Spinal Orthotics (3) Flashcards by Victoria Caridi | Brainscape

Q

general principles of cervical orthotics

A

very free in all directions

need careful shaping and fit

must contend w/ weight of head

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Q

very free in all directions –> principles

A

hard to immobilize

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Q

fxn of cervical orthotics

A

reminder to restrict head and neck movement

position the head in capital extension

limits ROM

reduce load on the cervical spine

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Q

clinical indications for cervical orthotics

A

sprain or strain

torticollis

post op soft tissue

fxs, SCI, post op fusions

arthritis

nerve entrapment

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Q

cervical orthotics/types

A

collars

open wire fram

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Q

collars

A

basic collars

hard cervical collars

minerva collar

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Q

basic collars

A

non-height adjustable

height adjustable

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Q

open wire frame

A

SOMI

Hallo vest

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Q

soft non-height adjustable –> basic collars

A

pre fabricated, foam

holds head in neutral

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Q

how much motion does the soft non-height adjustable allow

A

75-80% of normal motion

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Q

soft non-height adjustable –> careful w/

A

to wean ASAP

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Q

soft non-height adjustable –> use in

A

moving vehicles

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Q

clinical indications for soft non-height adjustable

A

whiplash

surgical procedures

sprain/strain

torticollis

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Q

height adjustable collar

A

rigid

better at limiting ROM

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Q

height adjustable collar –> best at restricting

A

flexion and extension

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Q

height adjustable collar –> very little restriction

A

SB and rotation

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Q

clinical indications for height adjustable collar

A

whiplash

arthritis

fx

weakness

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Q

types of hard cervical collars

A

miami

malibu

Philadelphia

turtle

Q

hard cervical collars had

A

molded chin support and occipital support

sternal notch –> anterior

T3 –> posterior

Q

hard cervical collars limit

A

motion in all directions

good head neck control

Q

clinical indications for a hard cervical collar

A

uses in traumatic situation

neck stabilizer

cervical fx

post op internal fixation

Q

minerva

A

total contact CTO

posterior skull, forehead band, mandible

Q

minerva –> thoracic component

A

anterior/posterior

inferior costal margin

Q

minerva has

A

better intersegmental immobilization than halo

Q

minerva –> motions limited

A

70-85% F/E

65-80% SB

45-55% Rotation

Q

clinical indications for minerva

A

post laminectomy

cervical fusion

Q

open wire frames have

A

FER control

flexion, extension, rotation

Q

SOMI

A

sterno-occipital-mandibular immobilizer

CTO

Q

SOMI –> components which control the occiput

A

extend from sternal plate

mandibular pad and bars

post bar/pad to occiput

Q

sternal plate has a

A

shoulder component

Q

SOMI is good for a pt who is

A

supine

Q

SOMI is best for

A

flexion and rotation control

Q

SOMI variation

A

skill strap

Q

clinical indications for SOMI

A

fxs

post laminectomy (better in bed)

post op fusions

Q

HALO vest assembly

A

CTO

halo ring

superstructure

Q

CTO –> HALO

A

triplanar motion control

Q

halo ring –> HALO

A

fixed to the skull

Q

superstructure –> HALO

A

distraction rod and shoulder bar

Q

HALO limits

A

90-95% of all normal motion

Q

HALO is the best for

A

fx healing

Q

HALO has

A

vest plaster or plastic

ring & pins made of carbon fiber

Q

clinical indications for HALO

A

fxs

post op fusions

Q

complications of HALO

A

loosening of pins

infection

Q

pinless non-invasive halo is successful for

A

alternative for cervical fxs