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Lumbar Orthoses to Prevent and Treat Low-Back Pain

  • Michel Benoist
  • Thibaut Lenoir
Chapter

Abstract

Orthotic devices with various concepts and designs have been used since the Middle Ages to correct deformities and keep the spine straight. Various materials have been used over the years for orthotic fabrication. In the last century, thermoplastic composites replaced leather and plaster of Paris. Numerous types of lumbar supports have been developed worldwide for the treatment of spinal disorders [2, 7, 8]. This book is devoted to nonrigid stabilization systems, the goals of which are (1) to stabilize the motion segment by restricting but not suppressing motion; (2) to protect the adjacent level and create the best conditions for healing and hopefully regenerating the discal tissue; and (3) by so doing to obtain pain relief by lowering the nociceptive physical and mechanical input. The biomechanical goals of lumbar orthoses are, as suggested many years ago by Nachemson [21], to correct deformity, limit spinal motion, stabilize part of the spine, and reduce the loads on the trunk structures. Lumbar supports and nonrigid stabilization operative techniques have more or less similar mechanical goals. In a sense, lumbar orthoses could be considered as “external nonrigid stabilization systems.” Lumbar supports are used as part of the conservative treatment before surgery. In this chapter, we will first summarize the mechanical effectiveness of lumbar orthoses, taking into account the kinematics of the lumbar spine, and second, their clinical effectiveness in preventing and treating nonspecific low-back pain.

Keywords

Lumbar Spine Lateral Flexion Discal Tissue Thermoplastic Composite Orthotic Device 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.University of Paris VII, Hôpital BeaujonClichyFrance

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