Lesson 1Materials and Measuring: Sizing TLSO, Pads, Straps, Aids for Putting On, Clothing TipsDis lesson cover measurements and materials for correct brace sizing, including torso length and width, pad and strap choice, putting-on aids, and clothing layers, to give good support while protecting soft older skin.
Landmarks for torso length measurementChest, waist, and hip circumference sizingSelecting pads, liners, and strap typesUse of donning aids and reach toolsClothing layers to protect fragile skinDocumentation of brace size and componentsLesson 2Follow-Up Plan: Check Pain and Function, Bone Health Review, Slow Stop Using Brace, Send for Bone Density and PhysioDis lesson describe structured follow-up after bracing, including pain and function check, x-ray review, bone health evaluation, slow brace stopping, and timely send for osteoporosis care and targeted physio.
Scheduled pain and function reassessmentsImaging to confirm fracture stabilityPlanning gradual reduction of brace timeScreening and labs for bone healthReferral for osteoporosis treatmentPhysiotherapy for posture and strengthLesson 3Patient Teaching: How to Put On and Off, Wearing Time, Activities to Avoid, Safe Moving and Bending CareDis lesson detail key teaching for patients and caregivers on brace use, including putting on and off, wearing schedule, limited activities, safe moving, bending care, and ways to fit brace into daily life.
Stepwise donning and doffing techniquesRecommended daily wearing scheduleActivities and postures to avoidSafe transfers, bed mobility, and gaitBending, lifting, and twisting precautionsWritten instructions and teach‑backLesson 4How Vertebral Compression Fractures Happen, Effect of Weak Bones and Osteoporosis, and Daily Impact on ElderlyDis lesson explore how vertebral compression fractures form, role of weak bones and osteoporosis in making bones fragile, and specific daily effects for older people, guiding right immobilization and rehab planning.
Mechanisms of vertebral body compression at L2Effects of flexion and axial load on weakened boneOsteopenia versus osteoporosis at the spinePain generators in compression fracturesFunctional limitations in older adultsRisk of progression and adjacent level fracturesLesson 5Warning Signs for Urgent Check: Worsening Weakness, Bowel or Bladder Change, New Numbness, More Pain with BraceDis lesson define warning signs wey need urgent clinical check in braced patients, like new weakness, bowel or bladder changes, feeling loss, or increasing pain, and explain how to sort and report dem quick.
New or progressive limb weaknessBowel or bladder dysfunction onsetNew numbness or saddle anesthesiaRapidly increasing or unrelenting painSkin breakdown or brace‑related woundsWhen and how to seek urgent careLesson 6Check Before Bracing: Skin Look, Breathing Status, Movement Baseline, Ability to Follow InstructionsDis lesson detail pre-bracing checks for safe support, including skin condition, breathing status, starting movement, thinking ability, and red flags, making sure the orthosis fit and used right by older person.
Skin inspection over bony prominencesRespiratory status and pulmonary reserveBaseline mobility and transfer abilityCognitive status and ability to learn tasksPain level and analgesia optimizationScreening for neurological red flagsLesson 7Choosing Brace for Stable L2 Fractures: Semi-Rigid TLSO vs Jewett — Criteria with Weak Bones and Activity NeedsDis lesson explain how to choose between semi-rigid TLSO and Jewett braces for stable L2 fractures, thinking fracture shape, weak bone level, posture, balance, and daily activities to make safety, comfort, and use better.
Radiographic features guiding brace choiceImpact of osteopenia and kyphosis on fitActivity level and balance considerationsAbdominal shape and respiratory factorsFall risk and need for donning assistanceShared decision‑making with patientLesson 8Goals of Outside Spinal Support: Reduce Pain, Limit Bending Movement, Protect in Daily Tasks While Keeping MobilityDis lesson clear up treatment goals of outside spinal support in stable L2 fractures, focusing on pain relief, movement control, and protection in daily tasks while keeping safe mobility and reducing weakness in older people.
Pain reduction through controlled immobilizationLimiting flexion and micro‑motion at L2Protecting the fracture during ADLs and transfersMaintaining safe mobility and balancePreventing deconditioning and muscle wastingSetting realistic goals with patient and familyLesson 9Types of Thoracolumbar Supports: TLSO Kinds, Jewett Hyperextension Brace, Soft Lumbar Corset — When to Use and How Dem WorkDis lesson review available thoracolumbar supports for stable L2 fractures, comparing TLSO types, Jewett hyperextension braces, and soft lumbar corsets, stressing when to use, not to use, and how dem work in older people.
Rigid and semi‑rigid TLSO designsJewett hyperextension brace mechanicsSoft lumbar corset roles and limitsIndications by fracture pattern and levelContraindications in frail older adultsComparing flexion control and comfortLesson 10Checks Right After Fitting: Comfort, Breathing Problem, Ability to Sit to Stand, Pressure Point CheckDis lesson outline immediate post-fitting checks to confirm safety and tolerance, including comfort, breathing function, sit-to-stand ability, and pressure point look, allowing quick changes to stop problems and non-use.
Pain and overall comfort reassessmentRespiratory effort and chest expansionSit‑to‑stand and short walk testingInspection of high‑risk pressure areasAdjusting straps and pads after testingCriteria for safe discharge with braceLesson 11Step-by-Step Fitting and Adjust TLSO or Jewett: Right Alignment, Pad Place, Strap Tightness, Reduce BendingDis lesson give step-by-step guide to fit TLSO or Jewett braces, stressing spine alignment, pad position, strap tightness, and bending reduction, with ways to check comfort, safety, and steady use by caregivers.
Safe log‑roll and initial brace positioningAligning sternal, pelvic, and lateral padsProgressive strap tightening and rechecksEnsuring flexion unloading at L2Verifying fit in supine, sitting, standingCaregiver training for consistent fitting
