Orthoses fo Management of Spinal Dysfunction: Difference between revisions

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== Introduction ==
== Introduction ==


Spinal orthoses are external devices used in the management of spinal dysfunctions. The goals of spinal orthoses are to support weak muscle groups, correct a deformed body part, protect and stabilize the spine in cases of instability related to degenerative changes that result from aging, in postoperative situations to facilitate healing. Spinal orthoses are applied because of the following reasons: congenital disorders, trauma, various disease conditions such as ligamentous, osseous or musculotendinous diseases, and in pain management. Also, orthoses can be applied after surgery for traumatic spinal injuries or for conditions without any cause such as scoliosis.  
Spinal orthoses are an external device applied to the body to restrict motion in a particular body segment or spinal region.
 
Spinal dsysfunctions comprises of a wide array of pathological processes, but symptoms and disability generally are consequences of impingement of the neural elements and/or instability of spinal segments.
 
Spinal orthoses are applied because of the following reasons: congenital disorders, trauma, various disease conditions such as ligamentous, osseous or musculotendinous diseases, and in pain management.  
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Following surgery, the first application of spinal orthosis is to protect the surgical site from external disruption while healing occurs while the second goal is to hinder the natural progression of the condition. In pain management, it is used in relieving the severity of the painful condition. In some congenital disorders, orthoses can provide postural support and to improve overall functional such as activity of daily living (ADL).
Inaddition, in choosing spinal orthoses for management of spinal dysfunction, the clinician's priority should be to determine which spinal motion to control.  
 
== Types of Orthoses ==


Inaddition, in choosing spinal orthoses for management of spinal dysfunction, the clinician's priority should be to determine which spinal motion to control.  
The main purpose of using spinal orthsoses in the management of spinal dysfunctions are:
 
* To reduce the loading of the spine e.g in the management of unstable fracture.
* For support and to promote healing e.g  post surgical management or osteoporosis.
* To restrict the motion at the low back region.
* To increase abdominal support.
* To correct existing spinal deformity such as scoliosis.
* For encourage the patient to move cautiously.
 
 
The spinal orthoses accomplish their aim through one or more of the following biomechanical principles:
 
* Three-point pressure control.
* Indirect transfer of load by increasing intra-abdominal pressure.
* Correction of spinal alignment.
* Sensory feedback.
 
 
The American Academy of Orthopaedic surgeons standardized the nomeclature used for describing orhoses in spine management in 1973 and divided them broadly into five categories:


== Assessment ==
* Cervical
* Cervical thoracic
* Thoracolumbosacral
* Lumbosacral
* Sacroiliac


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Orthosis may also be classified by their rigidity e.g. rigid, semi rigid,or flexible or by a combination of their materials and whether they are prefabricated or custom fit.


== Measurement  ==
== Measurement  ==

Revision as of 13:42, 30 June 2021

Welcome to Assistive Technology in Rehabilitation. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!! If you would like to get involved in this project and earn accreditation for your contributions, please get in touch!

Original Editors - User Name

Top Contributors - Naomi O'Reilly, Olajumoke Ogunleye and Kim Jackson      

Introduction[edit | edit source]

Spinal orthoses are an external device applied to the body to restrict motion in a particular body segment or spinal region.

Spinal dsysfunctions comprises of a wide array of pathological processes, but symptoms and disability generally are consequences of impingement of the neural elements and/or instability of spinal segments.

Spinal orthoses are applied because of the following reasons: congenital disorders, trauma, various disease conditions such as ligamentous, osseous or musculotendinous diseases, and in pain management. Inaddition, in choosing spinal orthoses for management of spinal dysfunction, the clinician's priority should be to determine which spinal motion to control.

Types of Orthoses[edit | edit source]

The main purpose of using spinal orthsoses in the management of spinal dysfunctions are:

  • To reduce the loading of the spine e.g in the management of unstable fracture.
  • For support and to promote healing e.g post surgical management or osteoporosis.
  • To restrict the motion at the low back region.
  • To increase abdominal support.
  • To correct existing spinal deformity such as scoliosis.
  • For encourage the patient to move cautiously.


The spinal orthoses accomplish their aim through one or more of the following biomechanical principles:

  • Three-point pressure control.
  • Indirect transfer of load by increasing intra-abdominal pressure.
  • Correction of spinal alignment.
  • Sensory feedback.


The American Academy of Orthopaedic surgeons standardized the nomeclature used for describing orhoses in spine management in 1973 and divided them broadly into five categories:

  • Cervical
  • Cervical thoracic
  • Thoracolumbosacral
  • Lumbosacral
  • Sacroiliac

Orthosis may also be classified by their rigidity e.g. rigid, semi rigid,or flexible or by a combination of their materials and whether they are prefabricated or custom fit.

Measurement [edit | edit source]

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Fitting[edit | edit source]

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Troubleshooting [edit | edit source]

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References [edit | edit source]

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