Follow up: hyperkyphotic brace solution
Ingvar Leskovar
Description
Collection
Title:
Follow up: hyperkyphotic brace solution
Creator:
Ingvar Leskovar
Date:
8/4/2020
Text:
Good time of the day
As I was asked to post follow up on this question, here's what I had
as responses:
One, that I think, may work for those patients, is Spinomed. I totally
forgot about it. Has advantage of shape-able backbone and closures
in the front. Little bulk.
Thank you, several respondents, that recommended it.
Foamie TLSO from Spinal Tech (I had several done) could be option,
depends how advanced kyphosis is and how weak patient is, as they
still end up with sternal pressure.
One suggestion was Aspen Horizon TLSO, or a backpack style TLSO. I
concur and used them on quite a few kyphotic patients. My particular
patient rejected it.
Otherwise, mostly everyone agrees that, nothing really works.
Final option was to pronounce patient not a brace candidate.
From personal experience, I want to mention CAMP XXI thoracolumbar. I
had decent success with it, when everything else failed, because it is
soft and does not press anywhere too much. That was the one I called
soft placebo in my post. As far as they can manage closures. It does
give mild relief and, that counts.
Original question is below:
Good morning, Colleagues
Did anyone come up with a WORKING bracing solution for hyperkyphotic
elderly ladies?
Anatomy is, likely, best described with this: ? .
Normally, skin and bone, very short, very sensitive. Very little
shoulder ROM, poor vision, lack of desire to work with straps or,
simple inability to do so, weak musculature. In many cases, somehow
living independently and not really having helper.
Nothing off the shelf works, as it's always too tall in the front,
too tight, too complicated and, definitely, not matching anatomy.
Custom devices press too much at the sternum and pecs, as they keep
collapsing into the anterior shell.
If someone has a working TLSO solution, not a soft placebo, I'd
really appreciate. I have several of such cases a year.
I. Lesko, LPO
--
*“Segui il tuo corso et lascia dir les genti*
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OANDP-L is a forum for the discussion of topics
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Public commercial postings are forbidden. Responses to inquiries
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or affiliations should be used in all communications.
As I was asked to post follow up on this question, here's what I had
as responses:
One, that I think, may work for those patients, is Spinomed. I totally
forgot about it. Has advantage of shape-able backbone and closures
in the front. Little bulk.
Thank you, several respondents, that recommended it.
Foamie TLSO from Spinal Tech (I had several done) could be option,
depends how advanced kyphosis is and how weak patient is, as they
still end up with sternal pressure.
One suggestion was Aspen Horizon TLSO, or a backpack style TLSO. I
concur and used them on quite a few kyphotic patients. My particular
patient rejected it.
Otherwise, mostly everyone agrees that, nothing really works.
Final option was to pronounce patient not a brace candidate.
From personal experience, I want to mention CAMP XXI thoracolumbar. I
had decent success with it, when everything else failed, because it is
soft and does not press anywhere too much. That was the one I called
soft placebo in my post. As far as they can manage closures. It does
give mild relief and, that counts.
Original question is below:
Good morning, Colleagues
Did anyone come up with a WORKING bracing solution for hyperkyphotic
elderly ladies?
Anatomy is, likely, best described with this: ? .
Normally, skin and bone, very short, very sensitive. Very little
shoulder ROM, poor vision, lack of desire to work with straps or,
simple inability to do so, weak musculature. In many cases, somehow
living independently and not really having helper.
Nothing off the shelf works, as it's always too tall in the front,
too tight, too complicated and, definitely, not matching anatomy.
Custom devices press too much at the sternum and pecs, as they keep
collapsing into the anterior shell.
If someone has a working TLSO solution, not a soft placebo, I'd
really appreciate. I have several of such cases a year.
I. Lesko, LPO
--
*“Segui il tuo corso et lascia dir les genti*
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Ingvar Leskovar, “Follow up: hyperkyphotic brace solution,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/255106.
