Spinal Orthoses Flashcards

1
Q

What are the 4 types of spinal orthoses?

A
  • cervical orthosis (CO)
  • cervical, thoracic, lumbosacral orthosis (CTLSO)
  • thoracic, lumbosacral orthosis (TLSO)
  • lumbosacral orthosis (LSO)
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2
Q

What are the 7 types of cervical orthoses?

A
  • soft cervical collar
  • semi-rigid collar
  • rigid collar
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3
Q

When are soft cervical collars typically used?

A

for mild soft tissue strains and sprains more so as a kinesthetic reminder than a protective mechanism

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4
Q

What are types of semi-rigid cervical collars?

A
  • Philadelphia
  • Miami J
  • Aspen
  • Malibu
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5
Q

What type of injuries are semi-rigid orthoses used for?

A
  • stable fractures

- ligamentous injury

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6
Q

Describe a few features of the semi-rigid cervical orthoses design

A
  • provide access to the trachea
  • moderate control of ROM
  • serve as a kinesthetic reminder
  • adjustable
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7
Q

In what type of injuries is a Miami J thoracic extension brace used?

A
  • 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
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8
Q

What are 3 types of rigid orthoses?

A
  • Sternal Occipital Mandibular Immobilizer (SOMI)
  • Chelsea
  • Halo
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9
Q

In what type of injuries is a SOMI brace used?

A
  • stable fractures

- moderate to severe soft tissue damage

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10
Q

The SOMI orthoses limits what neck motions?

A

flexion and extension

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11
Q

In what type of injuries is a Chelsea brace used?

A
  • stable fractures anywhere from C1-T1

- severe soft tissue damage

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12
Q

The Chelsea orthoses limits what neck motions?

A

Flexion, Extension, Rotation, and Sidebending

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13
Q

How does the design of the Chelsea brace provide greater control over all cervical levels?

A

It extends inferior into the thoracic region

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14
Q

When are Halo orthoses typically used?

A

in unstable fractures

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15
Q

The Halo limits what neck motions?

A

all motion

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16
Q

How does the design of the Halo brace provide greater control over all cervical levels?

A

It extends inferior into the thoracic region and screws directly into the skull

17
Q

How is a scoliotic curve less than 30 degrees treated?

A

it is monitored until there are signs of progression

18
Q

How is a scoliotic curve of 30-45 degrees treated?

A

orthopedic management (braces)

19
Q

How is a scoliotic curve greater than 45 degrees treated?

A

surgical intervention

20
Q

What is the traditional method for treating scoliosis?

A

cervical-thoracic-lumbar-sacral orthoses (CTLSO)

21
Q

How does the CTLSO provide scoliotic treatment?

A

Uses 3 point pressure and kinesthetic reminders

22
Q

It is recommended that a CTLSO be worn __ hours per day in order to be an effective scoliotic treatment

A

23

23
Q

What is a name brand of a type of CTLSO?

A

Milwaukee Scoliosis CTLSO

24
Q

What type of brace is used to treat low profile scoliosis?

A

TLSO

25
Q

What are 2 rigid TLSO brand names?

A
  • Low Profile Milwaukee
  • Boston TLSO
  • Charleston Bending Orthosis
  • Providence Orthosis
  • Cheneau Brace
26
Q

When is the Charleston Bending Orthosis worn?

A

only when sleeping

27
Q

Semi-rigid TLSOs are used to treat what?

A
  • Herniated Nucleus Pulposus
  • moderate soft tissue strains and sprains
  • moderate fractures
28
Q

The semi-rigid TLSO is commonly referred to as a body jacket due to its function. Describe its major function

A

It increases intra-abdominal pressure

29
Q

What are 2 brand names of semi-rigid TLSOs that are used to treat anterior compression fractures due to osteoporosis, trauma, and degeneration?

A
  • Taylor

- Knight Taylor

30
Q

What is the brand name of a soft design TLSOs that is used to treat anterior compression fractures due to osteoporosis, trauma, and degeneration?

A

Mother’s hug

31
Q

What is a disadvantage to the Mother’s Hig?

A

respiration may be restricted

32
Q

What are 2 types of TLSOs that are designed to promote trunk hyperextension thereby unloading the anterior column of the spine?

A
  • Jewett

- CASH

33
Q

The Jewett and CASH braces limit what spinal motion?

A

flexion

34
Q

What are 2 brand names of LSOs?

A
  • Knight “chair back” Orthosis

- Boston Overlap Orthosis

35
Q

What are LSOs used to treat?

A
  • Herniated Nucleus Pulposus,
  • other mild to moderate soft tissue strains and sprains

*they increase intra-abdominal pressure