A Convertible Spinal Orthosis for Controlled Torso Rigidity

A traditional spinal orthosis in conjunction with a hip-knee-ankle-foot orthosis (HKAFO) improves posture in persons with paraplegia during standing and walking. It also limits the wearer's range of motion when worn during other activities, such as vehicle transfer or sitting and reaching for o...

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Main Authors: Nicole I. Kern, Ronald J. Triolo, Rudi Kobetic, Musa Audu, Roger D. Quinn
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Applied Bionics and Biomechanics
Online Access:http://dx.doi.org/10.3233/ABB-2012-0069
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author Nicole I. Kern
Ronald J. Triolo
Rudi Kobetic
Musa Audu
Roger D. Quinn
author_facet Nicole I. Kern
Ronald J. Triolo
Rudi Kobetic
Musa Audu
Roger D. Quinn
author_sort Nicole I. Kern
collection DOAJ
description A traditional spinal orthosis in conjunction with a hip-knee-ankle-foot orthosis (HKAFO) improves posture in persons with paraplegia during standing and walking. It also limits the wearer's range of motion when worn during other activities, such as vehicle transfer or sitting and reaching for objects. In order to regain full torso flexibility the user would need to remove the spinal orthosis which can be arduous and time consuming. A Convertible Spinal Orthosis (CSO) that allows the user to switch between Locked rigid torso support and Unlocked free motion has been designed, fabricated and tested. It shows promise for increasing functionality, wear time and subject comfort. Analysis of movement has been performed with an able-bodied and a paraplegic subject wearing a rigid spinal orthosis, the CSO in both states, and without any bracing. Configuration state had the most impact on lateral bending. Mean values for the paraplegic subject of 27°, 38°, 48°, and 48° and for the able-bodied subject of 22°, 26°, 48°, and 45° were found for lateral bending of the upper torso relative to the thighs in the Rigid, Locked, Unlocked, and No-Brace states, respectively.
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spelling doaj-art-8c68d3a5ba834c04b0998627ddf779282025-02-03T05:45:48ZengWileyApplied Bionics and Biomechanics1176-23221754-21032013-01-01101597310.3233/ABB-2012-0069A Convertible Spinal Orthosis for Controlled Torso RigidityNicole I. Kern0Ronald J. Triolo1Rudi Kobetic2Musa Audu3Roger D. Quinn4Department of Mechanical Engineering, Case Western Reserve University, Cleveland, OH, USADepartment of Orthopaedics, Case Western Reserve University, Cleveland, OH, USAFES Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USAFES Center, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USADepartment of Mechanical Engineering, Case Western Reserve University, Cleveland, OH, USAA traditional spinal orthosis in conjunction with a hip-knee-ankle-foot orthosis (HKAFO) improves posture in persons with paraplegia during standing and walking. It also limits the wearer's range of motion when worn during other activities, such as vehicle transfer or sitting and reaching for objects. In order to regain full torso flexibility the user would need to remove the spinal orthosis which can be arduous and time consuming. A Convertible Spinal Orthosis (CSO) that allows the user to switch between Locked rigid torso support and Unlocked free motion has been designed, fabricated and tested. It shows promise for increasing functionality, wear time and subject comfort. Analysis of movement has been performed with an able-bodied and a paraplegic subject wearing a rigid spinal orthosis, the CSO in both states, and without any bracing. Configuration state had the most impact on lateral bending. Mean values for the paraplegic subject of 27°, 38°, 48°, and 48° and for the able-bodied subject of 22°, 26°, 48°, and 45° were found for lateral bending of the upper torso relative to the thighs in the Rigid, Locked, Unlocked, and No-Brace states, respectively.http://dx.doi.org/10.3233/ABB-2012-0069
spellingShingle Nicole I. Kern
Ronald J. Triolo
Rudi Kobetic
Musa Audu
Roger D. Quinn
A Convertible Spinal Orthosis for Controlled Torso Rigidity
Applied Bionics and Biomechanics
title A Convertible Spinal Orthosis for Controlled Torso Rigidity
title_full A Convertible Spinal Orthosis for Controlled Torso Rigidity
title_fullStr A Convertible Spinal Orthosis for Controlled Torso Rigidity
title_full_unstemmed A Convertible Spinal Orthosis for Controlled Torso Rigidity
title_short A Convertible Spinal Orthosis for Controlled Torso Rigidity
title_sort convertible spinal orthosis for controlled torso rigidity
url http://dx.doi.org/10.3233/ABB-2012-0069
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