Orthotics cervical thoracic lumbar Flashcards
cranial remolding orthosis indications
- plagiocephaly, brachycephaly, scaphocephaly
- Cranial deformation secondary to torticollis
- post op craniosynostosis
What are spinal fitting goals
- substitute/assist axial muscle actions
- function as a kinesthetic reminder
- protect anatomical structures
- prevent/reduce pain
- prevent progression of condition/injury
- reduce severity of deformity
Soft cervical collar indications
- soft tissue injury
- hyper extension/flexion injury
- post cervical fusion
- mild cervical arthritis/nerve pain
How much immobilizations do soft collars provide
not much immobilization more kinesthetic reminder to limit movement
Philadelphia cervical collar indication
- post surgical application
- trauma, fractures
- immobilization for cervical metastasis
- cervical arthritis
- degenerative diseases
what is the main difference of philadelphia cervical collar and soft collar
tracheotomy access and more stability on philadephia
Miami J/aspen cervical collar indications
- post surgical
- stable cervical spine injuries
- degenerative disease
- cervical arthritis
What are some interesting things about the miami J/aspen collar
MRI compatible
can limit thoracic motion
CTO Cervical thoracic orthoses implications
- Stable cervical fracture
- post surgical application
- immobilization for cervical metastasis
SOMI: sternal occipital mandibular immobilizer
- stable displaced fracture
- cervical disc immobilization
- post surgical immobilization
HALO indications
- unstable cervical fractures
den type 1, 2, 3 of C2
C1 with rupture of transverse ligament - post surgical management
What are some risks associated with a HALO
risk of infection at the pin sites, scarring
LSO lumbar sacral orthosis indications
- post surgical immobilization
- low back pain management
- compression fractures
- non surgical disc treatment
- obese patients
- laborious work
BOB boston overlap brace anterior overlap LSO
- post surgical immobilization
- low back pain managment
- compression fractures of l3-l5
- non surgical disc treatment
- disc disease
- spondylosis, spondylolysis, spondylolisthesis
- anti-lordotic posturing
CASH cruciform anterior spinal hyperextension
- anterior compression fractures
- mild kyphosis
- frail patients in need of minimal support
- reduction of kyphosis in osteoporosis
Jewett hyperextension brace indication
- anterior compression fracture of T6-L1
- burst fractures
- post surgical immobilization
- mild kyphosis
- frail patients in need of minimal support
- reduction of kyphosis in osteoporosis
Soft TLSO hyperextension corset
- geriatric kyphosis
- stable anterior thoracic compression
- accommodates frail elderly
- more comfortable for elderly
Lumbar- sacral corset indications
- low back pain
si belt sacroiliac belt
- sacroiliac joint pain
- subluxations
- pregnancy sacroiliac support
TLSO thoracic lumbar sacral orthosis
- post surgical immobilization
- unstable/stable fracture T3-L3
- pain management
- can include hip joint and thigh cuff for lower lumbar stabilization
- neurological injuries
- custom for atypical shapes
TLOS indications in the case of scoliosis
- idiopathic scoliosis curves with apex T8 and below
- curves >25 degrees
- skeletal immaturity
- non surgical intervention
what are the goals for TLSO bracing in scoliosis
50% correction
prevent curve progression
CTLSO: milwaukee scoliosis brace
treatment of scoliosis with curves above T8
What are some contraindications for CTLSO scoliosis
outdated
low compliance
Scoliosis night time bracing indications
- idiopathic scoliosis
- single curves
- curvature of 25-40 degrees
