Spinal Orthotics (1)

Question 1

types of spinal orthotics

Answer 1

sacroiliac (SIO)

lumbosacral (LSO)

thoraco-lumbo-sacral (TLSO)

cervical (CO)

cervical-thoracic (CTO)

sterno-occipital-mandibular- immobilizer (SOMI)

Question 2

what’re spinal orthoses used for

Answer 2

trunk support

motion control

realignment

Question 3

how’re trunk support, motion control and realignment accomplished

Answer 3

increase intra-cavitary pressure created by compression

supports the spine

assists in breathing and coughing

improves diaphragm efficiency

3 point pressure and distraction

psychological restraint

Question 4

3 points pressure and distraction –> accomplished

Answer 4

stabilizes b/w end points of system

Question 5

psychological restraint –> accomplished

Answer 5

inhibiting factor or reminder to limit motion

Question 6

pressures for control

Answer 6

3 point pressure to control

Question 7

3 point pressure to control –> pressures for control

Answer 7

flexion and extension

Question 8

flexion –>3 point pressure to control –> pressures for control

Answer 8

backward force @ pelvis

backward force @ thorax

forward force over spine (b/w L1 and L2)

Question 9

extension –> 3 point pressure to control –> pressures for control

Answer 9

forward force/thoracic area

forward force @ pelvis

backward force/abdominal supports (b/w 1 and 2)

Question 10

negative effects of spinal orthoses

Answer 10

weakness and atrophy

tightness and/or contracture

psychological dependence

aggravation of symptoms

Question 11

weakness and atrophy –> negative

Answer 11

muscle disuse

Question 12

tightness and/or contracture –> negative

Answer 12

joint tightness

Question 13

psychological dependence –> negative

Answer 13

beyond need of orthosis

Question 14

aggravation of sxs –> negative

Answer 14

above and below orthosis

increase demands of ROM and muscle

Question 15

orthotic components

Answer 15

metal framework

abdominal support

pelvic support/pelvic bands

uprights

posterior cross bars

abdominal and chest support

Question 16

metal framework

Answer 16

basis of all spinal orthoses

Question 17

metal framework includes

Answer 17

pelvic support

uprights

posterior cross bar

Question 18

uprights –> metal framework

Answer 18

lateral

posterior

oblique lateral bar

Question 19

posterior cross bar –> metal framework

Answer 19

thoracic band (bar)

interscapular cross bar

Question 20

pelvic support/pelvic bands

Answer 20

base of the metal framwork

Question 21

what does the pelvic support/bands do

Answer 21

holds onto the pelvis

holds orthosis secure

lower part of 3 point pressure

supports trunk weight

Question 22

pelvic bands can be

Answer 22

made in various shapes

bottom on spinal orthosis

junction b/w spinal orthosis and HKAFO

Question 23

a pelvic band is

Answer 23

metal covered in leather or plastic

Question 24

uprights

Answer 24

lateral

posterior

oblique lateral

Question 25

lateral uprights

Answer 25

gives lateral stability

limits/controls lateral flexion motion

Question 26

posterior uprights

Answer 26

limits/controls flex/ext motion

either side spinous process

part of 3 point pressure system

Question 27

oblique lateral uprights

Answer 27

from pelvic band to lateral upright

control pelvic motion

maintain pelvic position

Question 28

type of posterior cross bars

Answer 28

thoracic band

inter-scapular band

Question 29

thoracic band –> posterior cross bars

Answer 29

below inferior angle of scap

top of LSO

T8

Question 30

inter-scapular band –> posterior cross bars

Answer 30

crosses distal third of scap

top of TLSO

T3-4

attachment for additional shape

Question 31

function of abdominal and chest support

Answer 31

secures orthosis to body

increase intra-abdominal pressure

anterior part of 3 point pressure

Question 32

abdominal and chest support closures

Answer 32

buckles

velcro