Orthotic Considerations for the Spine Flashcards
(71 cards)
what does SIO stand for, and what does it encompass
Sacroiliac Orthosis - encompass the sacral and iliac regions of the lower spine and pelvis
what does LSO stand for, and what does it encompass
Lumbosacral Orthosis - encompass the lumbar and sacral regions of the lower spine
what does TLSO stand for, and what does it encompass
Thoracolumbosacral Orthosis - encompass the cervical, thoracic, lumbar, and sacral regions of the spine
what does CO stand for, and what does it encompass
Cervical Orthosis - encompass the cervical spine
what does CTO stand for, and what does it encompass
Cervicothoracic Orthosis - encompass the cervical and thoracic region
what does HCTO stand for, and what does it encompass
Head-Cervical-Thoracic Orthosis - encompass the head, cervical, and thoracic region
Custom or Stock:
Ordered according to measurements taken of patient and is presized (S, M, L, XL)
stock
Custom or Stock:
This mechanism is likely to increase probability of appropriate fit and function
Custom
Custom or Stock:
Patient is casted or measured followed by orthotic fabrication to meet the exact dimensions of the cast
Custom
Custom or Stock:
More difficult to obtain proper fit due to body morphology and size of anatomic landmarks
Stock
what are the three major functions of spinal orthoses
- Immobilize gross spinal motions (limit the trunk in all degrees of freedom)
- Immobilize individual motion segments (reduce range of motion of an intervertebral segment)
- Apply external forces to correct deformity or prevent progression of a deformity
Thee indications for spinal orthoses
- Immobilize gross spinal motions (limit the trunk in all degrees of freedom)
- Immobilize individual motion segments (reduce range of motion of an intervertebral segement)
- Apply external forces to correct deformity or prevent progression of a deformity
Three indications for spinal orthoses in the category of:
Immobilize gross spinal motions (limit the trunk in all degrees of freedom)
- muscle strain, ligament sprain
- whiplash soft tissue injury
- NM based trunk weakness
Two indications for spinal orthoses in the category of:
Immobilize individual motion segments (reduce range of motion of an intervertebral segment)
- Spondyloslisthesis
2. s/p Spinal fusion
Two indications for spinal orthoses in the category of:
Apply external forces to correct deformity or prevent progression of a deformity
- Idiopathic scoliosis
2. Scheuermann’s Disease
for patients with spondyloslisthesis, what is the orthosis trying to do
keep them out of extension and bring them into flexion
Similar to the principles applied to other body regions, motion in spinal orthoses is controlled utilizing either __ or ___.
using 3 point or 4 point pressure systems
in general, where does the primary force originate when trying to correct a scoliosis
at the convex side projecting into concavity
spinal curves are named according to the…
convexity
3 point system controlling R lower thoracic curve (general)
Primary: Originating at the convexity on the R side, projecting medially
Secondary: above and below the convexity on the concave side (at the trimlines)
is the control of rotation at the spine and control of rotation at the hip the same?
no, it is significantly different
why is controlling rotation in the spine and at the hp significantly different
osteokinematics
rotation in the spine will be controlled through…
a four point pressure system
why is a four point pressure system necessary to control rotation in the spine
it is necessary to manage the counter-rotation present between upper and lower trunk utilized in a variery of functional activities
