Spinal Orthoses Flashcards
What are the 4 types of spinal orthoses?
- cervical orthosis (CO)
- cervical, thoracic, lumbosacral orthosis (CTLSO)
- thoracic, lumbosacral orthosis (TLSO)
- lumbosacral orthosis (LSO)
What are the 7 types of cervical orthoses?
- soft cervical collar
- semi-rigid collar
- rigid collar
When are soft cervical collars typically used?
for mild soft tissue strains and sprains more so as a kinesthetic reminder than a protective mechanism
What are types of semi-rigid cervical collars?
- Philadelphia
- Miami J
- Aspen
- Malibu
What type of injuries are semi-rigid orthoses used for?
- stable fractures
- ligamentous injury
Describe a few features of the semi-rigid cervical orthoses design
- provide access to the trachea
- moderate control of ROM
- serve as a kinesthetic reminder
- adjustable
In what type of injuries is a Miami J thoracic extension brace used?
- lower and upper c-spine disruptions
- level one instabilities
- isolated compartment fracture
- lateral mass fracture
- spinous Process fracture
- stable Jefferson or Hangman’s Fracture
- type I (stable incomplete fracture) odontoid fracture
What are 3 types of rigid orthoses?
- Sternal Occipital Mandibular Immobilizer (SOMI)
- Chelsea
- Halo
In what type of injuries is a SOMI brace used?
- stable fractures
- moderate to severe soft tissue damage
The SOMI orthoses limits what neck motions?
flexion and extension
In what type of injuries is a Chelsea brace used?
- stable fractures anywhere from C1-T1
- severe soft tissue damage
The Chelsea orthoses limits what neck motions?
Flexion, Extension, Rotation, and Sidebending
How does the design of the Chelsea brace provide greater control over all cervical levels?
It extends inferior into the thoracic region
When are Halo orthoses typically used?
in unstable fractures
The Halo limits what neck motions?
all motion