Spinal Orthoses

Abstract

An orthosis is an externally applied device used to modify the structural and functional characteristics of the neuromuscular and skeletal system. Although the potential benefits of these assistive devices are often obvious, scientific evidence is sparse and typically focused on limited therapeutic aspects. The primary aims of orthosis therapy are immobilization and relief. In addition, depending on the indication, lateral movement restriction and/or limitation of extension or flexion in the region of individual parts of the spine may be indicated. Limiting rotation is difficult. Various braces or supports and torso orthoses made of plastic are available, depending on the indication. Many prefabricated and custom-made devices are available, made by a variety of manufacturers in this unregulated area of medical practice. A selection of the most commonly used back orthoses is described below.