Boston Brace Questions Flashcards
Trochanteric extension
Usually unilateral
Acts as an extended lever arm to address decompensation in conjunction with the lumbar pad to address a lumbar curve
Lumbar pad
Anteriorly directed force from the posterior aspect of the orthosis
Derotates the spine by applying force to the transverse process
A lumbar pad will be utilized in which type/s of curves?
Lumbar
Thoracolumbar
T10, 11 thoracic curves
Thoracic Pad
Medially directed force from the lateral aspect of the orthosis
Influences the vertebra by the articulation with the ribs
What type/types of curves will require the addition of a thoracic pad?
Thoracic curves with apices at T8-T11
Thoracic window
Placed contralateral in relation to the thoracic pad
Will always be larger than the thoracic pad to allow for rib excursion
Axillary extension
Used on the side of decompensation in conjunction with the trochanteric extension
Medially directed force
Gusset
Elastic material that is plastic welded to the module Provides structural integrity and assists in the "righting reflex"
The superior anterior trimline is placed:
At the level of the xiphoid process
The inferior anterior trimline should be placed:
to allow 1cm clearance at the anterior thigh with the hips flexed at 90 degrees
The inferior anterior trimline should _____ the symphysis pubis.
cover
The superior posterior trimline should terminate ______ inferior to the ________.
2cm; inferior angle of the scapula
The inferior posterior trimline should allow ______ clearance from the chair when sitting with the hips ________.
2cm; flexed at 90 degrees
The superior and inferor lateral trimlines are:
dictated by the blueprint design
The lateral trimlines should follow the _______ slope of the ribs
downward
