Spinal Orthotics (2) Flashcards
sacroiliac
SIO
the pelvis is
difficult to stabalize
why is the pelvis difficult to stabalize
shape of the pelvis
straps under legs help keep O in place
orthoses could be made out of
various materials
canvas
metal covered w/ leather
clinical indications of SIO
pelvic fxs
postpartum
pubic symphysis seperation
pelvic fx –> SIO
loss of pelvic ring
postpartum –> SIO
ligamentous laxity
LSO is also called
“knight” or “chairback” O
LSO materials
metal covered in leather or canvas
LSO
lumbosacral
LSO can be
anterior or posterior and lateral
AP & L
what does the LSO do
decrease ROM in anterior and lateral direction
clinical indications for LSO
healing fx
post-surgical laminectomy fusion
healing fx –> LSO
spinal fxs in lumbar area
post-surgical laminectomy/fusion –> LSO
spina bifida
spondylolisthesis
LSO body jacket
plastic instead of metal
encases the whole trunk
increase inter-cavitary pressure
thoraco-lumbo/sacral orthosis
TLSO
types of TLSO
taylor O
knight taylor O
taylor O –> TSLO
thoracolumbar
A/P orthosis
straps extend over shoulders to control thoracic spine
taylor O controls –> TSLO
anterior/posterior movement
knight taylor O –> TLSO
thoraco-lumbar
A/P & L
straps extend over shoulder to control t-spine
knight taylor O controls –> TLSO
anterior/posterior and lateral movement
clinical indications for TLSO
healing fx in t-spine
spinal fusions T-spine
knight taylor/body jacket –> TLSO
plastic w/ full coverage
better control
can inhibit respiration and breast development in adolescents
light supports are
corset type supports
lights supports are made of
canvas, webbing and buckles
metal stays to increase support
light supports –> support
elastic or low temp plastic panels
clinical indications for light support
thoracic, lumbar and sacral areas
thoracic, lumbar and sacral areas –> indications
sprains
strains
non-displaced fxs
postpartum
herniated disc
LBP
healing surgical fusion (remodeling)
what should we consider w/ light support
level of injury
when would we use SI support
during pregnancy and post partum
pelvic fx
SI joint dysfxn
when would we used LS support
LBP
herniated disc
healing fx (non-displaced)
