Lesson 1Supplies and Measure: Sizing TLSO, Pads, Straps, Fitting Helps, Clothes ThoughtsThis lesson covers measures and supplies for right brace size, including body length and width, pad and strap choice, fitting helps, and clothes layers, to give good support while guarding weak elderly 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 Use Recheck, Bone Health Check, Slow Brace Stop, Send for Bone Strength Care and PhysioThis lesson describes planned follow-ups after bracing, including pain and use recheck, X-ray review, bone health check, 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: Fitting and Removing, Wear Times, Activities to Skip, Safe Moves and Bend WarningsThis lesson details key patient and family teaching for brace use, including fitting and removing, wear times, limited activities, safe moves, bend warnings, and ways to fit the brace in 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 4Vertebra Crush Break Body Process, Weak Bone Influence, and Use Effects in ElderlyThis lesson explores how vertebra crush breaks form, weak bone and brittle bone role in bone weaken, and specific use effects for elderly, guiding right support 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 5Warning Signs for Quick Review: Growing Weakness, Gut-Bladder Changes, New Numbness, More Pain Despite BraceThis lesson defines warning signs needing quick clinic review in braced patients, like new weakness, gut or bladder changes, feel loss, or rising pain, and explains sorting and quick talk of these worries.
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 State, Move Base, Mind Ability to FollowThis lesson details pre-bracing check for safe support, including skin health, breathing state, base move, mind, and warning signs, ensuring the picked orthosis is handled and used right by elderly.
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 Choice for Steady L2 Breaks: Half-Hard TLSO Versus Jewett — Choice Rules Thinking Weak Bone and Activity NeedsThis lesson explains picking between half-hard TLSO and Jewett braces for steady L2 breaks, thinking break shape, weak bone level, stand, balance, and daily activity needs for 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 Ease, Bend Limit, Guard in Daily Tasks While Keeping MoveThis lesson clears healing aims of outside back support in steady L2 breaks, focusing on pain relief, move control, and guard in daily tasks while keeping safe move and cutting weakness in elderly.
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 Chest-Lower Back Supports: TLSO Kinds, Jewett Stretch Brace, Soft Lower Back Belt — Uses and Compare MechanicsThis lesson reviews open chest-lower back supports for steady L2 breaks, comparing TLSO types, Jewett stretch braces, and soft lower back belts, stressing uses, no-uses, and move action in elderly.
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, Breathing Risk, Sit-to-Stand Ability, Pressure Spot CheckThis lesson outlines right-after fitting checks to confirm safety and handle, including ease, breathing work, sit-to-stand ability, and pressure spot look, allowing quick change to stop issues and no-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 Adjust: Right Line, Pad Place, Strap Pull, Bend UnloadThis lesson gives stepwise 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 use by 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
