6122 - Spinal Orthoses (Done)
What are the 3 purposes of an orthosis?
What is the main purpose of a *soft* orthosis? - ANS-1. Compensate for
weakness/deformity
2. Correct or prevent deformity.
3. Protect by restricting harmful movements.
The main purpose of a soft orthosis is to protect by restricting harmful movements. You
need a more rigid orthosis to accomplish the other two.
What are two down-sides to prescribing a long term orthotic use for a patient?
Because of this downside, we should always consider orthotics to be _________ and
we should perform frequent _________. - ANS-The areas and muscles that an orthotic
supports or restricts movement in will become atrophied, and increase risk of skin
breakdown.
Orthotics should always be *part* of a treatment, along with mobilization and
stabilization exercises to keep muscles up; and perform frequent skin-checks.
What are the benefits of a SOFT trunk lumbo-sacral orthotic (LSO)?
What motion does it prevent?
How would you fit this to a patient? - ANS-It may increase IAP to decrease axial
loading, and remind a client to splint themselves posturally.
It primarily prevents flexion/extension.
What are the benefits of a SOFT trunk TLSO?
What motion does it primarily restrict? - ANS-Same as a LSO - IAP and reminding
patient to splint themselves.
, A rigid orthosis can be used to _______ and fixed deformity, and _______ a flexible
deformity. - ANS-You can support a fixed deformity.
You can prevent or even correct a flexible deformity.
What is a Knight Spinal Orthosis?
What kind of orthotic is it?
What motions does it restrict? - ANS-A Knight Spinal Orthosis is the brand name for a
rigid LSO.
It provides FEL control.
What is a Chairback Orthosis?
What motions does it restrict? - ANS-A rigid LSO that has only upright rigid struts,
meaning...
It provides only FE control.
What is a Clamshell Body Jacket orthosis?
What motions does it restrict? - ANS-A rigid LSO that is completely solid all around.
It restricts all motions.
How would you fit an LSO to your patient? - ANS-It fits from the xiphoid/inf. scapula to
the buttocks.
What is a Taylor or Taylor Knight Spinal Orthosis?
What motions does it restrict?
What patient might wear this long-term? - ANS-A rigid TLSO.
Taylor restricts FE.
Taylor Knight restricts FEL.
SCI patients might wear this long-term.
What are the 3 purposes of an orthosis?
What is the main purpose of a *soft* orthosis? - ANS-1. Compensate for
weakness/deformity
2. Correct or prevent deformity.
3. Protect by restricting harmful movements.
The main purpose of a soft orthosis is to protect by restricting harmful movements. You
need a more rigid orthosis to accomplish the other two.
What are two down-sides to prescribing a long term orthotic use for a patient?
Because of this downside, we should always consider orthotics to be _________ and
we should perform frequent _________. - ANS-The areas and muscles that an orthotic
supports or restricts movement in will become atrophied, and increase risk of skin
breakdown.
Orthotics should always be *part* of a treatment, along with mobilization and
stabilization exercises to keep muscles up; and perform frequent skin-checks.
What are the benefits of a SOFT trunk lumbo-sacral orthotic (LSO)?
What motion does it prevent?
How would you fit this to a patient? - ANS-It may increase IAP to decrease axial
loading, and remind a client to splint themselves posturally.
It primarily prevents flexion/extension.
What are the benefits of a SOFT trunk TLSO?
What motion does it primarily restrict? - ANS-Same as a LSO - IAP and reminding
patient to splint themselves.
, A rigid orthosis can be used to _______ and fixed deformity, and _______ a flexible
deformity. - ANS-You can support a fixed deformity.
You can prevent or even correct a flexible deformity.
What is a Knight Spinal Orthosis?
What kind of orthotic is it?
What motions does it restrict? - ANS-A Knight Spinal Orthosis is the brand name for a
rigid LSO.
It provides FEL control.
What is a Chairback Orthosis?
What motions does it restrict? - ANS-A rigid LSO that has only upright rigid struts,
meaning...
It provides only FE control.
What is a Clamshell Body Jacket orthosis?
What motions does it restrict? - ANS-A rigid LSO that is completely solid all around.
It restricts all motions.
How would you fit an LSO to your patient? - ANS-It fits from the xiphoid/inf. scapula to
the buttocks.
What is a Taylor or Taylor Knight Spinal Orthosis?
What motions does it restrict?
What patient might wear this long-term? - ANS-A rigid TLSO.
Taylor restricts FE.
Taylor Knight restricts FEL.
SCI patients might wear this long-term.
