Spinal Orthotics (3) Flashcards by Victoria Caridi

general principles of cervical orthotics

very free in all directions

need careful shaping and fit

must contend w/ weight of head

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very free in all directions –> principles

hard to immobilize

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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

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clinical indications for cervical orthotics

sprain or strain

torticollis

post op soft tissue

fxs, SCI, post op fusions

arthritis

nerve entrapment

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cervical orthotics/types

collars

open wire fram

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collars

basic collars

hard cervical collars

minerva collar

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basic collars

non-height adjustable

height adjustable

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open wire frame

SOMI

Hallo vest

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soft non-height adjustable –> basic collars

pre fabricated, foam

holds head in neutral

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how much motion does the soft non-height adjustable allow

75-80% of normal motion

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soft non-height adjustable –> careful w/

to wean ASAP

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soft non-height adjustable –> use in

moving vehicles

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clinical indications for soft non-height adjustable

whiplash

surgical procedures

sprain/strain

torticollis

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height adjustable collar

rigid

better at limiting ROM

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height adjustable collar –> best at restricting

flexion and extension

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height adjustable collar –> very little restriction

SB and rotation

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clinical indications for height adjustable collar

whiplash

arthritis

weakness

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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