Spinal Orthotics (3) Flashcards
general principles of cervical orthotics
very free in all directions
need careful shaping and fit
must contend w/ weight of head
very free in all directions –> principles
hard to immobilize
fxn of cervical orthotics
reminder to restrict head and neck movement
position the head in capital extension
limits ROM
reduce load on the cervical spine
clinical indications for cervical orthotics
sprain or strain
torticollis
post op soft tissue
fxs, SCI, post op fusions
arthritis
nerve entrapment
cervical orthotics/types
collars
open wire fram
collars
basic collars
hard cervical collars
minerva collar
basic collars
non-height adjustable
height adjustable
open wire frame
SOMI
Hallo vest
soft non-height adjustable –> basic collars
pre fabricated, foam
holds head in neutral
how much motion does the soft non-height adjustable allow
75-80% of normal motion
soft non-height adjustable –> careful w/
to wean ASAP
soft non-height adjustable –> use in
moving vehicles
clinical indications for soft non-height adjustable
whiplash
surgical procedures
sprain/strain
torticollis
height adjustable collar
rigid
better at limiting ROM
height adjustable collar –> best at restricting
flexion and extension
height adjustable collar –> very little restriction
SB and rotation
clinical indications for height adjustable collar
whiplash
arthritis
fx
weakness
types of hard cervical collars
miami
malibu
Philadelphia
turtle
hard cervical collars had
molded chin support and occipital support
sternal notch –> anterior
T3 –> posterior
hard cervical collars limit
motion in all directions
good head neck control
clinical indications for a hard cervical collar
uses in traumatic situation
neck stabilizer
cervical fx
post op internal fixation
minerva
total contact CTO
posterior skull, forehead band, mandible
minerva –> thoracic component
anterior/posterior
inferior costal margin
minerva has
better intersegmental immobilization than halo
minerva –> motions limited
70-85% F/E
65-80% SB
45-55% Rotation
clinical indications for minerva
post laminectomy
cervical fusion
open wire frames have
FER control
flexion, extension, rotation
SOMI
sterno-occipital-mandibular immobilizer
CTO
SOMI –> components which control the occiput
extend from sternal plate
mandibular pad and bars
post bar/pad to occiput
sternal plate has a
shoulder component
SOMI is good for a pt who is
supine
SOMI is best for
flexion and rotation control
SOMI variation
skill strap
clinical indications for SOMI
fxs
post laminectomy (better in bed)
post op fusions
HALO vest assembly
CTO
halo ring
superstructure
CTO –> HALO
triplanar motion control
halo ring –> HALO
fixed to the skull
superstructure –> HALO
distraction rod and shoulder bar
HALO limits
90-95% of all normal motion
HALO is the best for
fx healing
HALO has
vest plaster or plastic
ring & pins made of carbon fiber
clinical indications for HALO
fxs
post op fusions
complications of HALO
loosening of pins
infection
pinless non-invasive halo is successful for
alternative for cervical fxs
