Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Orthotics Overview
Jas...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Objectives
Upon comple...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Orthotist
• Specialize...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Some Basic Goals of Or...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Lower Extremity Orthos...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
FO (foot orthosis)-
• ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
UCBL
• University of C...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
AFO (ankle foot orthos...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
SMO
• Supra Maleolar O...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Metal bars
• Commonly ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Total Contact AFO’s
• ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Floor reaction AFO-
• ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Unweighting AFO
• May ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Immobilizing AFO
Commo...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Articulated or Non-art...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
KO (knee orthosis)
• U...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Several Types of KO’s:...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Athletic KO-
• Prevent...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
non-articulated KO-
• ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Off-the-Shelf KO-
• Of...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
KAFO Knee Ankle Foot O...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Subtypes:
– Single/Dou...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Single/Double Bar KAFO...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Total Contact KAFO-
• ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Ischial Weight Bearing...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
HKAFO
Hip Knee Ankle F...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Specific HKAFO: Recipr...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Hip Orthosis (HO)
• Hi...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Hip Abduction Orthosis...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Specific Case Hip Orth...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Upper Extremity Orthos...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Hand Orthosis (HO)
• O...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Wrist Hand Orthosis (W...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Wrist Hand Orthosis (W...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Wrist Hand Orthosis (W...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Wrist Hand Orthosis (W...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
OTS Orthoses around th...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Elbow Orthosis
• Custo...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Shoulder Orthosis
• Co...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Shoulder Orthosis
• Co...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Spinal Orthoses
• CO c...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Cervical Orthosis (CO)...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Cervical Orthosis
• Ri...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Cervical Orthosis
• Ri...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Cervical Orthosis
• Ri...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Scoliotic Curve
• 0°- ...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
CTLSO
Milwaukee Scolio...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
TLSO
Low ProfileLow Pr...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
TLSO
Charleston Bendin...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
TLSO
Semi-Rigid Design...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
TLSO
• Anterior Compre...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
TLSO
• Anterior Compre...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
TLSO
• Anterior Compre...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Lumbosacral Orthosis (...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Lumbosacral Orthosis (...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Boston Overlap Orthosi...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
For further informatio...
Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020
Funded by the Departme...
Orthotic overview
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Orthotic overview

  1. 1. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Orthotics Overview Jason T. Kahle, CPO Greg S. Bauer, CPO Westcoast Brace & Limb M. Jason Highsmith, PT, DPT, CP, FAAOP University of South Florida, College of Medicine School of Physical Therapy and Rehabilitation Sciences Demonstration Project on Prosthetics and Orthotics
  2. 2. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Objectives Upon completion of this educational material, the participant will • Be able to define orthosis • Demonstrate an understanding of basic and common orthotic terminology • Demonstrate an understanding of basic orthotic goals • Differentiate between general types of orthoses • Be able to select an appropriate type of orthosis given a simple case scenario
  3. 3. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Orthotist • Specializes in the – design – fabrication, – fitting, – alignment – adjustment • of orthoses. • An orthosis is any device added to the body to stabilize or immobilize a body part, prevent deformity, protect against injury, or assist with function. (Taber’s Cyclopedic Medical Dictionary. ©2001, FA Davis)
