Cervical Spine Orthoses Flashcards
Orthoses are used to:
- ) Align or position limb segments to enhance ________ movement and improve function
- ) Minimize the influence of abnormal _____ on posture and movement
- ) Provide user with comfortable and safe positions in which they can _________*
- ) Promote joint alignment and minimize risk of _________ or other secondary disorders
- ) Protect a limb/body segment following injury or surgery*
- ) _____ motion at a joint/body segment*
- ) Enhance alignment following pharmacological intervention
- ) Provide alternative methods for mobility
- voluntary
- tone
- function
- contracture
- Limit
With all orthoses what questions are we trying to answer?
- What problem are we trying to fix?
- What are the patient’s impairements?
- How will an orthoses help?
Indications for cervical orthoses:
- Stabilize unstable spinal _______ or _________
- ______ motion to protect healing tissue following injury or surgery
- Protect the c/s during _________ in cases of suspected injury
- joints or fractures
- limit
- transport
In regards to patients with ACUTE neck pain with movement coordination impairements (including WAD), should we give them collars?
No, want to minimize use of cervical collar.
What are the application uses of soft and semi-rigid cervical collars?
- stabilize spine to allow for transport
- moderate motion restriction
Soft and semi-rigid collars encase the _____, _________, and ________.
- neck
- mandible
- occiput
What are the 2 main types of semi-rigid collars?
- Philly
- Aspen
What is a CTO brace?
cervical thoracic orthoses
CTOs (minerva brace) increases _________ and decreases C_/C_ motion and ________ c/s segmental motion.
- rigidity
- C1/C2 (flexion/extension)
- lower (side bend/rotation)
What are the indications for a CTO (minerva brace)?
- fracture
- post-op
- severe RA
What is the most restrictive cervical orthoses?
Halo CTO
What are the indications for a Halo CTO?
- c/s fracture with or without SCI
- better for restricting all motions in upper c/s
Physical Therapy Considerations:
-Neutral c-spine position should be maintained during ______/_______ (best accomplished in _______)
-_____ checks
To remove or not to remove?
Work with other HCPs!
Rehab following long-term brace use should focus on ___________ control and re-education.
- donning/doffing, supine
- skin
- neuromuscular
Main Takeaways:
- Cervical orthoses can offer varying degrees of support/motion _________
- Frequently used in _________ setting
- Designed to control or limit motion at specific segments
- Physical therapists need to be well versed in donning/doffing cervical orthoses
- Likely to encounter in multiple settings
- limitation
- post-op
