IPH REHAB : SPINAL ORTHOSIS ADVANTAGE AND DISADVANTAGE

IPHREHAB

Spinal orthosis: 

INTRODUCTION
An orthotic device  is an external device applied on the body to:-

• Limit motion 
• Correct deformity 
• Reduce axial loading
• Improve function in certain segment of the body. 

INDICATIONS:

• Pain relief 
• Mechanical unloading 
• Scoliosis management 
• Spinal immobilization after surgery 
• Spinal immobilization after traumatic injury 
• Compression fracture management 
• Kinesthetic reminder to avoid certain movements 

INTRODUCTION

Duration of orthotic use is determined by the individual situation. 

In situations where spinal instability is not an issue, recommend use of an orthosis until the patient can tolerate discomfort without the brace. 

When used for stabilization after surgery or acute fractures, allow 6-12 weeks to permit ligaments and bones to heal. 

Drawbacks of orthosis:-

• Discomfort 
• Local pain 
• Osteopenia 
• Skin breakdown 
• Nerve compression 

DISADVANTAGE:-

Muscle atrophy with prolonged use. 

Decreased pulmonary capacity .

Increased energy expenditure with ambulation.

Difficulty with transfers. 

Psychological and physical dependency. 

Increased segmental motion at ends of the orthosis. 

Unsightly appearance.

Poor patient compliance. 

Success of the orthosis may lead to:-

• Decreased pain 
• Increased strength 
• Improved function and posture  
• Correction of spinal curve deformity 
• Protection against spinal instability 
• Minimized complications 
• Healing of ligaments and bones