  4. 4. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Some Basic Goals of Orthoses • Maintenance or correction of body segment alignment • Assistance or resistance to joint motion • Axial loading of the orthosis & therefore relief of distal weight bearing forces • Protection against physical insult
  5. 5. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Lower Extremity Orthoses: • FO foot orthosis • AFO ankle foot orthosis • KO knee orthosis • KAFO knee ankle foot orthosis • HKAFO hip knee ankle foot orthosis • HO hip orthosis
  6. 6. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 FO (foot orthosis)- • When foot cannot attain neutral, FO may shim the gap to that fixed position-Accommodative FO • May help the foot attain a neutral position-Corrective FO • Either may unload compromised tissue; or may provide total contact • May be full custom or Off The Shelf (OTS)
  7. 7. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 UCBL • University of California Biomechanics Laboratory (UCBL) • Rigid plastic total contact design • Hind foot / mid foot correction • Heel cup extends proximal to inframalleolar area and distally to the metatarsal heads www.towerortho.com
  8. 8. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 AFO (ankle foot orthosis) Most common orthosis 1. Metal bars 2. Total Contact 3. Floor reaction 4. Unweighting 5. Immobilizing – Most AFO’s can be articulating or non-articulating
  9. 9. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 SMO • Supra Maleolar Orthosis • Low profile design that crosses the ankle • Less invasive trim lines than a standard AFO www.towerortho.comwww.dafo.com/ www.pelsupply.com
  10. 10. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Metal bars • Commonly used in specific scenarios – i.e. Post-Polio, Neuropathic feet
  11. 11. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Total Contact AFO’s • provide sleek, intimate fit with total contact to provide better control • Subtypes are thermoplastic and thermosetting • higher patient acceptance possibly due to light weight & concealment (150-200gms); • may be hotter • more common today Courtesy of Westcoast Brace & Limb
  12. 12. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Floor reaction AFO- • Uses floor reaction force through toe aspect of foot plate to prevent forward tibial progression & subsequent knee collapse; • May be articulated http://www.beckerorthopedic.com/ce nfab/cfp.htm http://www.scheckandsiress.com/orth otic_care/AFO_Floor_Reaction.pdf Courtesy of Westcoast Brace & Limb
  13. 13. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Unweighting AFO • May be patella tendon bearing (PTB), specific weight bearing or total surface bearing, TSB (inverted cone with lace closure) to unweight the ankle foot using prosthetic principles Example of a specific weight bearing AFO from http://www.pttd.com/PhotoGallery.html Example of a TSB unweighting AFO from http://www.arizonaafo.com/weightbearing.h tml
  14. 14. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Immobilizing AFO Commonly used with a lower extremity deficiency when ankle immobilization is desired – distal tibia/ fibula fracture – foot bone fractures – tendocalcaneus rupture – Diabetic Foot (Charcot Foot) CAM Walker http://www.orthopedictechreview.co m/issues/octnov99/productivity.htm Crow Walker www.towerortho.com AFO for Fracture Management. http://www.orthoactive.com/downlo ads/pdf/fractureBracing.pdf
  15. 15. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Articulated or Non-articulated • May be designed for progressive increases or decreases in sagittal plane ROM and control • An articulating option may be available in many designs of AFO’s Non-Articulating (Solid Ankle) Articulating
  16. 16. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 KO (knee orthosis) • Useful for malalignment – genu varum, – valgum, – recurvatum, • to protect knee structures from undue loading/stress • may be preventative or corrective • may be permanent treatment for repaired/compromised knee structures Photo of a patient with Genu Recurvatum courtesy of Westcoast Brace & Limb
  17. 17. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Several Types of KO’s: • Athletic KO- • Non-articulated KO- • Custom or OTS KO-
  18. 18. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Athletic KO- • Preventative. • Controversial as short lever arms may not be sufficient to diminish realistic damaging forces. • Proprioception thought to play a role. http://www.abrace.com/hinged/flex-lite.htm Courtesy of Westcoast Brace & Limb
  19. 19. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 non-articulated KO- • usually for short term use • difficult to transfer with http://www.yourdr.com/kneesup port/donjoy/immobil-deluxe.htm http://www.sammonspreston.com/ca/Supply/ Product.asp?Leaf_Id=438901 Swedish knee cage for Genu Recurvatum Knee Immobilizer KO
  20. 20. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Off-the-Shelf KO- • Offers limited control of the knee. • Restricts gross motion http://www.orthomerica.com/products/l owext/polaris_2.htm http://www.kneebracesonline.com/product.p hp?productid=307&cat=681&page=1 Dynamic Extension assist KO to prevent contractures
  21. 21. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 KAFO Knee Ankle Foot Orthosis • Indicated when lesser devices are biomechanically insufficient; • Combines KO & AFO http://www.aodmobility.com/body_kafos.htm
  22. 22. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Subtypes: – Single/Double bar (upright) KAFO- – Total contact KAFO- – Ischial Weight Bearing (unweighting) KAFO-
  23. 23. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Single/Double Bar KAFO- – Accommodates volume fluctuation, – Cooler than total contact, – Highest material strength. – Several lock options. • Lock for ambulation, unlock for sitting. – May incorporate hyperextension stops. – Various knee joints are available • e.g. Weight activated stance control, locking, polycentric, single axis, extension assist, etc. http://www.ottobockus.com/ Courtesy of Westcoast Brace & Limb
  24. 24. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Total Contact KAFO- • More customizable. • Better load distribution. • Includes Sarmiento Style Fracture Bracing. http://www.orthomerica.com/produ cts/lowext/orlando_kafo.htm http://www.pandocare.com/products.htmlCourtesy of Westcoast Brace & Limb
  25. 25. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Ischial Weight Bearing (unweighting) KAFO- • Ischial containment or Quadrilateral style brims with high trimlines. • Generally used with paralytic limbs. • Not as effective with larger or obese individuals. http://www.beckerorthopedic.com/cenfab/cfp.htm http://leedergroup.com/bulletins /limited-definition-of-orthotics
  26. 26. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 HKAFO Hip Knee Ankle Foot Orthosis • Very restrictive and laborious to swing-to or through in gait – causing high rejection rates – Includes Reciprocating Gait Orthoses (RGO), total contact, leather and metal upright, postural and others http://leedergroup.com/bulletins/limi ted-definition-of-orthotics
  27. 27. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Specific HKAFO: Reciprocating Gait Orthosis (RGO) • Commonly used in cases of spina bifida and spinal cord injury. • Combines flexion of one hip with extension of the opposite hip. • The flexion power of one hip is utilized to extend the opposite hip. Courtesy of Westcoast Brace & Limb
  28. 28. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Hip Orthosis (HO) • Hip Abduction Orthosis • Standing Walking AND Sitting Orthosis (SWASH) • Some Orthoses can intervene at the hip without crossing the hip. Select examples: A-Frame Orthosis Dennis Brown Bars www.pelsupply.com
  29. 29. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Hip Abduction Orthosis • Commonly used post-operatively to position the femoral head optimally within the acetabulum Hip Abduction orthoses can be an HO only or can have a KAFO extension. www.pelsupply.com
  30. 30. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Specific Case Hip Orthosis (HO): S.W.A.S.H Orthosis Standing Walking And Sitting Hip Orthosis Maintains femoral abduction in standing, walking and sitting Courtesy of Westcoast Brace & Limb
  31. 31. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Upper Extremity Orthoses: • HO hand orthosis • WHO wrist hand orthosis • EO elbow orthosis • EWHO elbow wrist hand orthosis • SO shoulder orthosis
  32. 32. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Hand Orthosis (HO) • Opponens Orthosis • Maintain, assist or provide opposition by stabilizing the thumb in a functional position www.pelsupply.com
  33. 33. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Wrist Hand Orthosis (WHO) • Commonly referred to as a “resting hand splint” • Commonly used to prevent contractures • Maintains neutral/static wrist, hand, and finger Courtesy of Westcoast Brace & Limb
  34. 34. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Wrist Hand Orthosis (WHO) • Commonly referred to as a “cock-up splint” • Commonly used in cases of carpal tunnel syndrome • Maintains wrist in slight extension Courtesy of Westcoast Brace & Limb
  35. 35. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Wrist Hand Orthosis (WHO) • Commonly used with fractures or mild to moderate soft tissue sprains/strains of the distal forearm, wrist and proximal hand • Maintains wrist in a static position http://www.wisdomking.com/product215219c361.html http://www.thebonestore.com/HelyWeberwrist.html
  36. 36. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Wrist Hand Orthosis (WHO) • Commonly referred to as a “tenodesis orthosis” • Commonly used in cases of cervical spinal cord injury that result in paralysis of prehension • Creates approximation of the 2nd and 3rd digits and the thumb with active extension of the wrist Courtesy of Westcoast Brace & Limb
  37. 37. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 OTS Orthoses around the elbow • Lateral Epicondylitis Brace- • Elbow Sleeve- commonly used for minor soft tissue injuries, compression, sprains and strains www.pelsupply.com
  38. 38. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Elbow Orthosis • Custom molded, total contact elbow orthosis • Can be used for prevention of contracture(s), fracture, immobilization • May include a wrist or wrist/hand component • May be custom or OTS • Elbow joints may be static or dynamic Courtesy of Westcoast Brace & Limb
  39. 39. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Shoulder Orthosis • Commonly called “shoulder sling” • Used for shoulder immobilization http://www.armsling.com/?source=Overture
  40. 40. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Shoulder Orthosis • Commonly called a shoulder abduction orthosis – Sometimes referred to as an “airplane splint” • Maintains abduction at the glenohumeral joint www.pelsupply.com
  41. 41. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Spinal Orthoses • CO cervical orthosis • CTLSO cervical, thoracic, lumbosacral orthosis • TLSO thoracic, lumbosacral orthosis • LSO lumbosacral orthosis
  42. 42. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Cervical Orthosis (CO) • Soft Cervical Collar • Commonly used for mild soft tissue strains and sprains • Kinesthetic reminder to limit motion Courtesy of Westcoast Brace & Limb
  43. 43. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Cervical Orthosis • Rigid Frame Design • Commonly used in stable fractures and Moderate to Severe soft tissue damage • Limits Flexion and Extension • Extends Inferior into the Thoracic Region for greater control of all cervical levels • Examples: Denison, Guilford, SOMI (Sternal Occipital Mandibular Immobilizer) SOMISOMI OrthosisOrthosis Courtesy of Westcoast Brace & Limb
  44. 44. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Cervical Orthosis • Rigid Frame Design • Commonly used in stable fractures and Severe soft tissue damage • Limits All Motion • Extends Inferior into the Thoracic Region for greater control of all cervical levels MinervaMinerva Courtesy of Westcoast Brace & Limb
  45. 45. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Cervical Orthosis • Rigid Frame Design • Commonly used in unstable fractures • Limits All motion • Extends Inferior into the Thoracic Region for greater control of all cervical levels • Screws Directly into the skull HALO Courtesy of Westcoast Brace & Limb
  46. 46. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Scoliotic Curve • 0°- 30° Treated with signs of progression • 30°- 45° Orthotic Intervention • 45° < Surgical Intervention Courtesy of Westcoast Brace & Limb
  47. 47. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 CTLSO Milwaukee Scoliosis CTLSO • Traditional Method of Scoliosis Treatment • Rigid frame Design • Uses three point pressure and kinesthetic reminder • Worn 23 hours / day Neck Ring Component Courtesy of Westcoast Brace & Limb
  48. 48. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 TLSO Low ProfileLow Profile Milwaukee BraceMilwaukee Brace Boston TLSOBoston TLSO •Low Profile TLSO for Scoliosis •Worn 23 Hours / Day •Made of semi-rigid plastic and foam Courtesy of Westcoast Brace & Limb
  49. 49. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 TLSO Charleston BendingCharleston Bending OrthosisOrthosis ProvidenceOrthosisProvidenceOrthosis • Low Profile TLSO for Scoliosis • Worn when sleeping only • Made of semi-rigid plastic and foam Courtesy of Westcoast Brace & Limb
  50. 50. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 TLSO Semi-Rigid Design (various rigidity options) • Increases Intra-abdominal pressure • Limits ROM • Commonly used for Herniated Nucleus Pulposus, and moderate soft tissue strains and sprains and fractures • Commonly referred to as a body jacket Courtesy of Westcoast Brace & Limb
  51. 51. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 TLSO • Anterior Compression Fractures of the vertebral body • Semi rigid design (Taylor, Knight Taylor) • Commonly used for osteoporosis, trauma Degenerative Courtesy of Westcoast Brace & Limb
  52. 52. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 TLSO • Anterior Compression Fractures of the vertebral body • Soft design (mother’s hug) • Commonly used for osteoporosis, trauma Degenerative Courtesy of Westcoast Brace & Limb
  53. 53. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 TLSO • Anterior Compression Fractures of the vertebral body • Rigid Design • Commonly used for osteoporosis, trauma, • Degenerative disc disease • Limits Flexion Jewett HyperextensionJewett Hyperextension OrthosisOrthosisCASH Hyperextension Orthosis Courtesy of Westcoast Brace & Limb
  54. 54. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Lumbosacral Orthosis (LSO) • Routinely OTS • Soft Design • Increases Intra-abdominal pressure • Commonly used for Herniated Nucleus Pulposus, and other mild to moderate soft tissue strains and sprains • Can be used preventatively Courtesy of Westcoast Brace & Limb
  55. 55. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Lumbosacral Orthosis (LSO) • Routinely OTS • Semi-rigid / rigid design • Commonly referred to as a “chair back” (Knight) • Restricts trunk extension and lateral motion • Increases Intra-abdominal pressure • Commonly used for Herniated Nucleus Pulposus, and other mild to moderate soft tissue strains and sprains Courtesy of Westcoast Brace & Limb
  56. 56. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Boston Overlap Orthosis Semi-Rigid Design (various rigidity options) • Increases Intra-abdominal pressure • Limits ROM • Commonly used for Herniated Nucleus Pulposus, and moderate soft tissue strains and sprains Courtesy of Westcoast Brace & Limb
  57. 57. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 For further information about the content of the module, contact University of South Florida dpt@health.usf.edu (813)974-8870 Fax: (813)974-8915 Westcoast Brace & Limb www.wcbl.com (813)985-5000 Fax: (813)985-4499
  58. 58. Funded by: U.S. Department of Education, Rehabilitation Services Administration Award # H235J050020 Funded by the Department of Education, Rehabilitation Services Administration Award# H235J050020 “Demonstration Project on Prosthetics and Orthotics” University of South Florida College of Medicine: School of Physical Therapy & Rehabilitation Sciences College of Engineering: Mechanical Engineering Department M. Jason Highsmith, PT, DPT, CP, FAAOP William S. Quillen, PT, PhD, SCS, FACSM Rajiv Dubey, PhD
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