LUMBOSACRAL ORTHOSIS
Lumbosacral orthosis (LSO) is a type of spinal brace that's used to support the lower back, also known as the lumbosacral region. This brace can help with a variety of conditions that affect the lower spine by stabilizing and restricting motion, thus promoting healing and pain relief. Conditions that might require an LSO include, but are not limited to, degenerative spinal diseases, post-operative support, spinal fractures, and certain types of lower back pain. The brace works by immobilizing the lumbar spine in a neutral position, which can alleviate stress on the spinal nerves and structures. If you're seeking more detailed information or considering an LSO for medical reasons, consulting a healthcare professional is strongly advised. They can provide personalized advice and ensure the orthosis is properly fitted to your needs.
Immediate Effect of Lumbosacral Orthosis and Abdominal Drawing-In Maneuver on Postural Control in Adults With Nonspecific Chronic Low Back Pain
Abstract
Objective: The purpose of this study was to examine the immediate effects of lumbosacral orthosis and the abdominal drawing-in maneuver on the trunk postural control of adults with chronic low back pain compared with asymptomatic controls during 1-legged and semi-tandem stances.
Methods: An experimental and comparative study (cross-sectional design) was conducted in a laboratory setting. Twenty adults with chronic low back pain and 20 asymptomatic controls randomly performed 2 postural balance tasks over a force platform, considering 3 experimental conditions: (1) natural posture (baseline-control), (2) lumbosacral orthosis, and (3) abdominal drawing-in maneuver. Linear variables (mean amplitude, ellipse area, and sway velocity) derived from the center of pressure were computed, and 2-way analysis of variance (group × condition) for repeated measures were conducted.
Results: No group × condition interactions (.139 ≤ P ≤.938) were detected in any center of pressure parameters. No condition effect was detected, but a group effect (P = .042) was observed for 1 center of pressure parameter. The chronic low back pain group presented with a lower mean anteroposterior center of pressure amplitude than asymptomatic controls (∆ = 0.31 ± 0.66 cm [95% confidence interval, 0.05-0.56], P = .019) during the semi-tandem stance balance task.
Conclusion: Neither lumbosacral orthosis nor the abdominal drawing-in maneuver showed immediate improvement in trunk postural control in any group. Thus, clinicians should not expect immediate benefits or improvements yielded by lumbosacral orthosis or the abdominal drawing-in maneuver when patients with chronic low back pain undergo these interventions.
Keywords: Abdominal Muscles; Low Back Pain; Postural Balance; Rehabilitation; Treatment Outcome.
Copyright © 2022. Published by Elsevier Inc.
Effectiveness of Lumbosacral Orthosis After Discectomy for Lumbar Disk Herniation: A Prospective Comparative Study
Abstract
Study design: A prospective comparative study.
Objective: To investigate the benefits of postoperative application of lumbosacral orthosis after single-level discectomy for lumbar disk herniation (LDH).
Summary of background data: Although many surgeons use postoperative lumbosacral orthosis for patients with LDH, there is no clear evidence to support or deny its effectiveness.
Materials and methods: Ninety-nine consecutive patients who underwent the microscopic discectomy were included. They were divided into two groups: orthosis group and nonorthosis group, before surgery. The recurrence rate and reoperation rate were compared between the two groups at four-week, six-month, and one-year follow-up. Japanese Orthopaedic Association Score for lumbar spine (L-JOA score) at two-week and one-year follow-up, lower extremities and low back pain's visual analog scale (VAS) and Oswestry Disability Index (ODI) at six-month and one-year follow-up were compared.
Results: Forty-two patients in the orthosis group and 39 patients in the nonorthosis group were followed up for at least one-year after surgery. Recurrence occurred in three patients (7.1%) in the orthosis group and six (15.4%) in the nonorthosis group within one-year. Two patients (4.8%) in the orthosis group and two patients (5.1%) in the nonorthosis group underwent reoperation. There were no significant intergroup differences in the recurrence rate and in the reoperation rate. No significant difference was also observed between the two groups in L-JOA score, ODI, VAS of low back pain, and leg pain at one-year after surgery. Furthermore, at any other follow-up period, no significant differences were observed between the two groups in recurrence rate, reoperation rate, L-JOA score, VAS of low back/leg pain, or ODI.
Conclusions: The use of a postoperative orthosis did not reduce recurrence or reoperation rates, nor did it improve postoperative clinical symptoms. The routine use of an orthosis may not be necessary after single-level lumbar discectomy.
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
The lumbosacral orthosis (LSO) products are well-received for providing back support and pain relief. Users appreciate the braces for their ability to stabilize the lower back, with one customer on komzer specifically noting the significant support the brace offered, enabling her to walk comfortably. It's important for the brace to be properly fitted by a medical professional to avoid complications such as skin irritation or circulation issues. For detailed product reviews and experiences, it's recommended to visit websites like komzer, which offer customer feedback on various LSO products.
LUMBOSACRAL ORTHOSIS
The komzer lumbosacral orthosis effectively stabilizes the ligaments, tendons and muscles of the lower back, providing relief from pain and discomfort. Rigid anterior and posterior panels provide additional support to the abdomen and relieve pressure over the entire lower back to the level of the T-9 vertebra. Varying degrees of additional support can be obtained by adjusting the bilateral support pulls. Made from high quality nylon and cotton blend materials.
INDICATIONS LISTED BELOW：
• Provides firm support and stabilization for muscles and ligaments; extends from lower sacrum to T-9 vertebra
• Dual panel support belt with elastic side panel molds around body contours for a comfortable fit
• Rigid anterior and posterior inserts are adjustable
• Bilateral side pulls with contact closure fastening exert evenly applied pressure
• Tapered in front for optimum wearing comfort
• Quick and easy contact closure fastening and adjustment
• Latex free
Lumbosacral orthosis bilateral sidepulls
Bilateral side pulls with contact closure fastening exert evenly applied pressure. Tapered in front for optimum wearing comfort. Quick and easy contact closure fastening and adjustment. Latex free.
Lumbosacral orthosis rigid panels
Rigid anterior and posterior panels provide additional support to the abdomen and relieve pressure over the entire lower back to the level of the T-9 vertebra.
MEASURING INSTRUCTIONS
A. Measure around the widest part of the hips.
APPLICATION INSTRUCTIONS
1. Be sure that the posterior panel is secured to the back of the garment with the elastic band. Unfasten all closures and loosen all adjustments on the side pulls. Position garment over torso so that the bottom of the back panel is approximately 2" above the gluteal crease.
2. Hold the left flap firmly with the left hand over the abdomen. Grasp the right flap with the right hand, stretch the garment outwards, then wrap around the body using the contact closure strips so attach flap securely onto first flap over the abdomen. Verify the garment is positioned equidistant from the midline of the body.
3. Grasp the thumb loops on the side straps and pull them simultaneously until the required tension is achieved, then fasten them to the abdomen.
4. Check that garment is in proper position so that the back is centered over the spine, and the front pocket is centered over the front as well.
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