BRACES for Osteoporotic VCF
Jewett Hyperextension Braces (NOT a TLSO), three-point stabilization
* Limits flexion only. Does NOT limit side bending or rotation
Molded Jackets / Clam Shell
These jackets are designed to distribute pressure widely over a large area. By immobilizing the patient
from the neck to the hips, pressure is distributed evenly, taking excess pressure off overloaded or unstable
areas. These jackets are typically made out of molded plastic.
CASH: Cruciate Anterior Spinal Hyperextension brace
* Limits flexion only. Does NOT limit side bending or rotation
Knight Taylor brace is a hyperextension brace that is a TLSO: thoracic lumbar sacral orthosis
* Limits flexion, side bending, and rotation.
Spinomed
Spinomed®
SPINAL ORTHOSIS FOR VERTEBRAL EXTENSION IN OSTEOPOROSIS
INDICATIONS
• osteoporotic bone collapse in the thoracic and lumbar spine
• juvenile Scheuermann’s disease
• hyperkyphosis with chronic back pain
MODE OF ACTION
• by activating the back muscles the support straightens the dorsal spine to decrease the osteoporotic
kyphosis
• stimulation of the body’s own muscle power
• when optimally fitted the support eases the patient’s pain and improves mobility
FEATURES
• Spinomed® can be adjusted to each patient and is moldable in cold conditions
• the brace is light and low profile
• “backpack” principle permits easy application
• no obstruction of thoracic or abdominal breathing
• no restriction of shoulder and arm movements
• padded abdominal panel
EVIDENCE BASED STUDY RESULTS*
• strengthens back extensors by 73%
• strengthens abdominal flexors by 58%
• reduce angle of kyphosis by 11%
• reduce body sway by 25%
• decrease pain by 38%
*evidence based study of SPINOMED® was published in American Journal of PM&R, March 2004
Pfeifer, M., Begerow, B., Minne, H.W. (2004). Effects of a new spinal orthosis on posture, trunk strength,
and quality of life in women with postmenopausal osteoporosis: A randomized trial.
Am J Phys Med Rehabil. 83:177–186.
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