Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Semester 5 PMNM Exam 8 > Spinal Orthotics > Flashcards

Spinal Orthotics Flashcards

1
Q

Kinesthetic reminder

A

Often a reminder not to do something

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Increase intracavitary pressure

A

Like vasalva - turns torso into something more rigid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Effects of spinal orthosis wear - positive - trunk support

A

Intracavitary pressure - inc intraabdominal and intrathoracic pressure with subsequent reduction in force on the spine
3 point force systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Effects of spinal orthosis wear - positive - motion control

A

Mechanical 3 point force systems - stabilize spine between end points
Psychological restraint of gross trunk movement - kinesthetic reminder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Effects of spinal orthosis wear - positive - spinal realignment

A

3 point pressure system - designed to shift forces from weak area to more normal segments
Stimulation of mm action patterns in withdrawing from an uncomfortable pressure point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Effects of spinal orthosis wear - negative

A

Weakness and atrophy following reduced demands
Tightness and/or contracture
Psychological dependence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Spondylolysis

A

Fracture of pars articularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Spondylolisthesis

A

Anterior migration of one vertebral body on another

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Metal spinal orthoses - advantages to metal

A

Cooler
Weight
Adjustable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Metal spinal orthoses - disadvantages

A

Cosmesis
Control
Areas of high pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Off the shelf orthoses - Function

A 
Stable fractures
Post surgery
Chronic pathology
Comfort
Activity related 
They are often highly adjustable
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Off the shelf orthoses - usually determined by

A

circumferences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Total contact spinal systems - components

A 
Leather/Metal
Kydex 
Polyethylene
MPE (modified)
Copolymer
Polypropylene
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Total contact spinal systems - Biomechanical principle

A 
Multiple 3 point pressure system
Modified end point control
Total contact 
Kinesthetic reminder 
Inc intraabdominal pressure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Total contact spinal system - Pathology

A 
Post surgical 
Kyphosis
Spondylosis
Spondylolisthesis
Arthritis
Scoliosis
Burst fx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sacral Orthoses (SO) - Function

A

Provide stability to SIJ
Encompasses only sacral spine
Reduce inflammation
Post pregnancy, skeletal weakness, chronic ligament laxity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Corsets - Materials

A

Canvas
Cotton mesh
Elastic mesh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Corsets - Closures

A

Snap
Hook and eye
Hook and loop pull straps
Velcro

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Corsets - Biomechanical principles

A

Total contact
Kinesthetic reminder
Inc intracavitary pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Corsets - Pathology

A

Mm strain
Post surgical
Low back pain
Maternity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Lumbosacral orthoses (LSO)

A

L2/3 and inferior

Controls motion in sagittal and coronal plane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Lumbosacral orthoses (LSO) - where does it fit from

A

Snug around torso from xiphoid to pubis anteriorly

Post from inf angle of scapulua to sacrococcygeal junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Lumbosacral orthoses (LSO) - L5/S1 anomaly that looks like it is displaced - what will you incorporate

A

For low lumbar stability may add a hip spica to control the pelvis

24
Q

Metal Spinal Orthoses - Sagittal Control LSO - Chairback LSO - Biomechanical principles

A

3 point pressure system
Kinesthetic reminder
Inc intracavitary pressure

25
Metal Spinal Orthoses - Sagittal Control LSO - Chairback LSO - Pathologies
Low back pain Discogenic pathologies Post surgical
26
Metal Spinal Orthoses - Sagittal Control LSO
Chairback LSO
27
Metal Spinal Orthoses - Sagittal/Coronal Control LSO
Knight LSO - has the lateral stabilizer contributing to coronal control
28
Metal Spinal Orthoses - Sagittal/Coronal Control LSO - Knight LSO - Biomechanical principles
3 point pressure Kinesthetic reminder Inc intracavitary pressure
29
Metal Spinal Orthoses - Sagittal/Coronal Control LSO - Knight LSO - pathologies
Low back pain Discogenic pathologies Post surgical
30
Thoracolumbosacral Orthosis (TLSO)
Triplanar control of lumbar and thoracic vertebrae
31
TLSO - Thoracolumbosacral Orthosis - where does it go from
Sternal notch to pubis anteriorly | Spine of scapula to sacrococcygeal juntion posteriorly
32
Metal spinal orthoses - anterior control TLSO
Jewett and CASH | CASH = cruciform anterior spinal hyperextension
33
Metal spinal orthoses - anterior control TLSO - Jewett and CASH - biomechanical principles
3 point pressure | kinesthetic reminder
34
Metal spinal orthoses - anterior control TLSO - Jewett and CASH - pathologies
anterior compression fracture (creates a hyperextension moment)
35
Metal spine orthoses - sagittal control TLSO
Taylor TLSO
36
Metal spine orthoses - sagittal control TLSO - Taylor TLSO - Biomechanical principles
3 point pressure | Kinesthetic reminder
37
Metal spine orthoses - sagittal control TLSO - Taylor TLSO - Pathologies
Osteoporosis | Arthritis
38
Metal spine orthoses - sagittal control TLSO - Taylor TLSO - helps with what
Can help give the extension moment as well | Helps only with sagittal control
39
Metal spine orthoses - sagittal/coronal TLSO
Knight Taylor TLSO | Provides the lateral (coronal) control
40
Scoliosis - TLSO | What is scoliosis
Twisting (rotation) of the spine Posterior hump formation Quantified by Cobb angle
41
Scoliosis - TLSO - pathology/etiology
Can be familial More common in F Usually appears in late childhood/early teen
42
Scoliosis - TLSO - causes
Polio or muscular imbalance | MOST are idiopathic
43
Scoliosis - TLSO - tx
Curves less than 20 usually stable and can be monitored with xray Bracing should start as soon as curve reaches 24 degrees or more Even with bracing, at least half of curves progress and require surgery
44
Scoliosis Bracing
3 point pressure system | Concept is dynamic correction to stabilize and reduce the curve
45
Schroth method
Postural and breathing and over corrective postural things to help conservatively with scoliosis
46
Scoliosis bracing - purpose
To correct curvature of spine from idiopathc scoliosis Apply pressure at apex of curves and reliefs to pull into Must have necessary musculature to pull away from pressure areas
47
CTLSO
Cervical orthosis attached to a total contact TLSO | Custom
48
Cervical collar - soft collar
Soft foam Usually OTS Mild cervical support
49
Cervical collar - soft collar - mild cervical support for what
Kinesthetic reminder Cervical disk disease Torticollis (SCM) Mino ligamentous or muscular injuries, neck sprains or stiff neck
50
Cervical collar - semi rigid
``` Foam with a rigid outer shell Post surgical cervical support Neck support resulting from trauma Increased AP and ML control Dec rotation Post halo cervical support ```
51
CTO
Rigid C collar attached to a thoracic vest Inc cervical stabilization Stable cervical fx Gets upper thoracic and cervical
52
Halo
100% immobilization to upper thoracic and cervical Provide triplanar motion control of cervical May also be attached to a CTLSO Unstable cervical fractures
53
Wear and Care
Wear orthosis over a tight cotton undershirt Properly place orthosis on body with waist groove on proper spot TIGHTEN straps! Underwear and pants are worn OVER the orthosis for ease of toileting Orthosis cleaned with warm water and mild soap Ask physician for recommendations for wear while showering
54
Spinal orthosis problems
``` Hot Comfortable Rides up Tight Obese Bed positioning ```
55
Spinal orthosis - 3 Ps
Positioning Pressure (tight) Patience

Semester 5 PMNM Exam 8 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions