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    I have an appointment with my physiatrist(sp? SCI rehab doc) coming up in the next few weeks. I want to ask him about some type of brace. I have a horrible habit of leaning to my right when I drive, sit in class, or anytime I am sitting for extended period of time. My fear is that I am going to cause some serious scoliosis problems. I am wondering if anyone has had posture problems that they were able to correct, or at least slightly improve with some type of brace? If so what kind? I want to go in with some educated knowledge of the subject in order to efficiently get things taken care of. thnks for any input. [img]/forum/images/smilies/smile.gif[/img]

    " The best way to predict the future is to invent it."
    - Alan Kay

    "The best way to predict the future is to invent it."
    - Alan Kay

    #2
    Commonly called spinal orthoses
    Spinal orthoses can be used for:
    -controlling spinal position by external forces
    -applying corrective forces to abnormal curvatures
    -providing spinal stabilization when soft tissues cannot
    -restricting spinal segment movement after trauma.
    They can all be individualized but don't want anything too restrictive or you won' t like the feeling. I would recommend ask your MD/therapistabout sitting device that could be placed in car/wheelchair to help with this- chairback brace.Molded jackets are usually the most preferred due to their lightweight and are
    easily tolerated.

    Common TLO's are:

    ThoracoLumbar Orthoses

    Thoracic Motion:
    horizontally-oriented facets and ribcage attachments to sternum limit flexion/extension, exc. In lower region.
    6-9 degrees of lateral bending and rotation in each segment.

    Lumbar motion:

    Predominant motion is flexion/extension, followed by lateral bending and then rotation.

    Greatest flexion/extension and least bending/rotation at L5-S1.

    Lumbosacral Orthoses:

    Chairback brace - anterior corset/apron with midaxillary metal uprights; controls flexion extension

    William's brace - allows free flexion and limits extension; uses lever action and abdominal support to decrease lordosis

    Thoracolumbar Orthoses (TLSO's):

    Taylor brace - Thoracolumbar corset with axillary straps; designed to limit flexion/extension; Poor efficacy

    Molded jackets - thermoplastic or casted; highest efficacy to control post-fracture/injury spinal motion

    Jewett Hyperextension brace - three-point pressure over sternum, pubis and posterior lumbar spine; prevents flexion; used with compression fractures; not indicated with osteoporosis secondary to excess forces generated
    CWO
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      Hey Amanda,
      I have the same problem too. I always lean to my right probably because I have more right arm movement. I lean to my right even in my standing frame, but I was not aware that I should be concerned about it. Thanks for the past

      Marie
      Unbroken by the grace of God
      Marie
      Unbroken by the grace of God

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