ORTE 2055 - Spinal Orthoses Fabrication

Credits: 3
Hours/Week: Lecture 1 Lab 4
Internship hours per week 0
Course Description: This course concentrates on identification and interpretation of spinal orthotic designs based on related prescription information. Projects include the fabrication of thermoplastic lumbo-sacral orthoses (LSOs) and thoraco-lumbo-sacral orthoses (TLSOs) that control specific areas of the spine. All projects are finished according to prescription criteria and ready for patient fitting.
MnTC Goals
None

Prerequisite(s): Instructor consent
Corequisite(s): None
Recommendation: None

Major Content

1. Spine anatomy
2. Spinal biomechanics
3. Initiate treatment plan: spinal orthoses
   1. Documentation
   2. Designs
   3. Components
4. Implement treatment plan: spinal orthoses, thermoplastic
   1. Fabrication procedures, TLSO
   2. Fabrication procedures, LSO
   3. Finish for patient fitting

1. identify surface anatomy of the spine and pelvis.  (C.1.4)
2. identify anatomical structures to corresponding functional anatomy of the spine.  (C.1.4)
3. differentiate gross anatomical structures as it relates to function. (C.1.4)    
4. communicate using medical terminology. (C.1.4)                                                       
5. apply foundational knowledge of biomechanical principles.  (C.3.0, C.8.0)
6. integrate biomechanics into orthotic design.  (B.1)
7. relate biomechanics to orthotic design principles.  (C.8.3.1.a, C.8.3.2.a)
8. initiate a treatment plan under direction of an O&P professional. (C.2.0)
9. review physical assessment information in treatment plan.  (C.2.1)
10. determine fabrication and technical criteria from the medical record.  (C.2.1, C.3.1)
11. confirm physical assessment data is adequate to implement treatment plan. (C.2.2)
12. determine fabrication requirements/ technical criteria from patient record.  (C.3.1)
13. identify foundational knowledge in spinal orthosis design.  (C.8.0, C.8.3)
14. identify metal and plastic LSO and TLSO designs.  (C.8.3.1, C.8.3.1.a)
15. identify metal and plastic CTLSO designs. (C.8.3.2, C.8.3.2.a)
16. identify LSO, TLSO, and CTLSO designs for management of scoliosis.  (C.8.3.1, C.8.3.1.a)
17. identify properties of current materials used in spinal orthoses.  (C.1.5, B.2)
18. select materials appropriate for design.  (C.1.5)
19. locate manufactures specifications.  (C.1.5)
20. demonstrate the ability to use materials, equipment. tools, and components safely. (ISPO)
21. practice sound judgement regarding safety of self and others.  (A.1.2)
22. adhere to safety procedures and practices throughout the fabrication process.  (A.1.2, C.4.0, C.4.1)
23. implement an orthotic treatment plan for spinal orthoses, thermoplastic.   (C.4.0)
24. demonstrate foundational knowledge in spinal orthosis fabrication.  (C.8.0, C.8.3, C.8.3.1, C.8.3.1.b)
25. prepare and correct spinal negative mold/impression.  (ABC)
26. fill spinal negative mold/impression.  (ABC)
27. complete LSO/TLSO positive model rectification.   (ABC)
28. prepare positive models for fabrication of spinal orthosis including category I and II modifications.  (C.1.2.1, C.1.2.1.a, C.1.2.1.b, C.8.3, C.8.3.1.c)
29. prepare spinal positive model for vacuum forming.   (ABC)
30. vacuum form a spinal orthosis.  (ABC)
31. trim out a spinal orthosis.  (ABC)
32. fabricate a plastic single-opening LSO/TLSO.  (ABC, C.1.7, C.8.0, C.8.3.1.b.2)
33. fabricate a plastic bivalve LSO/TLSO.  (ABC, C.1.7, C.8.0, C.8.3.1.b.1)
34. fabricate spinal orthoses based on the prescription/instructions provided by a practitioner.  (A.1.3)
35. line a spinal orthosis with padding material.
36. finish a spinal orthosis ready for fitting.  (ABC)
37. fabricate closures and straps for completion of plastic spinal orthoses.  (ABC, C.4.2, C.8.3.1.b.1, C.8.3.1.b.2)      
38. verify spinal orthoses are structurally sound ready for patient use.   (A.1.3)
39. verify spinal orthoses are appropriate based on prescription criteria or instructions provided by practitioner.  (A.1.3)
40. verify function of spinal orthoses in all planes.   (C.3.2)

 
Minnesota Transfer Curriculum (MnTC): Goals and Competencies
Competency Goals (MnTC Goals 1-6)
None
Theme Goals (MnTC Goals 7-10)
None

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