Lesson 1Supplies and Measure: Sizing TLSO, Pads, Straps, Put-On Helps, Clothes ThoughtsIt covers measures and supplies needed for right brace size, like body length and width, pad and strap pick, put-on helps, and clothes layers, to make sure good support while guarding weak elder 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: Pain and Work Check Again, Bone Health Judge, Slow Stop from Brace, Send for Bone Strength Care and PhysioIt describes planned follow-up after bracing, like pain and work check again, picture look, bone health judge, slow brace stop, and timely send for weak bone care and aimed 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: Put-On/Take-Off, Wear Time, Works to Skip, Safe Moves and Bend WarningsIt lists key patient and carer teaching for brace use, like put-on and take-off, wear time, limited works, safe moves, bend warnings, and ways to fit the brace into daily ways.
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 4Vertebra Squeeze Break Body Work, Weak Bone Influence, and Work Effect in EldersIt looks into how vertebra squeeze breaks grow, weak bone and brittle bone role in making bone weak, and set work results for elders, guiding right fixing and rehab plan.
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 5Danger Signs for Quick Check: Growing Weak, Gut/Bladder Changes, New No Feeling, More Pain Even with BraceIt sets danger signs needing quick clinic check in braced patients, like new weak, gut or bladder changes, feeling loss, or rising pain, and explains how to sort and tell these worries fast.
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, Breath State, Move Base, Mind Ability to Follow TeachIt lists the before-bracing check needed for safe fixing, like skin wholeness, breath state, base move, mind, and danger flags, making sure the picked orthosis is taken and used right by the elder.
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 7Brace Pick for L2 Steady Breaks: Half-Hard TLSO Versus Jewett — Pick Rules Thinking Weak Bone and Work NeedsIt explains how to pick between half-hard TLSO and Jewett braces for steady L2 breaks, thinking break shape, weak bone badness, stand, balance, and daily work needs to best safety, ease, and follow.
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 Back Support: Pain Cut, Movement Limit in Bend, Guard in Daily Works While Keeping MoveIt makes clear healing goals of outside back support in steady L2 breaks, focusing on pain ease, movement control, and guard in daily works while keeping safe move and cutting weakness in elders.
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 9Kinds of Thoracolumbar Supports: Thoracolumbar Sacral Orthosis Varieties, Jewett Over-Stretch Brace, Soft Lumbar Belt — When to Use and Compare MechanicsIt looks over open thoracolumbar supports for steady L2 breaks, comparing TLSO kinds, Jewett over-stretch braces, and soft lumbar belts, stressing when to use, not to use, and movement work in elders.
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 10Right After Checks: Ease, Breath Trouble, Ability to Sit-to-Stand, Pressure Spot CheckIt lists right after fitting checks to confirm safety and take, like ease, breath work, sit-to-stand ability, and pressure spot look, allowing fast change to stop issues and non-follow.
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 TLSO or Jewett Fitting and Change: Right Line, Pad Place, Strap Pull, Unload BendIt gives step guide to fitting TLSO or Jewett braces, stressing back line, pad place, strap pull, and bend unload, with ways to check ease, safety, and steady put-on over carers.
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
